Damage to DNA and RNA caused by oxidative mechanisms has been well-studied for its potential role in the development of human disease. Only recently, though, have we begun to appreciate that oxidation of the 2-deoxyribose moiety in DNA is also a determinant of the genetic toxicology of oxidative stress and inflammation, with involvement in more than just "strand breaks", such as complex DNA lesions, protein-DNA cross-links, and protein and DNA adducts. As an update to a 1992 review of 2′-deoxyribose oxidation by bleomycin and the enediynes published in Chemical Research in Toxicology [Dedon, P. C., and Goldberg, I. H. (1992) Chem. Res. Toxicol. 5,, this review focuses on recent developments in the chemical biology, bioanalytical chemistry, and genetic toxicology of 2-deoxyribose oxidation products in DNA under biologically relevant conditions. Contents 1. Introduction 206 2. The Importance of Normalizing 2-Deoxyribose Oxidation Data 206 3. 1′-Chemistry 207 3.1. Model Systems 207 3.2. Methods for Measurement 208 3.3. Biological Implications 208 4. 2′-Chemistry 209 4.1. Model Systems 209 4.2. Methods of Measurement 210 4.3. Biological Consequences 210 5. 3′-Chemistry 210 5.1. Model Systems 210 5.2. Methods of Measurement 210 5.3. Biological Consequences 211 6. 4′-Chemistry 211 6.1. Model Systems 211 6.2. Methods of Measurement 212 6.3. Biological Consequences 212 7. 5′-Chemistry 213 7.1. Model Systems 213 7.2. Methods of Measurement 213 7.3. Biological Consequences 213 8. Solvent Exposure and Other Models for 2-deoxyribose Oxidation in DNA 213 9. 2-Deoxyribose Oxidation Chemistry in Cells 214 10. The Metabolic Fate of 2-Deoxyribose Oxidation Products: Glutathione Conjugation and Glutathione S-Transferases 214