Triplet repeats are the most abundant simple sequence repeats in the coding and non-coding sequences of all known eukaryotic genomes [1]. The frequency of specific types of triplet repeats and their localization in genes vary significantly between genomes, reflecting their important role in genome evolution [1,2]. Expansions of DNA triplet repeat sequences are associated with 16 inherited neurological disorders known as triplet repeat expansion diseases [3][4][5], which can lead to total disability and death. The severity of a triplet repeat expansion disease is increased anticipatively and the age of onset is reduced with each successive generation [6,7]. The high mutation rate of triplet repeats makes them a rich source of quantitative genetic variation [8][9][10][11]. The tendency for repeating DNA strands to form hairpin loops or slipped conformations, and their inherent conformational properties, for example their high degree of flexibility, writhing and the stability of the hairpin formation, are important in the investigation of DNA slippage phenomena [3,11,12].Among the non-B-form DNA conformations formed by triplet repeats, simple bulged structures (one or more unpaired bases) have been postulated as intermediates in the synthesis of slipped DNA and are associated with the unstable expansion of triplet repeats on the basis of their entropy [13]. Several groups have shown an interest in developing small molecules that possess specific effects for DNA triplet repeat strand slippage [14][15][16][17][18][19][20][21][22][23]. The most promising and successful bulge-specific agent discovered to date originated from studies on the enediyne natural product neocarzinostatin chromophore (NCS-chrom) [24]. Its isostructural mimic, NCSi-gb (Scheme 1A) binds bulge DNA at sub-micromolar concentrations [25], and is also able to induce formation of the bulge-binding pocket by stacking between the base pairs that flank the bulge site in the oligonucleotide [26,27]. The expansion of DNA repeat sequences is associated with many genetic diseases in humans. Simple bulge DNA structures have been implicated as intermediates in DNA slippage within the DNA repeat regions. To probe the possible role of bulged structures in DNA slippage, we designed and synthesized a pair of simple chiral spirocyclic compounds [Xi Z, Ouyang D & Mu HT (2006) Bioorg Med Chem Lett 16, 1180-1184, DDI-1A and DDI-1B, which mimic the molecular architecture of the enediyne antitumor antibiotic neocarzinostatin chromophore. Both compounds strongly stimulated slippage in various DNA repeats in vitro. Enhanced slippage synthesis was found to be synchronous for primer and template. CD spectra and UV thermal stability studies supported the idea that DDI-1A and DDI-1B exhibited selective binding to the DNA bulge and induced a significant conformational change in bulge DNA. The proposed mechanism for the observed in vitro expansion of long DNA is discussed.Abbreviations DDI, Double Deck Intercalater; NCS-chrom, neocarzinostatin chromophore.