Working conditions at lead production plants, where a large number of harmful chemicals are present in the air of the work area, among which lead is the leading risk factor, have a negative impact on the health of workers. This xenobiotic disrupts numerous biochemical processes and affects many body systems. Of particular interest is the understanding of the action of lead at the molecular level, since in addition to the general mechanisms of damage to molecules and ultrastructures as a result of oxidative stress, lead is able to bind to a large DNA groove. A change in the level of gene expression in response to toxic exposure is considered as one of the biomarkers of the effect and can serve to develop measures for the early diagnosis of health disorders in exposed populations, including those working in harmful conditions. The study aims to consider the expression of DNA repair genes in workers of lead processing from secondary raw materials. The researchers examined the interned men working at the enterprise for the production of lead from secondary raw materials in the profession of a smelter (n=11) of the rough lead department, a dryer (n=10) of the rough lead department. The comparison group included men (n=20) who work at the same enterprise and have no contact with harmful factors of production. We have performed amplification of the studied genes (ATM, CDKN1A and MDM) in real time using the QuantStudio 3 amplifier (Thermo Fisher Scientific, USA). It was found that the expression level of the ATM gene was statistically significantly different in all three study groups from the comparison group. The expression of the CDKN1A gene increased in comparison with the comparison group only in the smelters of the refining department. Also, the expression of this gene was increased in the smelters of the refining department compared with the smelters of the rough lead department. In this study, an increase in the expression level of CDKN1A in smelters of the refining department was demonstrated, which may be an adaptive mechanism of the repair system. Also, in all exposed groups, the researchers found a decrease in the expression level of the ATM gene, which is important for maintaining cellular homeostasis. Further studies of the mechanisms of the influence of lead on the expression of these two genes in experimental models will allow the use of expression levels as early biomarkers of the effect of both total Pb exposure (ATM gene) and dose-dependent (CDKN1A gene). Limitations. Ethnicity was not determined in this study. Ethics. The studies were conducted in accordance with the ethical principles set out in the Helsinki Declaration of the World Medical Association and approved by the local Ethics committee of the Federal State Budgetary Institution of the Russian National Research Center of Rospotrebnadzor (Protocol No. 1 of 02/26/2021).