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N-Nitrosation of glycine and its derivatives generates potent alkylating agents that can lead to the formation of O6-carboxymethylguanine (O6-CMG) in DNA. O6-CMG has been identified in DNA derived from human colon tissue and its occurrence has been linked to diets high in red and processed meats, implying an association with the induction of colorectal cancer. By analogy to O6-methylguanine, O6-CMG is expected to be mutagenic, inducing G-to-A mutations that may be the molecular basis of increased cancer risk. Previously, the crystal structure of the DNA dodecamer d(CGCG[O6-CMG]ATTCGCG) has been reported, in which O6-CMG forms a Watson–Crick-type pair with thymine similar to the canonical A:T pair. In order to further investigate the versatility of O6-CMG in base-pair formation, the structure of the DNA dodecamer d(CGC[O6-CMG]AATTTGCG) containing O6-CMG at a different position has been determined by X-ray crystallography using four crystal forms obtained under conditions containing different solvent ions (Sr2+, Ba2+, Mg2+, K+ or Na+) with and without Hoechst 33258. The most striking finding is that the pairing modes of O6-CMG with T are quite different from those previously reported. In the present dodecamer, the T bases are displaced (wobbled) into the major groove to form a hydrogen bond between the thymine N3 N—H and the carboxyl group of O6-CMG. In addition, a water molecule is bridged through two hydrogen bonds between the thymine O2 atom and the 2-amino group of O6-CMG to stabilize the pairing. These interaction modes commonly occur in the four crystal forms, regardless of the differences in crystallization conditions. The previous and the present results show that O6-CMG can form a base pair with T in two alternative modes: the Watson–Crick type and a high-wobble type, the nature of which may depend on the DNA-sequence context.