Various forms of oxidative stress, including gamma-radiolysis and UV irradiation, result in the formation of damaged bases. (5R)-Thymidine CS-hydrate is one of several modified nucleosides produced from thymidine under these conditions. N-(2-Deoxy-beta-D-erythro-pentofuranosyl)-N-3-[(2R)-hydroxy- isobutyric acid]urea or alpha RT is the respective fragmentation product formed from (5R)-thymidine C5-hydrate upon hydrolysis. This modified nucleoside has potential mutagenic or lethal properties. No enzymatic activity responsible for the removal of alpha RT has been identified. We report here that when present in DNA, alpha RT is a substrate for two purified enzymes from Escherichia coli involved in the repair of oxidized bases: the Nth and the Fpg proteins. The Fpg protein removes the alpha RT lesion more efficiently than the Nth protein. This is the first example of efficient excision of a ring-opened form of a pyrimidine by the Fpg protein. The high efficacy of the Fpg protein suggests that it is likely to be involved in vivo in the excision of alpha RT. The kinetics of the reaction of the Fpg protein with DNA containing alpha RT suggest substrate inhibition. Duplex oligodeoxynucleotides containing alpha RT positioned opposite T, dG, dC, and dA were cleaved efficiently by both enzymes, although the profiles of activity of the two enzymes were different. The Nth enzyme preferentially excises alpha RT when opposite a dG, followed by alpha RT.dA, alpha RT.T, and alpha RT.dC. For the Fpg protein, the order is alpha RT.dC greater than or equal to alpha RT.dG similar to alpha R.T > alpha RT.dA. Moreover, we show that human cell extract exhibits an activity,that excises alpha RT from an oligonucleotide, suggesting that human homologues of the Nth and/or Fpg proteins could be involved in repair of this lesion in human cells.