Inherited mutations of the TFIIH helicase subunits xeroderma pigmentosum (X
P) B or XPD yield overlapping DNA repair and transcription syndromes. The h
igh risk of cancer in these patients is not fully explained by the repair d
efect. The transcription defect is subtle and has proven more difficult to
evaluate. Here, XPB and XPD mutations are shown to block transcription acti
vation by the FUSE Binding Protein (FBP), a regulator of c-myc expression,
and repression by the FBP Interacting Repressor (FIR). Through TFIIH, FBP f
acilitates transcription until promoter escape, whereas after initiation, F
IR uses TFIIH to delay promoter escape. Mutations in TFIIH that impair regu
lation by FBP and FIR affect proper regulation of c-myc expression and have
implications in the development of malignancy.