AUTHOR=Bilal Nayeem , Suhail Nida , Hasan Shirin , Ashraf Ghulam M. , Fatima Sabiha , Khan Husain Y. , Alharbi Mariam S. , Alexiou Athanasios , Banu Naheed TITLE=Exacerbation of N-nitrosodiethylamine Induced Hepatotoxicity and DNA Damage in Mice Exposed to Chronic Unpredictable Stress JOURNAL=Frontiers in Pharmacology VOLUME=Volume 8 - 2017 YEAR=2017 URL=https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2017.00360 DOI=10.3389/fphar.2017.00360 ISSN=1663-9812 ABSTRACT=Psychological stress contributes to increased susceptibility to a number of diseases including cancer. The present study was designed to assess the effect of chronic unpredictable stress on N-nitrosodiethylamine induced liver toxicity in terms of in vivo antioxidant status and DNA damage in Swiss albino mice. The animals were randomised into different groups based on the treatment with N-nitrosodiethylamine or chronic unpredictable stress (CUS) alone and post-stress administration of N-nitrosodiethylamine. The mice were sacrificed after 12 weeks of treatment, and the status of major enzymatic and non-enzymatic antioxidants, liver functional markers, lipid peroxidation and the extent of DNA damage were determined in circulation and liver tissues of all the groups. The N-nitrosodiethylamine treated group showed significantly compromised levels of the antioxidant enzymes, lipid peroxidation, and the liver functional markers with enhanced DNA damage as compared to chronic unpredictable stress or control groups. Similar but less pronounced pattern was observed in the chronic unpredictable stress treated mice. All the measured biochemical parameters were significantly altered in the group treated with the combination of chronic unpredictable stress and N-nitrosodiethylamine when compared to controls or chronic unpredictable stress alone and/or N-nitrosodiethylamine alone treated groups. Thus, exposure to continuous unpredictable stress conditions even in general life may significantly enhance the hepatotoxic potential of N-nitrosodiethylamine through increase in the oxidative stress and DNA damage.