Overview of Alkylating Agents in Medicine

May 12, 2025

Alkylating Agents Lecture Notes

Introduction

  • Focus on alkylating agents: primarily formaldehyde and glutaraldehyde.
  • Alkylating agents work by removing hydrogen atoms and adding alkyl groups.
    • Inactivates enzymes and damages nucleic acids (DNA and RNA).

Formaldehyde

  • Commonly known as an embalming fluid or preservative in dissection specimens.
  • Used in a 37% solution known as formalin.
  • Can be used as a gaseous disinfectant.
  • Not an antiseptic due to carcinogenic properties.
    • Damages living tissues.
  • Irritating and can cause skin issues upon contact.
  • Key use: preservatives in laboratory specimens.

Glutaraldehyde

  • More effective than formaldehyde, used at about 2% concentration.
  • Known under the brand name Cydex.
  • Functions as a chemical sterilizing agent.

Ethylene Oxide

  • Only gaseous sterilant regularly discussed.
  • Used for sterilizing packaged materials.
  • Formerly used in large sterilizing chambers.

OPA (Ortho-Phthalaldehyde)

  • Newer alternative replacing glutaraldehyde.
  • Found in newer formulations of Cydex.
  • More effective against mycobacterium causing tuberculosis.
  • Less irritating and has a less offensive odor.

Conclusion

  • Alkylating agents include formaldehyde, glutaraldehyde, ethylene oxide, and OPA.
  • They serve as powerful disinfectants and sterilants, though not suitable as antiseptics due to potential tissue damage.
  • Continuous development aims to find agents that are more effective, less irritating, and safer for use.

End of Lecture Notes