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MGMT

MGMT stands for O6-methylguanine-DNA methyltransferase, a critical enzyme responsible for repairing a specific type of DNA damage. It plays a key role in maintaining genomic stability by fixing lesions caused by alkylating agents, chemicals that can lead to mutations if not removed.

Biological function

MGMT’s primary job is to remove methyl or alkyl groups from the O6 position of guanine, one of the four DNA bases. When these alkyl groups remain on DNA, they can mispair during replication, leading to mutations.

MGMT acts by transferring the harmful alkyl group onto itself, a process that permanently inactivates the enzyme, this is why it’s called a “suicide enzyme”. Each MGMT molecule can repair only one damaged guanine, meaning the cell must continuously produce new MGMT proteins to keep up with damage.

This action is essential in preventing:

  • Mutagenesis (permanent changes in DNA);
  • Carcinogenesis (development of cancer);
  • Loss of cellular function due to genomic instability.

MGMT and aging

As we age, our DNA accumulates damage from internal processes (like oxidative stress) and external exposures (such as pollution, radiation or dietary toxins). Over time, the efficiency of DNA repair mechanisms, including MGMT, can decline.

Reduced MGMT activity is associated with:

  • Higher mutation rates;
  • Increased cancer risk (especially in tissues with high turnover, like the brain and gut);
  • Neurodegeneration, where unrepaired DNA may contribute to cognitive decline;
  • Compromised cellular resilience, leading to senescence or dysfunction.

Preserving it activity is therefore important for healthy aging and maintaining cellular integrity over the lifespan.

MGMT and health conditions

One of the most well studied contexts for this enzyme is in brain health, particularly in relation to glioblastoma, an aggressive brain cancer. In this disease, MGMT gene silencing (often due to promoter methylation) makes tumors more responsive to chemotherapy, but also indicates dysfunction in DNA repair.

In other tissues, low MGMT activity may:

  • Increase susceptibility to cancer causing mutations;
  • Be influenced by epigenetic changes due to environmental exposures;
  • Act as a predictive biomarker in assessing individual cancer risk or therapy outcomes.

Understanding MGMT status can help guide personalized medicine approaches in oncology and preventive health.

MGMT is a vital DNA repair enzyme that protects the genome from alkylation damage, a specific but dangerous type of mutation. Its action helps prevent cancer, support genomic stability and slow the accumulation of age related DNA errors.

In the context of longevity, MGMT represents a crucial piece of the body’s innate repair machinery, defending against genetic decline and maintaining cellular function. Preserving its activity may be an important strategy in promoting healthy aging and disease prevention.

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