Replication in vivo across unrepaired O 6 -methylguanine (m 6 dG) lesions by mammalian DNA polymerase  (pol ) during short patch repair may contribute to the cytotoxicity and mutagenesis of m 6 dG. We have employed in vitro steady state kinetic analysis to investigate the replication of oligonucleotide templates containing site-specific m 6 dG by human pol . Our results show that m 6 dG is a strong but not absolute block to replication by pol . pol  exhibits mixed kinetic discrimination during overall replication across dG and m 6 dG. pol  preferentially inserts dTMP rather than dCMP opposite m 6 dG. However, pol  extends from the dC-m 6 dG base pair more efficiently than from the dTm 6 dG base pair. This is in strong contrast to other polymerases such as the exonuclease-deficient Klenow fragment of Escherichia coli DNA polymerase I (exo ؊ KF) that preferentially extends dT-m 6 dG by a factor of 10 over dC-m 6 dG. When both insertion and extension are considered, pol  has a 15-fold overall preference for incorporation of the mutagenic substrate dTTP rather than the nonmutagenic substrate dCTP during replication across m 6 dG. This suggests that pol , in concert with the T:G-specific thymine DNA glycosylase, may be intricately involved in the futile cytotoxic repair induced by m 6 dG. Our results also suggest that replication across m 6 dG by pol  may contribute to m 6 dG-induced G 3 A transition mutations.1 is a nuclear DNA repair polymerase extensively characterized by Wilson (1, 2). It mainly carries out gap filling during short patch base excision repair (3-7). pol  fills short (up to six nucleotides long) DNA gaps (4 -8) and has been found to act in concert with uracil glycosylase (3) and the human G:T-specific thymine glycosylase (9). pol  is also implicated in the repair of DNA damage induced by anticancer agents such as bleomycin, ␥-irradiation (10), cisplatin (11), and alkylating agents (12). Resistance to cisplatin may be partially due to overexpression of pol  (11). Tumors may also develop resistance to radiation therapy and chemotherapy (e.g. cisplatin and alkylating agents) by increased efficiency of DNA repair. pol  has been found to be altered in some human cancers (13,14), suggesting its importance in maintaining genomic stability. However, pol  is the most error prone of all known polymerases tested in vitro (15).Mechanistic studies of pol  are important for understanding its diverse roles in DNA replication and repair under circumstances leading to mutagenesis, cytotoxicity, tumor progression, and the resistance of tumors to anticancer therapy. Furthermore, the small size, single subunit composition, availability of crystal structure, and absence of confounding associated activities (such as 3Ј-5Ј exonuclease) make pol  a good model for the study of DNA polymerase structure and function.O 6 -Methylguanine (m 6 dG) is a mutagenic and cytotoxic DNA adduct that can be formed in vivo by such diverse agents as tobacco smoke, methylnitrosourea, and other S n 1 methylating agents (16)....