Hepatocellular carcinoma (HCC) is increasingly important in the United States as the incidence rate rose over the last 30 years. C3HeB/FeJ mice serve as a unique model to study HCC tumorigenesis because they mimic human HCC with delayed onset, male gender bias, a ~50% incidence, and susceptibility to tumorigenesis is mediated through multiple genetic loci. Because a human O6-methylguanine-DNA methyltransferase (hMGMT) transgene reduces spontaneous tumorigenesis in this model, we hypothesized that hMGMT would also protect from methylation-induced hepatocarcinogenesis. To test this hypothesis, wild type and hMGMT transgenic C3HeB/FeJ male mice were treated with two monofunctional alkylating agents: diethylnitrosamine (DEN) (0.025 Âľmol/g body weight) on day 12 of life with evaluation for glucose-6-phosphatase deficient (G6PD) foci at 16, 24, and 32 weeks or N-methyl-N-nitrosurea (MNU) (25 mg MNU/kg body weight) once monthly for 7 months starting at 3 months of age with evaluation for liver tumors at 12â15 months of age. No difference in abundance or size of G6PD foci was measured with DEN treatment. In contrast, it was unexpectedly found that MNU reduces liver tumor prevalence in wild type and hMGMT transgenic mice despite increased tumor prevalence in other tissues. hMGMT and MNU protections were additive, suggesting that MNU protects through a different mechanism, perhaps through the cytotoxic N7-alkylguanine and N3-alkyladenine lesions which have low mutagenic potential compared to O6-alkylguanine lesions. Together these results suggest that targeting the repair of cytotoxic lesions may be a good preventative for patients at high risk of developing HCC.