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Pharmacology Chemotherapeutics Drugs II (Cancer Chemotherapy)

Classification of Anticancer Drugs

Topic overview

Start with the big picture

Cell-cycle specificity helps explain how anticancer agents may be selected and scheduled: cycle-nonspecific drugs can act on dividing and resting cells, while S-phase agents target DNA synthesis and M-phase agents disrupt mitosis. The topic then organizes drugs by mechanism. Alkylating agents form DNA cross-links; antimetabolites inhibit nucleotide synthesis; and antitumor antibiotics and topoisomerase inhibitors interfere with DNA function. Other classes affect microtubules, endocrine signaling, oncogenic pathways, immune checkpoints, protein degradation, epigenetic regulation, or malignant-cell differentiation. The overview also introduces PARP inhibitors and antibody-based approaches. Together, these categories provide a framework for recognizing how different drug classes act, rather than treating anticancer chemotherapy as a single uniform group.

Learning objectives

What you'll learn

  • Distinguish cycle-nonspecific drugs from S-phase and M-phase specific agents.
  • Group major anticancer drugs by their principal cellular target or mechanism.
  • Describe how alkylating agents, antimetabolites, and topoisomerase inhibitors affect cancer cells.
  • Identify classes that target endocrine signaling, oncogenic pathways, or immune checkpoints.
  • Recognize newer mechanistic groupings, including proteasome, epigenetic, and PARP inhibitors.
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