The reaction of cis-diamminedichloroplatinum(II) and several synthetic or natural double-stranded polydeoxyribonudeotides has been carried out in the presence of such intercalating agents as ethidium bromide, proflavine, and acridine. After incubation of the reaction mixtures at 37C for 24 hr, some ethidium or proflavine, but no acridine, molecules are tightly bound to nucleic acids. Tight binding is defined by resistance to extraction with butanol, assayed by filtration at acid pH or by thin-layer chromatography at basic pH. In the ternary complexes, there is about one tightly bound ethidium (or proflavine) per platinum residue. At 370C, but not at 40C, tightly bound ethidium exchanges with free ethidium, whereas platinum residues do not exchange. The binding and the release of tightly bound ethidium are very slow (several hours). It is suggested that in the ternary complexes, nucleic acid-cis-Pt(NH3)2-intercalating agent, a bidentate adduct (guanine-ethidium or -proflavine)-cis-Pt(NH3)2, is formed. No tightly bound ethidium or proflavine is found when cis-diamminedichloroplatinum(II) is replaced by trans-diamminedichloroplatinum(II). Competition experiments between cis-diamminedichloroplatinum(II), poly(dG-dC), and poly(dG)--poly(dC) or poly(dA-dT) show that the presence of ethidium bromide, proflavine, or acridine interferes with the distribution of platinum between the polynucleotides. These results might help to explain the synergism for drugs used in combination with cis-diamminedichloroplatinum(ll) and in the design of new chemotherapeutic agents.Numerous works have been devoted to the study of the binding of the antitumor drug cis-diamminedichloroplatinum(II) [cis-Pt(NH3)2Cl2] to DNA. cis-Pt(NH3)2CI2 is clinically active against many different neoplasms and it is often used in combination with other anticancer drugs, such as doxorubicin (adriamycin) or bleomycin. Several studies have reported enhanced effects for combination drug therapy, including synergy (1).The mechanism of action of cis-Pt (NH3)2Cl2 is not yet known, but it is often thought that its antitumor activity is related to its binding to DNA (2-5). In the reaction of cis-Pt(NH3)2C12 and DNA, guanine residues are the preferred binding sites but adenine and cytosine residues also react, which leads to the formation of various types of adducts (6-11). On the other hand, for a given DNA, the nature of the adducts depends upon DNA conformation. In the reaction of cis-Pt(NH3)2CI2 and poly(dG-m5dC) in the Z conformation, a monodentate adduct is formed. In the reaction of cisPt(NH3)2CI2 and poly(dG-m5dC) in the B conformation, a bidentate adduct is formed (12).The conformations of B-DNA and Z-DNA are very different (13,14). To know whether smaller conformational changes of DNA could also play a role in the nature of the adducts, we have carried out the platination of nucleic acids in the presence of intercalating compounds. It has been already reported that new cis-Pt(NH3)2Cl2 binding sites were detected by means of exonuclease III when DNA ...