Target intelligence / Profile preview

Aldehyde dehydrogenase 1 family member A1 and Aldehyde dehydrogenase 2 (ALDH1A1 / ALDH2)

Target
ALDH1A1 / ALDH2
Molecular classification
Enzyme, Oxidoreductase, Aldehyde dehydrogenase family
01

Overview

Aldehyde dehydrogenase 1A1 (ALDH1A1) and Aldehyde dehydrogenase 2 (ALDH2) are key enzymes in the aldehyde dehydrogenase superfamily that catalyze the NAD(P)+-dependent oxidation of aldehydes into carboxylic acids. ALDH1A1 is a cytosolic enzyme primarily known for its role in converting retinaldehyde to retinoic acid, a critical signaling molecule for cell differentiation and the maintenance of cancer stem cells. ALDH2 is a mitochondrial enzyme and the primary catalyst for the detoxification of acetaldehyde, the toxic intermediate of ethanol metabolism, and it also protects against oxidative stress by metabolizing reactive lipid peroxidation products like 4-hydroxynonenal. These enzymes are significant therapeutic targets; ALDH2 inhibition is a classic strategy for treating alcohol use disorder by inducing a sensitivity to alcohol, while ALDH2 activation is being investigated for cardioprotection during ischemia-reperfusion injury. In oncology, ALDH1A1 is targeted to eliminate chemoresistant cancer stem cell populations and sensitize tumors to traditional therapies like cyclophosphamide.

Other names
Retinaldehyde dehydrogenase 1RALDH1Mitochondrial aldehyde dehydrogenaseALDH-MALDH-E1ALDCPUMB13-deoxyglucosone dehydrogenaseLiver cytosolic aldehyde dehydrogenase
02

Mechanism of action

Irreversible inhibition, reversible inhibition, allosteric activation, and competitive inhibition

03

Biological functions

Ethanol metabolismRetinoic acid synthesisDetoxification of reactive aldehydesStem cell maintenanceDopamine metabolismCellular differentiationOxidative stress response
04

Disease associations

Alcohol use disorderCancerCardiovascular diseaseParkinson's diseaseFanconi anemiaObesityOsteoporosis
05

Safety considerations

Disulfiram-ethanol reaction (severe flushing, tachycardia, hypotension)Accumulation of neurotoxic dopamine metabolites (DOPAL)Increased sensitivity to environmental aldehydesPotential for increased esophageal cancer risk in deficient individuals
06

Interacting drugs

Disulfiram

9 more in the full profile.

07

Biomarkers

ALDH2*2 polymorphism (rs671)ALDH activity (ALDEFLUOR assay)Blood acetaldehyde levels4-hydroxynonenal (4-HNE) protein adducts

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