Mechanisms, pathological features, and intervention strategies for nitrogen mustard-induced skin toxicity

Bing Zhu1, Guanchao Mao2, Qinghe Meng1

  • 1Department of Plastic Surgery, Changhai Hospital, Naval Medical University, Shanghai 200433, People's Republic of China.

Toxicology Letters
|January 6, 2026
PubMed

Insights

Nitrogen mustard (NM) causes severe skin damage through interconnected processes. Understanding these pathways, including genotoxic stress and immune activation, is key to developing effective therapies for alkylating vesicant exposure.

Area of Science:

  • Toxicology
  • Dermatology
  • Molecular Biology

Background:

  • Nitrogen mustard (NM) is a potent alkylating vesicant.
  • NM causes severe and persistent skin damage.
  • Understanding NM's mechanisms is crucial for medical countermeasures.

Purpose of the Study:

  • To review the pathological features of NM-induced skin injury.
  • To elucidate the molecular mechanisms underlying NM toxicity.
  • To summarize current and future therapeutic strategies.

Main Methods:

  • Literature review of NM-induced toxicity.
  • Analysis of molecular signaling pathways.
  • Synthesis of pathological and mechanistic data.

Main Results:

  • NM toxicity involves a cascade of interconnected processes.
  • Genotoxic stress, oxidative imbalance, and immune activation mutually reinforce NM effects.
  • Key signaling pathways play a critical role in NM pathogenesis.

Conclusions:

  • A framework of interconnected processes aids in understanding NM toxicity.
  • Targeting these pathways offers potential therapeutic interventions.
  • Further research is needed to develop effective treatments for NM exposure.

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