Lf. Povirk et De. Shuker, DNA-DAMAGE AND MUTAGENESIS INDUCED BY NITROGEN MUSTARDS, Mutation research. Reviews in genetic toxicology, 318(3), 1994, pp. 205-226
The nitrogen mustards are bifunctional alkylating agents which, althou
gh used extensively in cancer chemotherapy, are themselves highly carc
inogenic. All nitrogen mustards induce monofunctional guanine-N7 adduc
ts, as well as interstrand N7-N7 crosslinks involving the two guanines
in GNC.GNC (5' --> 3'/5' --> 3') sequences. In addition, the aromatic
mustards melphalan and chlorambucil also induce substantial alkylatio
n at adenine N3, while cyclophosphamide forms phosphotriesters with re
latively high frequency. Nitrogen mustards are genotoxic in virtually
every assay, and produce a wide array of mutations, including base sub
stitutions at both G.C and A.T base pairs, intragenic as well as multi
locus deletions, and chromosomal rearrangements. Mutational spectra ge
nerated by these agents in various model systems vary widely, and no s
ingle lesion has been implicated as being primarily responsible for mu
stard-induced mutagenesis. On the contrary, adducts of both adenine an
d guanine, and monofunctional as well as bifunctional adducts, appear
to be involved. Further, it is still not known which types of mutation
are responsible for mustard-induced cancers, since no genes have yet
been identified which are consistently altered in these malignancies.