Cartoon of hypothesized Tg-induced structural alterations. (A) Insertion of the cis-5R,6S Tg lesion into the duplex opposite dA, in a Watson−Crick orientation, with the axial conformation of Tg6 CH3, induces steric clash with the 5′ neighbor, G5. (B) Epimerization of the cis-5R,6S Tg lesion to the trans-5R,6R lesion allows the Tg6 CH3 to assume an equatorial conformation that causes less steric interaction with Tg6 CH3 and the G5 nucleotide. (C) Formation of a wobble Tg6•G19 base pair allows Tg6 to be displaced toward the major groove, resulting in less steric clash between the axial conformation of Tg6 CH3 in the cis-5R,6S Tg configuration and the 5′-neighbor, G5.