The X-ray Repair Cross-Complementing group 1 (XRCC1) protein, encoded by the XRCC1 gene, is essential in the base excision repair (BER) and single-strand break repair processes (SSBR). XRCC1 has been shown to physically interact with several enzymes known to be involved in the scaffolding protein complex, including DNA polymerase beta, PARP (ADP-ribose polymerase) and DNA ligase III in a complex, to facilitate the processes of base excision repair (BER) or single-strand break repair (SSBR). The XRCC1 protein might be independently involved in DNA damage recognition, since it can bind directly to both gapped and nicked DNA, as well as to gapped DNA associated with DNA polymerase beta.
Polymorphisms in the XRCC1 have been associated with either increased or decreased cancer susceptibility, depending on the type of cancer and the levels of environmental exposure to DNA damaging agents. More than 300 single nucleotide polymorphisms (SNPs) in the XRCC1 gene have been reported; three of them are the most studied and lead to amino acid substitutions. These are p.Arg194Trp, p.Arg280His and p.Arg399Gln. The p.Arg399Gln has been associated with head and neck, colorectal, gastric, esophageal, breast, and lung cancers. The p.Arg194Trp polymorphism has been related to colorectal, gastric, head and neck, and skin cancers.