Methylating agents are widespread environmental carcinogens that generate a broad spectrum of DNA damage. Methylation at the guanine O 6 position confers the greatest mutagenic and carcinogenic potential. DNA polymerases insert cytosine and thymine with similar efficiency opposite O 6 -methyl-guanine (O6MeG). We combined pre-steady-state kinetic analysis and a series of nine x-ray crystal structures to contrast the reaction pathways of accurate and mutagenic replication of O6MeG in a high-fidelity DNA polymerase from Bacillus stearothermophilus. Polymerases achieve substrate specificity by selecting for nucleotides with shape and hydrogen-bonding patterns that complement a canonical DNA template. Our structures reveal that both thymine and cytosine O6MeG base pairs evade proofreading by mimicking the essential molecular features of canonical substrates. The steric mimicry depends on stabilization of a rare cytosine tautomer in C⅐O6MeG-polymerase complexes. An unusual electrostatic interaction between O-methyl protons and a thymine carbonyl oxygen helps stabilize T⅐O6MeG pairs bound to DNA polymerase. Because DNA methylators constitute an important class of chemotherapeutic agents, the molecular mechanisms of replication of these DNA lesions are important for our understanding of both the genesis and treatment of cancer.crystal structure ͉ DNA damage ͉ DNA polymerase ͉ protein-DNA complex A lkylating agents are potent environmental carcinogens that are produced by burning tobacco or in grilling foods (1, 2) and also may be formed enzymatically in vivo (3, 4), for instance, by enzymatic metabolite nitrosation (5). Such agents cause a broad spectrum of DNA lesions. Although modifications at the O6 position of guanine constitute a minority of the total lesions, they are the most carcinogenic (6-8). The cytotoxic effects of DNA-methylating agents have been exploited in their use as potent anticancer agents. O 6 -methyl-guanine (O6MeG) is mutagenic because polymerases frequently misinsert T opposite O6MeG instead of C, both in vivo (9, 10) and in vitro (11)(12)(13). In this study, we present the crystal structures of complexes of a high-fidelity DNA polymerase with substrates representing several steps of nucleotide insertion opposite O6MeG. Additionally, we have engineered a substrate in which the O6MeG⅐C/T pair lies in DNA outside the binding site of the polymerase, allowing us to compare the conformation of these base pairs in duplex DNA to the conformation of the base pairs constrained in the polymerase active site.The relative preference for incorporation of T and C opposite an O6MeG lesion varies somewhat with polymerase and sequence context (13). High-fidelity polymerases such as exonuclease-deficient E. coli polymerase I (Klenow fragment) (13) or bacteriophage T7 DNA polymerase (11) show an Ϸ7-fold preference for misinsertion of T. By comparison, these polymerases usually show a several thousand-fold preference for insertion of a correct base-pairing partner when copying a normal, undamaged DNA. O6MeG lesions ...