Target intelligence / Profile preview

Monoamine oxidase A (MAO-A) (MAO-A)

Target
MAO-A
Molecular classification
Enzyme, Oxidoreductase, Flavin-containing amine oxidase, Mitochondrial outer membrane protein
01

Overview

Monoamine oxidase A (MAO-A) is a flavin-containing enzyme localized to the outer mitochondrial membrane, where it catalyzes the oxidative deamination of biogenic amines such as serotonin, norepinephrine, and dopamine [1, 4]. In rats, MAO-A shares approximately 90% sequence identity with the human ortholog but functions as a dimer and exhibits significantly higher catalytic efficiency for amine neurotransmitter oxidation [4, 10]. It is a primary therapeutic target for the treatment of depression and anxiety, as its inhibition increases the availability of mood-regulating monoamines in the brain [14, 16]. Beyond its role in the central nervous system, rat MAO-A is also a significant source of oxidative stress in peripheral tissues, contributing to conditions like diabetic cardiomyopathy and pulmonary arterial hypertension [2]. Clinical use of MAO-A inhibitors is often limited by the 'cheese effect,' a potentially fatal hypertensive crisis caused by the failure to degrade dietary tyramine [17, 19]. The enzyme's activity is also linked to behavioral traits such as impulsivity and aggression, making it a focus of both pharmacological and genetic research [9, 12].

Other names
Amine oxidase [flavin-containing] AMAOAMonoamine oxidase type ArMAO-AAmine oxidase (flavin-containing) A
02

Mechanism of action

Inhibition of the oxidative deamination of monoamines, which prevents the degradation of neurotransmitters such as serotonin and norepinephrine, thereby increasing their concentration in the synaptic cleft [16, 18].

03

Biological functions

Oxidative deamination of biogenic aminesMetabolism of serotoninMetabolism of norepinephrineMetabolism of dopamineRegulation of neurotransmitter levelsProduction of reactive oxygen species
04

Disease associations

DepressionAnxiety disorderNeurodegenerative diseaseCardiac oxidative stressPulmonary arterial hypertension
05

Safety considerations

Hypertensive crisis (Cheese effect)Serotonin syndromeDrug-drug interactions (e.g., with SSRIs)Potential liver toxicityOxidative stress from hydrogen peroxide production
06

Interacting drugs

Clorgyline

5 more in the full profile.

07

Biomarkers

5-Hydroxyindoleacetic acid (5-HIAA)Vanillylmandelic acid (VMA)Homovanillic acid (HVA)Platelet monoamine oxidase activity

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