Classify anti-cancer drugs and explain the mechanism of action of alkylating agents
Anti-cancer drugs can be classified into several categories based on their mechanism of action. Here’s a broad classification:
Alkylating Agents: These drugs work by adding an alkyl group to DNA, which interferes with DNA replication and transcription.
Antimetabolites: These drugs mimic the building blocks of DNA and RNA, thereby disrupting the synthesis of these nucleic acids.
Anti-Microtubule Agents: These drugs inhibit microtubule function, which is crucial for cell division.
Topoisomerase Inhibitors: These drugs interfere with the action of topoisomerases, enzymes that are involved in DNA replication and repair.
Cytotoxic Antibiotics: These drugs are derived from natural sources and can intercalate with DNA, preventing its replication.
Hormonal Agents: These drugs influence hormone pathways to slow or stop the growth of hormone-sensitive tumors.
Targeted Therapies: These drugs are designed to specifically target molecular pathways involved in cancer cell growth and survival.
Immunotherapy: These drugs boost the body’s immune response to recognize and destroy cancer cells.
Mechanism of Action of Alkylating Agents
Alkylating agents are a class of chemotherapy drugs that work by adding an alkyl group to DNA molecules. Here’s a more detailed look at how they function:
Alkylation of DNA: Alkylating agents form covalent bonds with the DNA molecule, typically at the N7 position of guanine bases. This alkylation results in the formation of interstrand cross-links (where the DNA strands are linked together) and intrastrand cross-links (where the two strands of DNA are linked within the same strand).
Disruption of DNA Replication: The cross-links created by alkylating agents prevent the DNA strands from separating, which is a crucial step for DNA replication. This blockage hinders the ability of DNA polymerases to replicate the DNA, leading to cell cycle arrest and apoptosis (programmed cell death).
Induction of Mutagenic Lesions: The alkylation of guanine bases can cause abnormal base pairing and mutations, which further disrupts DNA replication and repair mechanisms.
Apoptosis: Cells with heavily damaged DNA that cannot be repaired may undergo programmed cell death (apoptosis) as a result of the DNA damage caused by alkylating agents.
Examples of alkylating agents include cyclophosphamide, cisplatin, melphalan, and busulfan. These drugs are used to treat various types of cancer, including leukemias, lymphomas, and solid tumors.
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