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Either of two enzymes found in the outer membrane of mitochondria that degrade biogenic amines and are thus responsible for the destruction of transmitter substances at neuronal synapses. Nerve cells release neurotransmitter into the synapse in response to stimulation. The neuron must then dispose of this neurotransmitter to stop the signal or a new signal cannot get through. This is accomplished by one of three mechanisms: diffusion; reuptake into the presynaptic area; and degradation by a number of enzymes, including monoamine oxidase. See also Synaptic transmission.
Monoamine oxidase inhibitors are drugs that block degradation of amine transmitters within the cell; however, not all of their effects can be attributed directly to monoamine oxidase inhibition, since a number of different neuronal effects have been described. The most prominent consequence of monoamine oxidase inhibition is a rapid increase in the intracellular concentrations of monoamines. In addition, the level of serotonin in the brain is raised to a greater extent than that of norepinephrine and dopamine. After these amine concentrations rise, secondary adaptive consequences occur, including a reduction in amine synthesis via an apparent feedback mechanism, which has been most clearly demonstrated for the noradrenergic system. See also Neurobiology; Noradrenergic system; Serotonin.
Two types of monoamine oxidase have been identified. These are designated A and B and are distinguished by having different substrate specificity. Type A preferentially deaminates norepinephrine, cortical dopamine, and serotonin, and is selectively inhibited by clorgyline. Type B degrades phenylethylamine, dopamine, and benzylamine, and is sensitive to deprenyl or pargyline inhibition. Commonly used monoamine oxidase inhibitors are nonselective inhibitors that affect types A and B. Seventy-five percent of monoamine oxidase in the human is type B.
Monoamine oxidase inhibitors are used in medicine for controlling hypertension and for treating depression and other disorders. Other psychiatric disorders, such as obsessive-compulsive disorder, bulimia, somatoform pain disorder, panic disorder, and schizophrenia, have been reported to occasionally respond to treatment with monoamine oxidase inhibitors. There is also some evidence that patients with so-called atypical depression preferentially respond to monoamine oxidase inhibitors. See also Affective disorders; Hypertension.
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An important endogenous enzyme responsible for the metabolic breakdown of monoamines, such as serotonin, adrenaline, and noradrenaline. Monoamine oxidase is found in many tissues, but especially in the liver and nervous system.
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Monoamine oxidase.
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Monoamine oxidases (singular abbreviation MAO) (EC 1.4.3.4) are enzymes that catalyze the oxidation of monoamines. They are found bound to the outer membrane of mitochondria in most cell types in the body. The enzyme was discovered by Mary Hare in the liver, and received the name of tyramine oxidase.[1] They belong to protein family of flavin-containing amine oxidoreductases.
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In humans there are two types of MAO: MAO-A and MAO-B.
Monoamine oxidases catalyze the oxidative deamination of monoamines. Oxygen is used to remove an amine group from a molecule, resulting in the corresponding aldehyde and ammonia. The general form of the catalyzed reaction (with R denoting an arbitrary group) is:
Monoamine oxidases contain the covalently-bound cofactor FAD and are, thus, classified as flavoproteins.
MAO-A is particularly important in the catabolism of monoamines ingested in food. Both MAOs are also vital to the inactivation of monoaminergic neurotransmitters, for which they display different specificities.
Specific reactions catalyzed by MAO include:
Because of the vital role that MAOs play in the inactivation of neurotransmitters, MAO dysfunction (too much or too little MAO activity) is thought to be responsible for a number of neurological disorders. For example, unusually high or low levels of MAOs in the body have been associated with depression[2], schizophrenia[3][4], substance abuse, attention deficit disorder, migraines, and irregular sexual maturation. Monoamine oxidase inhibitors are one of the major classes of drug prescribed for the treatment of depression, although they are last-line treatment due to risk of the drug's interaction with diet or other drugs. Excessive levels of catecholamines (epinephrine, norepinephrine, and dopamine) may lead to a hypertensive crisis, and excessive levels of serotonin may lead to serotonin syndrome.
PET research has shown that MAO is also heavily depleted by use of tobacco cigarettes.[5]
The genes encoding MAO-A and MAO-B are located side-by-side on the short arm of the X chromosome, and have about 70% sequence similarity. Rare mutations in the gene are associated with Brunner syndrome.
A study reported in Science in August 2002 based on the Dunedin cohort concluded that maltreated children with a low-activity polymorphism in the promoter region of the MAO-A gene were more likely to develop antisocial conduct disorders than maltreated children with the high-activity variant.[6] Out of the 442 total males in the study (maltreated or not), 37% had the low activity variant. Of the 13 maltreated males with low MAO-A activity, 11 had been assessed as exhibiting adolescent conduct disorder and 4 were convicted for violent offenses. The suggested mechanism for this effect is the decreased ability of those with low MAO-A activity to quickly degrade norepinephrine, the synaptic neurotransmitter involved in sympathetic arousal and rage. This is alleged to provide direct support for the idea that genetic susceptibility to disease is not determined at birth, but varies with exposure to environmental influences. Note however that most of those with conduct disorder or convictions did not have low activity of MAO-A; maltreatment was found to caused stronger predisposition for antisocial behavior than differences in MAO-A activity.
Research also uncovered a possible link between predisposition to novelty seeking and a genotype of the MAO-A gene.[7]
In 2006, a New Zealand researcher, Dr Rod Lea said that a particular variant (or genotype) was over-represented in Māori, a Warrior gene. This supported earlier studies finding different proportions of variants in different ethnic groups. This is the case for many genetic variants, with 33% White/Non-Hispanic, 61% Asian/Pacific Islanders having the low-activity MAO-A promoter variant.[8]
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| MAO (abbreviation) | |
| MAOI (abbreviation) | |
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