Genome-Embedded Ribonucleotides and Genome Instability Andrew Jackson MRC Human Genetics Edinburgh, Edinburgh, UK Our identification of biallelic hypomorphic mutations in three RNase H2 genes1 in the neuroinflammatory disorder, Aicardi-Goutières syndrome led us to investigate enzyme complex they encode. We subsequently established this is an important genome surveillance enzyme that removes over 1,000,000 ribonucleotides embedded in the genomic DNA of every replicating mammalian cell. Such ribonucleotides represent the most common non-canonical nucleotides incorporated into the genome by replicative polymerases and are an important potential source of genome instability.