Learning Objectives
- Differentiate between single-strand and double-strand DNA repair pathways.
- Identify the key enzymes involved in Base Excision Repair (BER) and Nucleotide Excision Repair (NER).
- Correlate DNA repair defects with clinical syndromes like Xeroderma Pigmentosum and Lynch Syndrome.
- Master the timing of repair mechanisms within the cell cycle.
1. Single-Strand Repair
These pathways address damage on one strand using the complementary strand as a template.
Nucleotide Excision Repair (NER)
- Mechanism: Specific endonucleases remove bulky, helix-distorting lesions (e.g., pyrimidine dimers).
- Timing: Occurs in the G1 phase.
- Clinical: Defective in Xeroderma Pigmentosum (UV sensitivity, skin cancer).
Base Excision Repair (BER)
- Mechanism: “GEL Please” — Glycosylase (removes base), Endonuclease (cleaves 5′), Lyase (cleaves 3′), Polymerase-β, and Ligase.
- Function: Repairs spontaneous/toxic deamination.
- Timing: Occurs throughout the cell cycle.
Mismatch Repair
- Mechanism: Removes mismatched nucleotides in the newly synthesized strand.
- Timing: Predominantly in S phase.
- Clinical: Defective in Lynch Syndrome (HNPCC).

Activity
2. Double-Strand Repair
Required when both strands of the DNA helix are severed, posing a high risk for chromosomal instability.
| Mechanism | Requirement | Accuracy & Clinical Notes |
|---|---|---|
| Nonhomologous End Joining (NHEJ) | None (rejoins 2 ends) | Error-prone; DNA may be lost or translocated. |
| Homologous Recombination | Homologous duplex template | Accurate; no loss of nucleotides. Defective in BRCA1/2 mutations (Breast/Ovarian cancer). |

Activity
3. Clinical Mnemonic & Summary
“GEL Please” for Base Excision Repair:
1. Glycosylase (removes base/creates AP site)
2. Endonuclease (cleaves 5′ end)
3. Lyase (cleaves 3′ end)
4. Polymerase-β (fills gap)
5. Ligase (seals gap)
1. Glycosylase (removes base/creates AP site)
2. Endonuclease (cleaves 5′ end)
3. Lyase (cleaves 3′ end)
4. Polymerase-β (fills gap)
5. Ligase (seals gap)
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