Strong evidence supports the idea that specific metabolites of estrogens, mainly catechol estrogen-3,4-quinones, can react with DNA to become endogenous initiators of breast, prostate, and other human cancers. Oxidation of the catechol estrogen metabolites 4-hydroxyestradiol (4-OHE 2 ) and 2-OHE 2 leads to the quinones, estradiol-3,4-quinone (E 2 -3,4-Q) and estradiol-2,3-quinone (E 2 -2,3-Q), respectively. The reaction of E 2 -3,4-Q with DNA affords predominantly the depurinating adducts 4-OHE 2 -1-N3Ade and 4-OHE 2 -1-N7Gua, whereas the reaction of E 2 -2,3-Q with DNA yields the newly synthesized depurinating adduct 2-OHE 2 -6-N3Ade. The N3Ade adducts are lost from DNA by rapid depurination, while the N7Gua adduct is lost from DNA with a half-life of ∼3 h at 37°C. To compare the relative reactivity of E 2 -3,4-Q and E 2 -2,3-Q, the compounds were reacted individually with DNA for 0.5-20 h at 37°C, as well as in mixtures (3:1, 1:1, 1:3, and 5:95) for 10 h at 37°C. Depurinating and stable adducts were analyzed. In similar experiments, the relative reactivity of 4-OHE 2 and 2-OHE 2 with DNA was determined after activation by lactoperoxidase, tyrosinase, prostaglandin H synthase (PHS), or 3-methylcholanthreneinduced rat liver microsomes. Starting with the quinones, the levels of depurinating adducts formed from E 2 -3,4-Q were much higher than that of the depurinating adduct from E 2 -2,3-Q. Similar results were obtained with lactoperoxidase or tyrosinase-catalyzed oxidation of 4-OHE 2 and 2-OHE 2 , whereas with activation by PHS or microsomes, a relatively higher amount of the depurinating adduct from E 2 -2,3-Q was detected. These results demonstrate that the E 2 -3,4-Q is much more reactive with DNA than E 2 -2,3-Q. The relative reactivities of E 2 -3,4-Q and E 2 -2,3-Q to form depurinating adducts correlate with the carcinogenicity, mutagenicity, and cell-transforming activity of their precursors, the catechol estrogens 4-OHE 2 and 2-OHE 2 . This is essential information for understanding the cancer risk posed by oxidation of the two catechol estrogens.