The cell cycle is the ordered sequence of events by which a cell duplicates its contents and divides into two daughter cells. It has four main phases. G1 (first gap) is a growth phase in which the cell increases in size and prepares for DNA synthesis. S phase is when DNA replication occurs; each chromosome is copied to produce two sister chromatids. G2 (second gap) is a further growth and preparation phase in which the cell checks that replication is complete and assembles the machinery for division. M phase (mitosis) is when the duplicated chromosomes are segregated and the cell divides. Cells that are not actively dividing exit the cycle into G0, a quiescent state that can be temporary or permanent.
Progression through the cycle is controlled by checkpoints — surveillance mechanisms that verify the previous phase is complete before allowing the next to begin. The G1/S checkpoint (the restriction point in mammalian cells) asks whether the cell has sufficient size, nutrients, and undamaged DNA to commit to replication. The G2/M checkpoint asks whether DNA replication is complete and whether any damage remains unrepaired before the cell enters mitosis. The spindle assembly checkpoint, which operates during M phase, asks whether every chromosome is properly attached to the mitotic spindle before anaphase begins. If a checkpoint detects a problem, it halts progression and either allows time for repair or triggers apoptosis.
Different classes of chemotherapy drugs act at specific points in this cycle. Antimetabolites (such as methotrexate and 5-fluorouracil) interfere with DNA synthesis and therefore act during S phase. Microtubule poisons (such as vincristine and paclitaxel) disrupt the mitotic spindle and therefore act during M phase. Alkylating agents and topoisomerase poisons damage DNA and can act in any phase, though their lethal effects are often expressed when the damaged DNA is replicated in S phase. This is the basis for the phase-specific versus phase-nonspecific classification.