PMID- 31807952 OWN - NLM STAT- MEDLINE DCOM- 20210326 LR - 20231128 IS - 1435-1463 (Electronic) IS - 0300-9564 (Print) IS - 0300-9564 (Linking) VI - 127 IP - 2 DP - 2020 Feb TI - The catecholaldehyde hypothesis: where MAO fits in. PG - 169-177 LID - 10.1007/s00702-019-02106-9 [doi] AB - Monoamine oxidase (MAO) plays a central role in the metabolism of the neurotransmitters dopamine, norepinephrine, and serotonin. This brief review focuses on 3,4-dihydroxyphenylacetaldehyde (DOPAL), which is the immediate product of MAO acting on cytoplasmic dopamine. DOPAL is toxic; however, normally DOPAL is converted via aldehyde dehydrogenase (ALDH) to 3,4-dihydroxyphenylacetic acid (DOPAC), which rapidly exits the neurons. In addition to vesicular uptake of dopamine via the vesicular monoamine transporter (VMAT), the two-enzyme sequence of MAO and ALDH keeps cytoplasmic dopamine levels low. Dopamine oxidizes readily to form toxic products that could threaten neuronal homeostasis. The catecholaldehyde hypothesis posits that diseases featuring catecholaminergic neurodegeneration result from harmful interactions between DOPAL and the protein alpha-synuclein, a major component of Lewy bodies in diseases such as Parkinson disease, dementia with Lewy bodies, and pure autonomic failure. DOPAL potently oligomerizes alpha-synuclein, and alpha-synuclein oligomers impede vesicular functions, shifting the fate of cytoplasmic dopamine toward MAO-catalyzed formation of DOPAL-a vicious cycle. When MAO deaminates dopamine to form DOPAL, hydrogen peroxide is generated; and DOPAL, hydrogen peroxide, and divalent metal cations react to form hydroxyl radicals, which peroxidate lipid membranes. Lipid peroxidation products in turn inhibit ALDH, causing DOPAL to accumulate-another vicious cycle. MAO inhibition decreases DOPAL formation but concurrently increases the spontaneous oxidation of dopamine, potentially trading off one form of toxicity for another. These considerations rationalize a neuroprotection strategy based on concurrent treatment with an MAO inhibitor and an anti-oxidant. FAU - Goldstein, David S AU - Goldstein DS AD - Autonomic Medicine Section, Clinical Neurosciences Program, Division of Intramural Research, National Institute of Neurological, Disorders and Stroke, National Institutes of Health, 9000 Rockville Pike MSC-1620, Building 10 Room 8N260, Bethesda, MD, 20892-1620, USA. goldsteind@ninds.nih.gov. LA - eng GR - ZIA NS003033/ImNIH/Intramural NIH HHS/United States GR - ZIA NS003034/ImNIH/Intramural NIH HHS/United States GR - ZIA NS003125/ImNIH/Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural PT - Review DEP - 20191205 PL - Austria TA - J Neural Transm (Vienna) JT - Journal of neural transmission (Vienna, Austria : 1996) JID - 9702341 RN - 102-32-9 (3,4-Dihydroxyphenylacetic Acid) RN - 5707-55-1 (3,4-dihydroxyphenylacetaldehyde) RN - EC 1.2.1.3 (Aldehyde Dehydrogenase) RN - EC 1.4.3.4 (Monoamine Oxidase) RN - VTD58H1Z2X (Dopamine) SB - IM EIN - J Neural Transm (Vienna). 2019 Dec 21;:. PMID: 31865454 MH - 3,4-Dihydroxyphenylacetic Acid/*analogs & derivatives/*metabolism MH - Aldehyde Dehydrogenase/*metabolism MH - Animals MH - Dopamine/*metabolism MH - Humans MH - Monoamine Oxidase/*metabolism MH - Neurodegenerative Diseases/*metabolism MH - Neurons/*metabolism PMC - PMC10680281 MID - NIHMS1947045 OTO - NOTNLM OT - Alpha-synuclein OT - DOPAL OT - Dopamine OT - Monoamine oxidase EDAT- 2019/12/07 06:00 MHDA- 2021/03/27 06:00 PMCR- 2023/11/27 CRDT- 2019/12/07 06:00 PHST- 2019/10/30 00:00 [received] PHST- 2019/11/14 00:00 [accepted] PHST- 2019/12/07 06:00 [pubmed] PHST- 2021/03/27 06:00 [medline] PHST- 2019/12/07 06:00 [entrez] PHST- 2023/11/27 00:00 [pmc-release] AID - 10.1007/s00702-019-02106-9 [pii] AID - 10.1007/s00702-019-02106-9 [doi] PST - ppublish SO - J Neural Transm (Vienna). 2020 Feb;127(2):169-177. doi: 10.1007/s00702-019-02106-9. Epub 2019 Dec 5.