DNA damage is a critical factor in the initiation of chemically induced tox
icities (including cancer), and the repair of this damage represents the ce
ll's first line of defense against the deleterious effects of these agents.
The various mechanisms of DNA repair are reviewed briefly and the actions
of the DNA repair protein O-6-alkylguanine-DNA alkyltransferase (ATase) are
used to illustrate how DNA repair can protect cells against alkylating age
nt-induced toxicities, mutagenesis, clastogenesis, and carcinogenesis. The
effectiveness of this repair protein can be measured based on its ability t
o deplete levels of its promutagenic substrate O-6-methylguanine (O-6-meG)
in the DNA of cells. These studies reveal that the repair of O-6-meG from D
NA occurs heterogeneously, both intra- and intercellularly. Even in cells t
hat repair O-6-meG hyperefficiently, certain regions of chromatin DNA are r
epaired with difficulty, and in other regions they are not repaired at all;
most likely this lack of repair is a result of the location of the lesion
in the DNA sequence. When individual cells are compared within a tissue, so
me cells are clearly repair deficient, because the O-6-meG can persist in D
NA for many weeks, whereas in other cells, it is removed within a matter of
hours. The role of these repair-deficient cells as targets for alkylating
agent-induced carcinogenesis is considered. The mechanisms of the homeostat
ic control of DNA repair function in mammalian cells are not yet well under
stood. Because there are now indications of the mechanisms by which the lev
el of DNA damage may be sensed land so influence the activity of the ATase
repair protein), this is an important area for future study.