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Monoamine oxidase A enzyme; Monoamine oxidase B enzyme (MAO-A (for Monoamine oxidase A), MAO-B (for Monoamine oxidase B))

Target
MAO-A (for Monoamine oxidase A), MAO-B (for Monoamine oxidase B)
Molecular classification
Enzyme, Flavoprotein, Amine oxidoreductase
01

Overview

Monoamine oxidase A and B enzymes are mitochondrial, flavin-containing enzymes crucial for the breakdown (oxidative deamination) of neurotransmitters such as serotonin, norepinephrine, dopamine, and dietary amines including tyramine and phenethylamine. MAO-A (encoded by MAOA) preferentially metabolizes serotonin, norepinephrine, and tyramine, and is widely expressed in neural and some non-neural tissues; deficiency results in Brunner syndrome and has been implicated in aggression, psychiatric conditions, and certain cancers. MAO-B (encoded by MAOB) preferentially metabolizes phenethylamine and benzylamine, is abundant in glial cells and platelets, and is important in dopaminergic and neurodegenerative disease processes such as Parkinson's disease. Both enzymes are therapeutic targets: MAO inhibitors (MAOIs) are used as antidepressants and in the treatment of Parkinson’s disease. Safety concerns include interactions with dietary amines and other drugs, and their activity in non-neural tissue has implications for cardiovascular and oncologic disease[1][2][3][4][5][6][8][7].

Other names
MAOAmonoamine oxidase type Aamine oxidase [flavin-containing] A isoform 1/2BRNRSMAOBmonoamine oxidase type Bamine oxidase [flavin-containing] B
02

Mechanism of action

Irreversible inhibition of MAO-A and/or MAO-B (classic MAOIs); Reversible inhibition of MAO-A (e.g., moclobemide); Selective inhibition of MAO-B (e.g., selegiline, rasagiline); Increase in central monoamine neurotransmitters by preventing their enzymatic degradation

03

Biological functions

Oxidative deamination of monoaminesNeurotransmitter metabolism (serotonin, dopamine, norepinephrine, epinephrine, tyramine, phenethylamine, benzylamine)Cellular apoptosis regulationDietary amine metabolismModulation of mood, behavior, and stress responseReactive oxygen species generation (in context of disease)
04

Disease associations

Neurodegenerative disease (e.g., Parkinson’s disease, Alzheimer’s disease)Psychiatric/behavioral disorders (depression, bipolar disorder, panic disorder, aggression, autism)Cancer (prostate cancer, glioma, non-small cell lung cancer, Hodgkin lymphoma)Cardiovascular disease (ischemic injury, cardiac apoptosis)
05

Safety considerations

Hypertensive crisis with excess dietary tyramine ("cheese effect") when taking nonselective/MAO-A inhibitorsDrug–drug interactions with serotonergic, sympathomimetic, and other medications, risk of serotonin syndromeBehavioral changes (e.g., aggression, mood swings in genetic deficiencies)Potential for withdrawal and relapse of neuropsychiatric symptoms upon discontinuationCardiac toxicity or oxidative stress related to ROS production in tissues
06

Interacting drugs

Phenelzine

9 more in the full profile.

07

Biomarkers

Urinary monoamine metabolite profile (e.g., normetanephrine, metanephrine, 5-hydroxyindoleacetic acid)Genetic polymorphisms in the MAOA or MAOB gene (e.g., uVNTR alleles linked to behavior or psychiatric risk)MAO-A/B protein or mRNA expression in tissues (e.g., tumor profiling)

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