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Cystemustine is a **chloroethyl-nitrosourea derivative** related to alkylating agents, specifically **N'-(2-chloroethyl)-N-[2-(methylsulfonyl)ethyl]-N'-nitrosourea** (CMSO2EN2)[1][5]. It functions primarily as a DNA-alkylating agent, exerting cytotoxic and potentially antineoplastic effects by causing DNA cross-linking and carbamoylation[1]. Cystemustine’s primary mechanism involves induction of DNA damage in rapidly dividing cells, and it has been investigated in preclinical cancer models, particularly for melanoma and colon cancers[3].
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