We previously developed a system to investigate the mechanism of repeat sequence expansion during eukaryotic Okazaki fragment processing. Upstream and downstream primers were annealed to a complementary template to overlap across a CAG repeat region. Annealing by the competing primers lead to structural intermediates that ligated to expand the repeat segment. When an equal number of repeats overlapped on the upstream and downstream primers, a 2-fold expansion was expected, but no expansion occurred. We show here that such substrates do not expand irrespective of their repeat length. To reveal mechanism, we tested different hairpin loop intermediates expected to form and facilitate ligation. Substrates configured to form large loops in either the upstream or downstream primer alone allowed expansion. Large or small fixed position single loops allowed expansion when located at least six nucleotides up-or downstream of the nick. Fixed loops in both primers, simulating a double loop intermediate, allowed expansion as long as each loop was nine nucleotides from the nick. Thus, neither the double loop configuration required to form with equal length overlaps nor the large single loop configuration are fundamental structural impediments to expansion. We propose a model for the expansion mechanism based on the relative stabilities of single loop, double loop, hairpin, and flap intermediates that is consistent with the observed expansion efficiency of equal and unequal overlap substrates. The model suggests that the equilibrium concentration of double loop intermediates is so vanishingly small that they are not likely contributors to sequence expansion.Repeat sequences are distributed widely in all organisms, forming the micro-and mini-satellite regions of their chromosomal DNAs (1). Triplet repeat sequences have attracted particular attention, because they are involved in pathogenesis of at least 14 neurological disorders (2). Of interest are the CAG, CGG, and GAA repeat tracts that are present in the normal population in lengths of 10 -25 triplets and show significant length polymorphisms. In a subset of the population repeat lengths reach the relatively stable pre-mutational length of 30 -50 repeats, which then undergo large intergenerational expansion by mechanisms that are poorly understood. Repeat sequences present in coding regions expand to a smaller extent than repeats that are located in 3Ј-untranslated region or regulatory regions that show expansion into thousands of repeats (2).Locus-specific expansion of CAG/CTG and CGG/CCG sequences suggests that the instability is an inherent property of repeat DNA (3). One characteristic of such DNA is the ability of repeat sequences to slip and mispair because of partial selfcomplementarity in the region. This gives rise to secondary structures in DNA (4, 5). Although slip mispairing can occur at all repeat sequences, only GAA, CGG, and CTG repeats exhibit expansion in vivo (6). These sequences have the additional quality that they can form secondary structures with hig...