Nitric oxide (NO) is a physiologically important molecule that has been implicated in the pathophysiology of diseases associated with chronic inflammation, such as cancer. While the complicated chemistry of NO-mediated genotoxicity has been extensively study in vitro, neither the spectrum of DNA lesions nor their consequences in vivo have been rigorously defined. We have approached this problem by exposing human TK6 lymphoblastoid cells to controlled steady-state concentrations of 1.75 or 0.65 μM NO along with 186 μM O 2 in a recently developed reactor that avoids the anomalous gas-phase chemistry of NO and approximates the conditions at sites of inflammation in tissues. The resulting spectrum of nucleobase deamination products was defined using a recently developed liquid chromatography/mass spectrometry (LC/MS) method and the results were correlated with cytotoxicity and apoptosis. A series of control experiments revealed the necessity of using dC and dA deaminase inhibitors to avoid adventitious formation of 2′-deoxyuridine (dU) and 2′-deoxyinosine (dI), respectively, during DNA isolation and processing. Exposure of TK6 cells to 1.75 μM NO and 186 μM O 2 for 12 hr (1260 μM•min dose) resulted in 32% loss of cell viability measured immediately after exposure and 87% cytotoxicity after a 24 hr recovery period. The same exposure resulted in 3.5-, 3.8-, and 4.1-fold increases in dX, dI and dU, respectively, to reach the following levels: dX, 7 (±1) per 10 6 nt; dI, 25 (±2.1) per 10 6 nt; and dU, 40 (±3.8) per 10 6 per nt. dO was not detected above the limit of detection of 6 lesions per 10 7 nt in 50 μg of DNA. A 12 hr exposure to 0.65 μM NO and 190 μM O 2 (468 μM•min dose) caused 1.7-, 1.8-, and 2.0-fold increases in dX, dI, and dU, respectively, accompanied by a ∼15 (±3.6) % reduction in cell viability immediately after exposure. Again, dO was not detected. These results reveal modest increases in the steady-state levels of DNA deamination products in cells exposed to relatively cytotoxic levels of NO. This could result from limited nitrosative chemistry in nuclear DNA in cells exposed to NO or high levels of formation balanced by rapid repair of nucleobase deamination lesions in DNA.