Background: Human 8-oxoguanine DNA glycosylase (OGG1) removes the mutagenic DNA lesion 7,8-dihydro-8-oxoguanine. Results: OGG1 activity is significantly decreased by an adjacent DNA mismatch. Conclusion: Tandem lesions can dramatically diminish base excision repair. Significance: Deamination of 5Ј-methylcytosine in CpG-rich DNA sequences prone to oxidative DNA damage could be a significant factor in the generation of G to T transversions hot spots.