The DNA damage,caused by cigarette smoking,can cause airway cell apoptosis and death,which may be associated with the development of chronic obstructive pulmonary disease(COPD).However,just 20%-30% smokers develop COPD,which suggests that different degrees of DNA repair cause different outcomes in smokers.X-ray repair cross-complementing group 1(XRCC1),a base excision repair protein,has multiple roles in repairing ROS-mediated,basal DNA damage and single-strand DNA breaks.The present study investigated the association between polymorphism in XRCC1(Arg399Gln) and susceptibility of COPD.A total of 201 COPD cases and 309 controls were recruited and frequency-matched on age and sex.XRCC1 genotype was determined by PCR-restriction fragment length polymorphism analysis.Overall,compared with those with the XRCC1 Arg/Arg genotype,the risk for COPD had no significant difference among individuals with Trp/Trp genotype.However,after stratifying by smoking status,in former smokers,compared with those with the XRCC1 Arg/Arg genotype,the risk for COPD was significantly reduced among individuals with Trp/Trp genotype(adjusted OR=0.22,95% CI 0.06-0.85,P=0.028);after stratifying by smoking exposure,in light smokers,compared with those with the XRCC1 Arg/Arg genotype,the risk for COPD was significantly reduced among individuals with Arg/Trp genotype and Trp/Trp genotype(adjusted OR=0.39,95% CI 0.16-0.94,P=0.036;0.24,95% CI 0.07-0.79,P=0.019,respectively).In conclusion,XRCC1 Arg194Trp genotype is associated with a reduced risk of developing COPD among former and light smokers.