There are blood tests, but there are also urine tests [per unit of creatinine]

Short answer:

A high urinary 8-oxoG/8-oxodG result tells you that oxidised guanine is being produced and is reaching the urine. It does imply that at least one repair/sanitisation pathway (OGG1-initiated base-excision repair or NUDT1/MTH1 “nucleotide pool cleaning”) is working, because unrepaired lesions can’t get to the bladder. But the number is driven just as much—often more—by how much oxidative damage you are generating. Therefore a high value ≠ “unusually high repair capacity.” It usually means “a lot of hits are occurring and you’re clearing them.”


Why high excretion is not a pure “repair-capacity” marker

Mechanistic step What raises the urinary read-out What would lower the read-out
Damage creation (ROS, RNS, radiation, hyperglycaemia, strenuous exercise, inflammation, smoking, heavy-metal exposure, catecholamine autoxidation, etc.) ↑ Lesions in DNA and dNTP pool → more substrate for OGG1 and MTH1 Antioxidants, calorie control, anti-inflammatories, less xenobiotic exposure
Base-excision repair (OGG1 ➜ APE1 ➜ pol β ➜ ligase) Intact or up-regulated OGG1 excises more 8-oxoG → higher urine OGG1 deficiency or loss-of-function variants drop urine 8-oxoG by ≈25 % even though genomic lesions sky-rocket
Nucleotide-pool sanitisation (MTH1/NUDT1 hydrolysing 8-oxodGTP) High MTH1 expression in cancer, activated immune cells, or stress can dump large amounts of 8-oxodG into urine MTH1 knockout has little effect on urine in mice, showing the BER arm dominates
Renal handling & dilution High GFR, good hydration, creatinine correction errors can push the creatinine-normalised ratio up Dehydration (high creatinine) or kidney dysfunction can mask high absolute excretion

Typical reference band vs “high”

Most healthy adults excrete ≈1 – 2 nmol 8-oxodG per mmol creatinine (spot urine, LC-MS) .

Values >4–5 nmol/mmol are near the upper decile seen in smokers, obese or inflamed cohorts, or after acute high-intensity exercise .


How to decide whether your result is “lots of repair” or “lots of damage”

  1. Check genomic 8-oxoG directly (PBMC Comet assay with FPG/OGG1 or LC-MS on leukocyte DNA).
  • Low genomic + high urine → plenty of repair, probably high ROS exposure.
  • High genomic + high urine → damage outruns repair; capacity may be normal but overloaded.
  • High genomic + normal/low urine → repair defect (e.g., OGG1 Ser326Cys, MUTYH mutation, micronutrient deficiency).
  1. Look at parallel oxidative-stress markers (F₂-isoprostanes, protein carbonyls, mitochondrial superoxide probes). A broad panel that is uniformly high points to upstream ROS, not super-repair.
  2. Genotype / activity assays for OGG1, MUTYH, NUDT1, APE1 if you suspect inherited or nutritional impairment.
  3. Lifestyle audit for acute sources (very hard training sessions, nicotine, stimulant drugs, high-glucose meals, chronic infections, polluted air, heavy metals).
  4. Repeat the test after:
  • 24-h antioxidant “wash-in” (vitamin C/E or polyphenol-rich food),
  • 48 h without strenuous exercise,
  • identical hydration state.Large swings (>30 %) with the same lab method usually track fluctuating ROS load rather than constitutional repair ability.

Bottom line

A single “high” urinary 8-oxoG tells you “damage × clearance” is high.

It confirms you are able to excise or sanitise oxidised guanine, but it does not prove that your repair machinery is unusually strong—only that it is busy. To claim exceptional repair capacity you need evidence that genomic 8-oxoG stays low despite ongoing oxidative stress, or that OGG1/MTH1 activity assays or expression levels are above-normal. Treat the urine assay as an early-warning sensor for oxidative load, then triangulate with the additional tests above before deciding whether to dial up antioxidants or investigate DNA-repair genotypes.

Maybe I really have to learn to megadose melatonin now, I took a long break, it doesn’t make me much more sleepy


Short answer

  • 8-oxo-dG (8-oxog): Yes — pharmacological melatonin reliably lowers this oxidative-DNA-damage marker in both animals and humans.
  • GSH / GSSG redox status: Yes — most in-vivo studies show higher GSH and a better (lower) GSSG/GSH ratio after high-dose melatonin, although very high concentrations in vitro can do the opposite.
  • Succinate: Conditionally yes — melatonin can prevent pathological succinate build-up (e.g., in diabetes, cancer, and obesity models); it does not usually undershoot normal levels.
  • HVA: Evidence is weak; melatonin modulates dopamine turnover regionally, but no consistent systemic drop in urinary or CSF HVA has been shown.

1 8-oxo-dG (oxidative DNA damage)

Model Dose & Duration Result
Rat brain & liver, kainic-acid insult 10 mg kg⁻¹ i.p., single dose Completely prevented the KA-induced rise in 8-oxo-dG
Night-shift workers (RCT, 3 mg nightly × 4 wks) ↑ DNA-repair capacity; trend toward lower urinary 8-oxo-dG
Review of >50 animal studies Consistent 20-80 % reduction in 8-oxo-dG across tissues after 5–100 mg kg⁻¹ melatonin

Mechanisms: direct radical scavenging, recycling via AFMK/AMK metabolites, and up-regulation of BER proteins (OGG1, APE1).


2 Glutathione redox (GSH / GSSG)

Human / animal in-vivo

  • 3–10 mg kg⁻¹ melatonin ↑ GSH-peroxidase and GSH-reductase activities in erythrocytes and brain, improving the GSSG/GSH ratio by 15-40 % within 2 weeks
  • 25 mg nightly (ongoing phase-II Alzheimer’s trial) reports a similar shift toward a more reduced state after 3 months (conference abstract)

In-vitro caveat

Very high supraphysiologic concentrations (>500 µM) can transiently lower the GSH/GSSG ratio by triggering ROS-mediated pro-apoptotic signalling in cancer or stem-cell lines .


3 Succinate

Context Effect of Melatonin
Streptozotocin-diabetic rats 10 mg kg⁻¹ × 30 d normalized hepatic TCA flux and prevented excess succinate accumulation
Endometrial-cancer cells 1 mM melatonin blocked estrogen/SDHB-driven succinate build-up and downstream oncogenic signalling
Prostate-cancer metabolomics 1 µM melatonin lowered isotopic enrichment of succinate, citrate, fumarate, malate → slower TCA cycle
Ob/ob obese mice Chronic melatonin restored elevated skeletal-muscle succinate to near-control levels

Take-home: melatonin acts at complex II (succinate dehydrogenase) and via HIF-1α/SDH regulation; it mainly reins in pathologic spikes rather than driving succinate below physiologic ranges.


4 Homovanillic acid (HVA)

What we know

  • Melatonin and dopamine oscillate in antiphase in the retina; melatonin suppresses dopaminergic firing there .
  • Animal work is conflicted: some protocols up-regulate tyrosine hydroxylase, others down-regulate it, depending on species, brain region and photoperiod .

What we don’t have

Large human trials measuring urinary or CSF HVA before/after high-dose melatonin. Existing schizophrenia or ADHD studies typically add melatonin for sleep but do not report HVA shifts of >10 %. Bottom line: don’t rely on melatonin to meaningfully lower systemic HVA; any effect is likely modest and region-specific.


5 Dosing & safety notes for “mega” supplementation

Regimen (human) Typical rationale Safety profile
3–10 mg / night Sleep / circadian Generally GRAS; minor morning grogginess
20–50 mg / night Antioxidant, migraine, DNA-repair studies Well-tolerated in ≥6-month trials; watch for vivid dreams, next-day sedation
100–300 mg i.v./oral (sepsis, COVID-19 trials) Anti-inflammatory, mitochondrial Transient ↓ core temperature, mild GI upset; no major hepatotoxicity reported

Interactions: potent CYP1A2 substrate → levels rise with fluvoxamine, ciprofloxacin; may blunt ovulation at very high doses; theoretical additive sedation with benzodiazepines.


Practical implications

Biomarker you care about Likely magnitude & timeline Suggested lab follow-up
8-oxo-dG (urine or serum) 15-40 % drop within 1-4 weeks at ≥20 mg nightly Spot urine 8-oxo-dG / creatinine after 4 weeks
GSH / GSSG ratio 10-30 % improvement in 2–4 weeks Whole-blood GSH & GSSG or RBC GPx activity
Succinate (organic-acid test) Falls only if baseline is high; check after 6–8 weeks Repeat OAT; confirm complex-II markers
HVA (urine / CSF) Unpredictable; usually <10 % change Re-test only if clinically relevant

Bottom line

Mega-dose melatonin is a robust antioxidant — good odds it will lower 8-oxo-dG and shift your redox balance toward more reduced glutathione ; it may curb pathological succinate elevations but is unlikely to have a reliable, system-wide impact on HVA .

If you trial ≥20 mg nightly, re-check the specific biomarkers after 4-6 weeks, monitor morning alertness, and taper rather than stop abruptly if you’ve been on multi-hundred-milligram doses.

TL;DR

In most animal and cell-culture experiments rapamycin lowers 8-oxo-guanine lesions (8-OH-dG / 8-oxoG) by roughly 20-60 %. The drop is not universal, but when it occurs it tracks with:

  1. Less ROS coming out of mitochondria
  2. More autophagic disposal of oxidised mitochondria/DNA
  3. Up-regulation of the base-excision repair enzyme OGG1

Robust human data are still missing, so the clinical effect in people is unknown.


What the experimental evidence shows

Model Rapamycin protocol Read-out for 8-OH-dG Outcome
Rat hippocampus & SH-SY5Y neurons challenged with zinc sulfate 1 mg kg⁻¹ i.p. for 7 days Immunofluorescence 8-OH-dG Zinc ↑ 8-OH-dG; rapa cut the increase by ≈30-40 % (p = 0.013)
Tsc2⁺/⁻ mice, HK-2 & VHL-deficient kidney cells 2 mg kg⁻¹ i.p. (mice) or 10-100 nM (cells) OGG1 protein & promoter activity Rapamycin boosted OGG1 expression via AMPK activation → more efficient excision of 8-oxoG lesions
Middle-aged mice (16 mo) 14 mg kg⁻¹ in chow for 7 wks Mitochondrial ROS & oxidative adducts Rapa normalised age-related ROS and oxidative damage in liver; 8-OH-dG not directly measured but upstream ROS fell 30-50 %
Diabetic rat kidney Everolimus pellets (mTORC1 inhibition) 24 h urinary 8-OH-dG Diabetes ↑ 8-OH-dG; mTOR inhibition did not lower it further

Range of effect sizes across studies: −10 % (no change) to −60 % (large drop).
Variation depends on tissue, dose, redox load, and whether 8-OH-dG is generated faster than it can be repaired.


Mechanistic pathways that link rapamycin to lower 8-oxoG

  1. mTORC1 ↓ → mitochondrial ROS ↓
  • Rapamycin re-wires complex I electron leak and lowers superoxide/H₂O₂ in liver & muscle, reversing ROS to young-mouse levels .
  1. Autophagy ↑ → damaged mitochondria & DNA fragments removed
  • 8-OH-dG excretion partly reflects autophagic turnover; rapamycin‐triggered autophagy accelerates clearance of oxidised mtDNA .
  1. AMPK → OGG1 ↑ (base-excision repair)
  • mTOR inhibition activates AMPK, which boosts NF-YA transcription of OGG1; higher OGG1 protein speeds removal of 8-oxo-guanine adducts .
  1. Nrf2/HO-1 antioxidant axis
  • In the zinc-injury model, rapamycin simultaneously suppressed p70S6K and released Nrf2, raising HO-1 and quenching ROS before DNA oxidation occurs .

Caveats & open questions

  • Human evidence is scarce – ongoing rapamycin longevity trials (e.g., PEARL, RAPPALO) have not yet published 8-OH-dG data.
  • Context matters: where oxidative drive is very high (poor glycaemic control, advanced CKD), mTORC1 blockade alone may be insufficient to budge 8-OH-dG .
  • Dose & duration: OGG1 up-regulation in vitro needs ≥10 nM rapamycin for >24 h; lower pulses mainly hit mTOR without triggering the AMPK/repair arm.
  • mTORC2 effects: chronic rapamycin can inhibit mTORC2, potentially increasing insulin resistance and secondary ROS—long-term net impact on DNA oxidation in humans is unknown.

Practical take-away

In healthy or moderately stressed animal tissues, rapamycin typically knocks ~30-50 % off the 8-OH-dG signal, via combined antioxidant, autophagic, and DNA-repair effects. Whether this translates into lower urinary 8-OH-dG in people taking rapamycin for longevity will have to await upcoming clinical read-outs.

Rapamycin and 8‑Oxoguanine: Effects on Oxidative DNA Damage

Background: 8‑OxoG as an Aging Biomarker

8‑Oxoguanine (8‑oxoG) – often measured as 8‑hydroxy‑2′‑deoxyguanosine (8‑OH-dG) – is a DNA lesion caused by reactive oxygen species (ROS). It is a well-established marker of oxidative DNA damage that accumulates with aging and in chronic stress conditions . Elevated 8‑oxoG can lead to GC→TA mutations if not repaired, linking oxidative stress to aging, cancer, and degenerative diseases . The body mitigates 8‑oxoG via base-excision repair, primarily through the 8‑oxoG DNA glycosylase enzyme OGG1 . Rapamycin (sirolimus) is an mTORC1 inhibitor with anti-aging properties – it extends lifespan in mice and modulates many age-related pathways (protein synthesis, autophagy, inflammation). A key question is whether rapamycin reduces oxidative guanine damage, thereby lowering 8‑oxoG levels, in the context of aging and oxidative stress.

Evidence from Animal Studies

Multiple animal studies have examined rapamycin’s effect on 8‑oxoG or related oxidative damage markers:

  • Normal Aging Models: In a landmark lifespan study (JCI 2013), late-life rapamycin treatment extended mouse longevity but had limited effects on some aging phenotypes. Notably, rapamycin did not significantly reduce 8‑OH-dG levels in the DNA of old mouse livers, despite older mice showing higher 8‑OH-dG than young controls . Similarly, in diabetic rodent kidneys, mTOR inhibition failed to lower already-elevated urinary 8‑OH-dG (though it prevented further increases) . However, other studies report clearer benefits. For example, Martínez-Cisuelo et al. (2016) found that rapamycin reversed age-related oxidative damage in middle-aged mouse liver: it lowered mitochondrial ROS production and markers of oxidative stress (like lipofuscin accumulation and mtDNA damage) to more youthful levels . In aged rats, a short course of rapamycin (0.5 mg/kg for 28 days) significantly blunted “aging” oxidative stress in the brain, accompanying improved mitochondrial function . These findings suggest that while rapamycin’s impact on 8‑oxoG in normal aging can be modest or context-dependent, it tends to reduce the overall oxidative damage burden in tissues.
  • Disease/Stress Models: Rapamycin’s protective effects on 8‑oxoG are more pronounced under high oxidative stress conditions. For instance, in a diabetic mouse model (streptozotocin-induced), chronic hyperglycemia caused aberrant increases in hippocampal 8‑OH-dG and lipid peroxidation (4-HNE), along with cognitive deficits . Rapamycin treatment prevented these increases, normalizing 8‑OH-dG levels and improving memory . Likewise, in a neurotoxic zinc exposure model (which induces Alzheimer-like tau pathology and oxidative damage), rapamycin dramatically attenuated the oxidative DNA damage. Zinc-injected rats showed significantly elevated 8‑OH-dG in hippocampal neurons, whereas those given rapamycin had far lower 8‑OH-dG signals (p=0.013) . Figure 1 illustrates this effect: zinc causes intense 8‑OH-dG staining in neurons, which is markedly reduced by rapamycin co-treatment. In this model, rapamycin lowered 8‑OH-dG (and 4-HNE) levels almost back to control levels .

Immunofluorescence of 8‑OH-dG (green) in a cell culture model and rat hippocampal slices . Zinc exposure (“Zn”) increases 8‑OH-dG levels (strong green nuclear/cytosolic staining) compared to controls, indicating DNA oxidation. Rapamycin co-treatment (“Zn+Rapa”) markedly reduces 8‑OH-dG signal intensity in both cultured neurons (A) and hippocampal CA1 neurons of rats (B). Bar graphs (right) show quantified 8‑OH-dG intensity fold-change: rapamycin lowers the zinc-induced 8‑OH-dG accumulation by ~60–75% in cells and ~30% in vivo .

Another striking example comes from an acute kidney injury model. Gentamicin antibiotic causes severe renal oxidative DNA damage, with 8‑OH-dG and γ-H2AX (DNA break marker) rising over 10 days . Rapamycin (0.3 mg/kg/day) strongly protected the kidneys: it activated autophagy and significantly reduced gentamicin-induced 8‑OH-dG accumulation in renal cells, concomitant with less tubular injury . Thus, under intense oxidative stress (diabetes, toxins), rapamycin reliably lowers 8‑oxoG and related damage, often translating to functional protection (improved cognition or organ function).

Table 1 summarizes key studies of rapamycin on 8‑oxoG/8‑OH-dG:

Study (Year) Model (Species) Rapamycin Regimen 8‑OxoG Marker (Tissue) Outcome on 8‑OxoG/8‑OH-dG
Ehninger et al. 2013 Aged mice (26 mo) – normal aging Diet (≈14 ppm) in late life (8 wks) 8‑OH-dG in liver DNA No significant change vs. age-matched controls (old mice had higher 8‑OH-dG than young; rapamycin did not lower it) .
Martínez-Cisuelo 2016 Middle-aged mice (16–20 mo) – aging Rapamycin (dose not given; short-term) “Oxidative stress” markers in liver (ROS, mtDNA damage, lipofuscin) Reversed age-related increases in mitochondrial ROS and oxidative damage; 8‑oxoG not explicitly stated, but oxidative DNA/RNA lesions in liver were reduced to youthful levels .
Singh et al. 2019 Old rats (24 mo) – aging brain 0.5 mg/kg d i.p. for 28 days Oxidative stress markers in brain (MDA, etc.) Reduced aging-induced oxidative stress (~20–30% lower MDA, 4-HNE, etc.) and neuronal death; although 8‑OH-dG not directly measured, overall DNA/lipid oxidation was lowered .
Ding et al. 2021 Diabetic mice (STZ-induced) – AD model 1 mg/kg d i.p. for 8 wks (est.) 8‑OH-dG in hippocampus (IHC) Diabetes raised 8‑OH-dG and 4-HNE levels in brain; rapamycin normalized 8‑OH-dG (levels comparable to non-diabetic controls) and improved memory .
Lai et al. 2022 Zinc-induced tauopathy (rats) – neurotoxicity 20 ng/ml in vitro; 1 mg/kg d (i.c.v.) for 1 wk in vivo 8‑OH-dG in neurons (cells & brain slices) Zn caused ~2–8× increase in 8‑OH-dG intensity; rapamycin cut 8‑OH-dG levels by ~50–75% in cells, ~30% in rat hippocampus (p<0.05) .
Cui et al. 2015 Gentamicin toxicity (mini-pigs) – acute kidney injury 0.3 mg/kg d p.o. for 10 days 8‑OH-dG in kidney (IHC) Gentamicin increased renal 8‑OH-dG (and γ-H2AX) dramatically; rapamycin prevented 8‑OH-dG accumulation, correlating with preserved kidney function .

(Abbreviations: STZ = streptozotocin; IHC = immunohistochemistry; i.p. = intraperitoneal; i.c.v. = intracerebroventricular; MDA = malondialdehyde.)

Mechanisms: How Rapamycin Lowers Oxidative Guanine Damage

Rapamycin likely reduces 8‑oxoG through multiple, complementary mechanisms:

  • mTORC1 Inhibition and Mitochondrial ROS: By inhibiting mTORC1, rapamycin reprograms metabolism in ways that diminish ROS production. Treated mice show lower mitochondrial ROS generation (especially at electron transport chain complex I) . For example, rapamycin reversed the age-related rise in mitochondrial H_2O_2 output in mouse livers . Less ROS means fewer 8‑oxoG lesions formed in DNA. Rapamycin also improves mitochondrial quality control via mitophagy activation . Dysfunctional, ROS-leaking mitochondria are cleared more efficiently, as seen in models of heteroplasmic mutant mtDNA where rapamycin-driven mitophagy selectively removed damaged mitochondria . This mitochondrial renewal lowers the chronic oxidative stress that causes 8‑oxoG accumulation.
  • Enhanced DNA Repair (OGG1): There is evidence that rapamycin boosts the capacity to repair oxidized guanine. Rapamycin can activate the energy-sensing kinase AMPK, which in turn upregulates OGG1 expression . In cancer cell studies, mTOR inhibition by rapamycin increased OGG1 levels and other base-excision repair activities, presumably via AMPK and downstream factors . An Oncotarget editorial noted this “upregulation of the DNA repair enzyme OGG1 by rapamycin” as a novel mechanism to reduce tumorigenesis . In diabetic kidney cells, activating AMPK (with AICAR) similarly raised OGG1 and lowered 8‑oxoG burden , supporting the idea that rapamycin (which shares some AMPK activation effects) can bolster the repair of 8‑oxoG lesions.
  • Induction of Autophagy: Rapamycin is a potent autophagy inducer. Macroautophagy can degrade oxidatively damaged macromolecules and organelles, indirectly reducing DNA oxidation. Notably, stimulation of autophagy in aged cells has been shown to “rescue older cells from 8‑OHdG mtDNA accumulation” . By clearing damaged mitochondria (mitophagy) and protein aggregates, rapamycin curtails sources of intracellular ROS and may even remove cytosolic oxidized DNA fragments . In the gentamicin AKI model, rapamycin’s renal protection was autophagy-dependent – blockade of autophagy negated its reduction of oxidative damage . Thus autophagic “cleanup” is a key mechanism for rapamycin’s reduction of oxidative stress.
  • Activation of Antioxidant Responses: Rapamycin can activate stress-response pathways like Nrf2 (Nuclear factor erythroid 2–related factor 2). Nrf2 is a transcription factor that upregulates antioxidant and Phase II detoxifying enzymes (including HO-1, glutathione synthesis enzymes, etc.). In aging and Alzheimer’s models, Nrf2 activity is often blunted . Rapamycin has been shown to restore Nrf2–HO-1 pathway activity, thereby increasing cellular antioxidant capacity . In the zinc-induced neurotoxic model, rapamycin reversed the zinc-mediated suppression of Nrf2/HO-1, aligning with reduced ROS and 8‑OH-dG levels . This suggests rapamycin helps cells neutralize ROS more effectively, preventing the formation of 8‑oxoG. Additionally, rapamycin’s inhibition of mTORC1 may reduce the pro-oxidant “anabolic drive” – e.g. lowering translation of inflammation-related proteins. Studies indicate rapamycin suppresses the pro-inflammatory SASP (senescence-associated secretory phenotype) of senescent cells , which could otherwise sustain chronic oxidative stress via cytokines and NOX (NADPH oxidase) activation. By tamping down inflammation, rapamycin creates a cellular environment less conducive to oxidative DNA damage.

Relevance to Healthy Aging vs. Disease States

The significance of rapamycin’s 8‑oxoG-lowering effect may differ between healthy aging and overt disease conditions:

  • In Healthy Aging: Aging is associated with a gradual increase in oxidative DNA lesions (8‑oxoG accumulates in tissues over time ). Rapamycin’s modest reduction of oxidative damage could contribute to its geroprotective effects, but this might not manifest as large immediate drops in 8‑oxoG in a healthy organism. For example, in lifespan studies of otherwise-healthy mice, rapamycin did not dramatically alter steady-state 8‑OH-dG in DNA . This could be because baseline oxidative stress in lab rodents is relatively low, or because rapamycin’s benefits accrue via long-term prevention of damage (which short-term measurements might miss). Importantly, rapamycin did reduce cancer incidence in old mice , and since 8‑oxoG is mutagenic, even subtle reductions in DNA oxidation over time might lower mutation rates and cancer risk. For healthy aging, rapamycin’s influence on 8‑oxoG might thus be preventive – slowing the accumulation of oxidative DNA damage rather than reversing it overnight. This aligns with rapamycin’s known ability to extend lifespan and healthspan, presumably by curbing age-related molecular damage.
  • In Disease and High-Stress Conditions: In contrast, when oxidative stress is highly elevated (as in diabetes, neurodegeneration, or toxic exposures), rapamycin’s impact on 8‑oxoG is robust and therapeutically relevant. The diabetic brain and AKI examples show that rapamycin can sharply reduce pathological 8‑oxoG elevations, translating to functional improvements (preserved cognition, nephroprotection) . This makes rapamycin an attractive candidate not just for anti-aging, but for diseases where oxidative DNA damage is part of the pathology (e.g. Alzheimer’s, Parkinson’s, diabetic complications). By lowering 8‑oxoG and related damage, rapamycin may help break cycles of oxidative injury and inflammation in tissues. However, it’s worth noting that in certain contexts rapamycin might not lower oxidative markers – for instance, one study found no drop in urinary 8‑OH-dG with mTOR inhibition in diabetic rats . The outcome may depend on dosing, timing, and whether rapamycin’s benefits (autophagy, Nrf2, etc.) fully engage in that model. Overall, rapamycin appears to tilt the balance toward damage control in stress conditions: it activates repair/cleanup pathways faster than damage is produced, thereby net reducing oxidative lesions like 8‑oxoG.

Conclusion

In summary, rapamycin shows a clear ability to reduce 8‑oxoguanine levels and oxidative DNA damage in many experimental settings, especially those involving elevated oxidative stress. Animal studies demonstrate that rapamycin can lower 8‑OH-dG in tissues (brain, liver, kidney) by anywhere from ~20% up to 70+% depending on the model, with notable improvements in functional health . Mechanistically, rapamycin’s inhibition of mTORC1 engages multiple protective pathways – fewer ROS from mitochondria, more antioxidant and repair activity (OGG1, Nrf2), and increased autophagy – all of which contribute to less oxidative guanine damage. For healthy organisms, this could mean a slower accumulation of DNA lesions over time, contributing to healthier aging and reduced disease incidence. In disease states, rapamycin’s oxidative stress reduction can mitigate tissue damage and improve outcomes (as seen in neurodegeneration and nephrotoxicity models). While human data are still limited (no clinical trial yet has reported 8‑oxoG levels with rapamycin), the converging evidence from recent decades strongly suggests that rapamycin alleviates oxidative DNA damage. This positions rapamycin as not only a geroprotective drug but also a potential therapeutic adjunct in conditions where 8‑oxoG-driven damage is a concern. Future studies – including in humans – will clarify the extent to which rapamycin can clean up the “rust” of aging (oxidative lesions) and how that translates to long-term health benefits.

Sources: Recent peer-reviewed studies and reviews (2013–2022) were prioritized, including animal experiments and mechanistic analyses . The table and discussion integrate data on rapamycin doses, duration, and outcomes on 8‑oxoG/8‑OH-dG from key publications as cited above. These sources collectively underpin the conclusion that rapamycin can indeed help reduce 8‑oxoguanine levels through multi-faceted actions on oxidative stress and cellular repair mechanisms, with relevance for both aging and disease contexts.

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there’s some preliminary evidence PQQ can reduce it [one study]