The miscoding potential of 5-hydroxycytosine arises due to template instability in the replicative polymerase active site.
Zahn, K.E., Averill, A., Wallace, S.S., Doublie, S.(2011) Biochemistry 50: 10350-10358
- PubMed: 22026756 
- DOI: https://doi.org/10.1021/bi201219s
- Primary Citation of Related Structures:  
3TAB, 3TAE, 3TAF, 3TAG - PubMed Abstract: 
5-Hydroxycytosine (5-OHC) is a stable oxidation product of cytosine associated with an increased frequency of C → T transition mutations. When this lesion escapes recognition by the base excision repair pathway and persists to serve as a templating base during DNA synthesis, replicative DNA polymerases often misincorporate dAMP at the primer terminus, which can lead to fixation of mutations and subsequent disease ...