Edited by Karin Musier-Forsyth Modification of anticodon nucleotides allows tRNAs to decode multiple codons, expanding the genetic code. Additionally, modifications located in the anticodon loop, but outside the anticodon itself, stabilize tRNA-codon interactions, increasing decoding fidelity. Anticodon loop nucleotide 37 is 3 to the anticodon and, in tRNA CGG Pro , is methylated at the N1 position in its nucleobase (m 1 G37). The m 1 G37 modification in tRNA CGG Pro stabilizes its interaction with the codon and maintains the mRNA frame. However, it is unclear how m 1 G37 affects binding at the decoding center to both cognate and ؉1 slippery codons. Here, we show that the tRNA CGG Pro m 1 G37 modification is important for the association step during binding to a cognate CCG codon. In contrast, m 1 G37 prevented association with a slippery CCC-U or ؉1 codon. Similar analyses of frameshift suppressor tRNA SufA6 , a tRNA CGG Pro derivative containing an extra nucleotide in its anticodon loop that undergoes ؉1 frameshifting, reveal that m 1 G37 destabilizes interactions with both the cognate CCG and slippery codons. One reason for this destabilization is the disruption of a conserved U32⅐A38 nucleotide pairing in the anticodon stem through insertion of G37.5. Restoring the tRNA SufA6 U32⅐A37.5 pairing results in a high-affinity association on the slippery CCC-U codon. Further, an X-ray crystal structure of the 70S ribosome bound to tRNA SufA6 U32⅐A37.5 at 3.6 Å resolution shows a reordering of the anticodon loop consistent with the findings from the high-affinity measurements. Our results reveal how the tRNA modification at nucleotide 37 stabilizes interactions with the mRNA codon to preserve the mRNA frame. Protein synthesis is performed by the ribosome, a conserved protein-RNA macromolecular machine where mRNA, tRNAs, and translation factors read the genetic information as presented on mRNA into proteins. There are four defined stages of protein synthesis: initiation, elongation, termination, and recycling (reviewed in Ref. 1). During elongation, three nucleotides of the mRNA codon are read (or decoded) by three anticodon nucleotides of a tRNA in the ribosomal aminoacyl site (A site) 2 on the small 30S subunit. The three-nucleotide code on the mRNA defines a single amino acid delivered by the corresponding tRNA. The regulation of the mRNA frame is critically important to maintain the correct sequential addition of amino acids to the nascent chain (2). Despite the importance of accurate protein expression for cell viability, the molecular basis for how the ribosome maintains this three-nucleotide mRNA frame is not well-understood. Because tRNAs decode mRNAs, these RNA molecules probably play a role in mRNA frame maintenance. tRNAs are ϳ76-90 nucleotides in length and adopt an L-shaped tertiary structure allowing them to fit into ribosome-binding sites that span both subunits (Fig. 1). tRNAs undergo extensive posttranscriptional modifications important for the correct tertiary fold of the tRNA, including the conforma...