“…Alkylating agents (including nitrogen mustard, ethyleneimine, nitrosourea, methylxanthate, and epoxy compounds) can produce intra-chain or inter-chain cross links or transfer alkyl groups to guanine residues of DNA, leading to the formation of DNA base mispairs and preventing strand separation during DNA synthesis [47]. Although platinum drugs are also alkylating agents, they do not interact with biological macromolecules, but form a complex with the N7 position of guanine, thereby inhibiting DNA replication and transcription, and inducing apoptosis [48]. Topo inhibitors, which are divided into [49], irinotecan [50], belotecan [51] and camptothecin (CPT) [52]) and topoisomerase II inhibitors (e.g., etoposide, teniposide), can inhibit the activity of Topo involved in DNA replication and transcription, causing DNA singlestrand or double-strand breaks.…”