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5-Hydroxyindoleacetaldehyde

Inactive metabolite of the neurotransmitter serotonin From Wikipedia, the free encyclopedia

5-Hydroxyindoleacetaldehyde
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5-Hydroxyindoleacetaldehyde (5-HIAL), also known as 5-hydroxytryptaldehyde or as serotonin aldehyde, is an inactive metabolite and metabolic intermediate of the monoamine neurotransmitter serotonin (5-hydroxytryptamine; 5-HT).[2][3][1]

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5-HIAL is formed from serotonin by oxidative deamination via monoamine oxidase (MAO).[2][3] MAO-mediated deamination is the primary metabolic pathway of serotonin inactivation.[2] Monoamine oxidase A (MAO-A) has about 120-fold higher affinity for serotonin than monoamine oxidase B (MAO-B).[2] In relation to this, MAO-A is the main isozyme of MAO involved in serotonin degradation.[2]

Following its formation, 5-HIAL is metabolized by aldehyde dehydrogenase (ALDH) to form 5-hydroxyindoleacetic acid (5-HIAA).[2][3] 5-HIAL can also be converted into small amounts of 5-hydroxytryptophol (5-HTOL; also known as 5-hydroxyindolethanol or 5-HIET) by either aldehyde reductase (ALR/ALDR) or alcohol dehydrogenase (ADH).[2][4] However, brain concentrations of 5-HTOL are only 1 to 5% of those of 5-HIAA.[2][4]

Use of ethanol (alcohol) can dramatically increase 5-HTOL formation by inhibiting ALDH and enhancing ADH activity.[2][5] As a result, the ratio of 5-HTOL to 5-HIAA is a sensitive and reliable marker of recent ethanol ingestion and has been suggested for use in clinical and forensic contexts.[2][5]

Besides oxidative deamination by MAO into 5-HIAL, serotonin can also be conjugated by glucuronidation via glucuronyltransferases, conjugated by sulfation via sulfotransferases, acetylated and then methylated into melatonin (N-acetyl-5-methoxytryptamine) (which occurs mainly in the pineal gland), and converted into certain other metabolites like 5-hydroxyindole thiazoladine carboxylic acid (5-HITCA).[2] However, these secondary metabolic pathways appear to play only a minor role in serotonin metabolism.[2]

5-HIAL has been implicated in producing neurotoxicity and in the development and progression of neurodegenerative diseases.[6][7][8]

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