Numerous studies have investigated the urinary excretion of 8-hydroxy-2'-de
oxyguanosine (8-OHdG) as a biomarker for the assessment of oxidative DNA da
mage in humans. In this study, we performed six consecutive series of measu
rement of urinary levels of 8-OHdG in 68 healthy probands, in order to prov
ide information on the intra- and inter-individual variability of 8-OHdG an
d to estimate the influence of smoking, age, sex, body weight and body mass
index (BMI) on the excretion of 8-OHdG. The intraindividual coefficient of
variation (CV) of urinary 8-OHdG/24h ranged from 0.18 to 1.06 (mean CV = 0
.48). Women excreted significantly lower amounts of 8-OHdG/24h than men, bu
t the difference lost its significance when the body weight or urinary crea
tinine were used as covariates. By multiple linear regression analysis sign
ificant correlations between the mean individual levels of 8-OHdG/24h excre
tion and urinary creatinine (r(P)=0.61), and cotinine (r(P) = 0.27) have be
en observed, whereas no statistically significant effect of age, body weigh
t and BMI was found. The 8-OHdG/creatinine ratio was found to be significan
tly increased in 23 smokers (1.95 +/-0.40 mu mol/mol) opposed to 45 non-smo
king probands (1.62 +/-0.50 mu mol/mol), which is in good agreement with pr
eviously published data. No effect of passive smoking on the excretion of 8
-OHdG was found. From our data we conclude that the intraindividual variabi
lity of urinary 8-OHdG excretion has been underestimated so far, indicating
that values of 8-OHdG measured by single spot monitoring are not represent
ative for individual base levels.