Lysine to methionine (K-to-M) mutations in genes encoding histone H3 are thought to drive a subset of pediatric brain and bone cancers. These high-frequency K-to-M mutations occur at sites of methylation on histone H3, and tumors containing the mutant histones exhibit a global loss of specific histone methylation marks. Previous studies showed that K-to-M mutant histones, also known as oncohistones, are potent orthosteric inhibitors of specific Su(var)3-9, Enhancer-ofzeste, Trithorax (SET) domain methyltransferases. However, the biochemical and biophysical details of the interaction between K-to-M mutant histones and the respective SET domain methyltransferases are currently unknown. Here, we use the histone H3K9-directed methyltransferase G9a as a model to explore the mechanism of inhibition by K-to-M oncohistones. X-ray cocrystal structures revealed that the K9M residue of histone H3 occupies the active site cavity of G9a, and kinetic analysis indicates competitive inhibition of G9a by histone H3K9M. Additionally, we find that the cofactor S-adenosyl methionine (SAM) is necessary for stable interaction between G9a and H3K9M histone. Consistent with the formation of a ternary complex, we find that the inhibitory peptide is uncompetitive with regard to SAM. These data and others indicate that K-to-M oncohistones promote global loss of specific lysine methylation through sequestration and inhibition of SAM-bound SET domain methyltransferases.C ovalent modifications to both DNA and histone proteins turn chromatin into a dynamic information hub that integrates diverse biochemical stimuli to regulate genomic DNA access to the transcription machinery and ultimately, establish and maintain cellular phenotypes. Moreover, there is increasing appreciation that alterations of the chromatin landscape, including DNA and histone modifications, are involved in the pathogenesis of cancer. Nowhere is this finding better supported than with the groundbreaking discoveries of high-frequency somatic mutations in histones that are drivers of tumorigenesis.Monoallelic missense mutations in genes encoding for histone H3 were recently found in bone and brain tumors that affect children and young adults. Approximately 80% of diffuse intrinsic pontine glioma contain a lysine 27-methionine (K27M) mutation (1, 2), and 95% of chondroblastoma samples contain a K36M mutation in genes encoding either histone H3.1 or H3.3 (3). The K27M and K36M mutations in histone H3 are the known lysine to methionine ("K-to-M") histone H3 missense mutations found in human disease thus far. Although these oncohistones represent a small population of total histone H3 in tumor cells (3-17% of histone H3), they remarkably lead to global loss of the associated methylation mark on the WT complement of histone H3. The nearly invariant nature of the K-to-M mutation strongly suggests that this specific amino acid substitution imparts a unique gain of function to the mutant histone. We and others previously showed that K-to-M oncohistones transform the histone H3 prote...