Alkylating chemicals like nitrosamines and mustard gas can transfer methyl or ethyl groups to DNA bases and backbone phosphates. One vulnerable site is the keto group on guanine 6, where methylation causes guanine to pair with thymine instead of cytosine during replication, changing a G-C pair to an A-T pair. Cells use DNA damage response and repair mechanisms like direct repair, excision repair, and error-prone repair to preserve genome integrity against endogenous and exogenous DNA damage. Defects in repair pathways can cause inherited human diseases.