Chemotherapy and Toxicology · USMLE Step 1

Which class of chemotherapy agents works by forming DNA crosslinks that prevent replication and transcription, acting in a cell-cycle–nonspecific manner?

  1. Antimetabolites
  2. Alkylating agents
  3. Topoisomerase inhibitors
  4. Mitotic inhibitors
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Correct answer: Alkylating agents

Alkylating agents covalently bind DNA, forming intrastrand or interstrand crosslinks that block replication and transcription, causing cell death. They act regardless of the cell cycle phase.

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