Related Experiment Video
Updated: Aug 18, 2026

Laser Microirradiation to Study In Vivo Cellular Responses to Simple and Complex DNA Damage
Published on: January 31, 2018
Inhibitory effects of paracetamol on DNA repair in mammalian cells
G Brunborg1, J A Holme, J K Hongslo
1Department of Environmental Medicine, National Institute of Public Health, Oslo, Norway.
Abstract:
Paracetamol blocks DNA replication by inhibiting deoxyribonucleotide (dNTP) synthesis and may therefore also interfere with DNA repair. In the present work various mammalian cell types were treated with genotoxic agents and allowed to repair in the presence or absence of paracetamol. Alkaline elution was used to assay DNA single-strand breaks plus alkali-labile sites (= SSBs). Resting human mononuclear blood cells (MNC) exposed to 4-nitroquinoline N-oxide (NQO, 3 microM) plus 0.3 mM paracetamol contained twice as many DNA SSBs compared to MNC exposed to NQO alone, and the level of SSBs decreased more slowly during repair in the presence of paracetamol. Deoxyribonucleosides reversed the effects of paracetamol. SSBs induced by MMS or X-rays (2.6 Gy) were not increased by paracetamol. Resting and growth-stimulated MNC, HL-60 cells, rat hepatocytes and human fibroblasts exposed to UV-C (3-12 J/m2) showed varying levels of transient SSBs formed during repair but these were consistently higher in the presence of paracetamol (0.3-1 mM). In rat testicular cells SSBs were induced by NQO and the levels were further increased in the presence of paracetamol, whereas after UV almost no SSBs were detected during repair. The cell-type specific levels of transient SSBs after UV did not correlate with the rate of incision of DNA lesions, measured as the rate of SSB accumulation in the presence of repair inhibitors Ara C plus hydroxyurea. Transient SSBs were present in resting MNC for at least 24 h after UV and paracetamol increased these breaks 4-fold however the overall rate of removal of excisable photodamage during repair did not appear to be reduced by the presence of paracetamol. The present data indicate that paracetamol interferes with nucleotide excision repair in several mammalian cell types. This constitutes a mechanism by which paracetamol may contribute to genotoxicity in humans.
Insights
Paracetamol may harm DNA repair by inhibiting nucleotide synthesis. Studies show it increases DNA breaks during repair in various cells, suggesting a genotoxic mechanism in humans.
Area of Science:
- Biochemistry
- Molecular Biology
- Toxicology
Background:
- Paracetamol is known to inhibit deoxyribonucleotide (dNTP) synthesis, which is crucial for DNA replication.
- This inhibition raises concerns about paracetamol's potential to interfere with DNA repair mechanisms.
Purpose of the Study:
- To investigate the effect of paracetamol on DNA repair in various mammalian cell types.
- To determine if paracetamol interferes with the repair of DNA damage induced by genotoxic agents.
Main Methods:
- Mammalian cells were exposed to genotoxic agents (4-nitroquinoline N-oxide, UV-C, MMS, X-rays) and allowed to repair in the presence or absence of paracetamol.
- Alkaline elution was used to quantify DNA single-strand breaks (SSBs) plus alkali-labile sites.
Main Results:
- Paracetamol increased DNA SSBs during repair after exposure to 4-nitroquinoline N-oxide and UV-C in multiple cell types.
- These effects were reversed by deoxyribonucleosides and were not observed with MMS or X-ray-induced damage.
- Paracetamol elevated transient SSBs during UV repair, particularly in human mononuclear blood cells, without significantly reducing overall photodamage removal.
Conclusions:
- Paracetamol interferes with nucleotide excision repair in several mammalian cell types.
- This interference represents a potential mechanism contributing to paracetamol's genotoxicity in humans.
Related Concept Videos
Nucleotide Excision Repair
Overview of DNA Repair
Chemically...
DNA Damage can Stall the Cell Cycle
Nucleotide Excision Repair
Cells are regularly exposed to mutagens—factors in the environment that can damage DNA and generate mutations. UV radiation is one of the most common mutagens and is estimated to introduce a significant number of changes in DNA. These include bends or kinks in the structure, which can block DNA replication or transcription. If these errors are not fixed, the damage can cause mutations, which in turn can result in cancer or disease depending on which sequences are...
DNA Damage Can Stall the Cell Cycle
Inhibitors of Bacterial DNA Synthesis

