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To elucidate the molecular mechanism by which ETS factors bind to damaged DNA sites and inhibit repair, we investigated the binding of members from the three major classes of the ETS superfamily (Ets1, ELF1, and PU.1) to cognate DNA containing a cis-syn TpT CPD. These site-specific CPDs modulated ETS recognition and repair by a model repair enzyme in a position-dependent manner. Specifically, a deaminated CPD located in a damage hotspot in the ETS binding motif consistently stimulated binding and inhibited T4 PDG (a CPD repair enzyme) by all three paralogs. Co-crystal structures of PU.1 reveal that CPDs and mismatches are recognized within the framework of canonical ETS\/DNA complexes. Molecular dynamics simulations in explicit solvent show that CPD introduces compensatory structural dynamics to both the free and ETS-bound states that strongly modify the underlying thermodynamics of recognition. The results offer a molecular basis for how ETS factors induce mutation hotspots in skin cancers and other UV-exposed tissues by binding to CPD-containing sites and inhibiting their repair.<\/jats:p>","DOI":"10.1093\/nar\/gkag711","type":"journal-article","created":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T07:57:32Z","timestamp":1784966252000},"source":"Crossref","is-referenced-by-count":0,"title":["Molecular basis of UV lesion binding and repair inhibition by ETS-family transcription factors"],"prefix":"10.1093","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5599-9988","authenticated-orcid":false,"given":"Smitha","family":"Sivapragasam","sequence":"first","affiliation":[{"name":"School of Molecular Biosciences, Washington State University , Pullman WA 99164,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5394-5663","authenticated-orcid":false,"given":"James 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