Target intelligence / Profile preview

Retinaldehyde dehydrogenase (RALDH)

Target
RALDH
Molecular classification
Enzyme, Oxidoreductase, Cytosolic and mitochondrial protein
01

Overview

Retinaldehyde dehydrogenase refers to a group of **aldehyde dehydrogenase enzymes (RALDH1/ALDH1A1, RALDH2/ALDH1A2, RALDH3/ALDH1A3)** that catalyze the oxidation of **retinaldehyde to retinoic acid**, a crucial step in vitamin A metabolism and retinoic acid signaling[2][4][8]. These enzymes are essential for embryonic development, tissue differentiation, and immune regulation by supplying ligand for retinoic acid receptors, thus controlling numerous gene expression events[3][4][6]. RALDH enzymes are widely studied as therapeutic targets in oncology (e.g., cancer stem cell biology and chemoresistance), regenerative medicine, and developmental biology[8]. Dysfunction or dysregulation of these enzymes can result in developmental malformations, immune disorders, and altered response to cancer therapies[3][8]. Expression and activity are tissue-specific, with key functions in liver, gastrointestinal tract, nervous system, and reproductive organs[2][3][4].[6][8]

Other names
Aldehyde dehydrogenase 1 family member A1 (ALDH1A1)Aldehyde dehydrogenase 1 family member A2 (ALDH1A2)Aldehyde dehydrogenase 1 family member A3 (ALDH1A3)ALDH1A1, ALDH1A2, ALDH1A3RALDH1, RALDH2, RALDH3
02

Mechanism of action

Aldehyde dehydrogenase inhibitors (block conversion of retinaldehyde to retinoic acid, affecting RA signaling and cell differentiation); Retinoic acid analogues (modulate downstream signaling after RA production); Chemotherapy metabolic modulation (inactivation or activation of prodrugs)

03

Biological functions

Retinoic acid biosynthesis from retinaldehydeRegulation of cell differentiationDevelopmental signaling, including neural and gut developmentRegulation of gene expression (via retinoic acid receptor pathways)Detoxification of endogenous and xenobiotic aldehydesRegulation of cell proliferation and apoptosis
04

Disease associations

Cancer, including chemoresistance and cancer stem cell survivalDevelopmental disorders (neural, cardiac, gut, and other organogenesis)Immune regulation (modulation of mucosal and T cell immunity)Potential role in neurodegenerative disease (through retinoid signaling)Other: Chemotherapy metabolism and resistance
05

Safety considerations

Inhibition may disrupt key developmental pathways, especially during pregnancy and embryogenesisPossible off-target effects if targeting broadly expressed ALDH family membersRetinoic acid dysregulation can cause teratogenicity and organ toxicity
06

Interacting drugs

Disulfiram (Antabuse, inhibits ALDH1A1 but primary target is ALDH2)

4 more in the full profile.

07

Biomarkers

ALDH1A1 expression as a stem cell and cancer stem cell markerALDH activity (measured in diagnostic assays like ALDEFLUOR)Retinoic acid levels (as a downstream functional biomarker)

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