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Monoamine Oxidase-Related Vascular Oxidative Stress in Diseases Associated with Inflammatory Burden
Adrian Sturza1,2, Călin M Popoiu3, Mihaela Ionică1
1Department of Functional Sciences-Pathophysiology, Faculty of Medicine, "Victor Babeș" University of Medicine and Pharmacy, Timișoara, Romania.
Abstract:
Monoamine oxidases (MAO) with 2 isoforms, A and B, located at the outer mitochondrial membrane are flavoenzyme membranes with a major role in the metabolism of monoaminergic neurotransmitters and biogenic amines in the central nervous system and peripheral tissues, respectively. In the process of oxidative deamination, aldehydes, hydrogen peroxide, and ammonia are constantly generated as potential deleterious by-products. While being systematically studied for decades as sources of reactive oxygen species in brain diseases, compelling evidence nowadays supports the role of MAO-related oxidative stress in cardiovascular and metabolic pathologies. Indeed, oxidative stress and chronic inflammation are the most common pathomechanisms of the main noncommunicable diseases of our century. MAO inhibition with the new generation of reversible and selective drugs has recently emerged as a pharmacological strategy aimed at mitigating both processes. The aim of this minireview is to summarize available information regarding the contribution of MAO to the vascular oxidative stress and endothelial dysfunction in hypertension, metabolic disorders, and chronic kidney disease, all conditions associated with increased inflammatory burden.
Insights
Monoamine oxidases (MAO) contribute to oxidative stress in cardiovascular and metabolic diseases. New MAO inhibitors offer a potential strategy to mitigate these conditions by reducing inflammation and oxidative damage.
Area of Science:
- Biochemistry
- Molecular Biology
- Pathology
Background:
- Monoamine oxidases (MAO), with isoforms A and B, are crucial mitochondrial flavoenzymes involved in neurotransmitter and biogenic amine metabolism.
- MAO activity generates by-products like aldehydes and hydrogen peroxide, contributing to oxidative stress.
- Emerging evidence links MAO-derived oxidative stress to cardiovascular and metabolic diseases, alongside chronic inflammation.
Purpose of the Study:
- To review the role of MAO in vascular oxidative stress and endothelial dysfunction.
- To summarize MAO's contribution to hypertension, metabolic disorders, and chronic kidney disease.
- To highlight MAO inhibition as a therapeutic strategy for these inflammatory conditions.
Main Methods:
- Literature review of studies on MAO function and its role in disease.
- Analysis of research on oxidative stress and inflammation in cardiovascular and metabolic pathologies.
- Evaluation of evidence for MAO inhibitors in preclinical and clinical settings.
Main Results:
- MAO contributes significantly to vascular oxidative stress and endothelial dysfunction.
- MAO activity is implicated in the pathogenesis of hypertension, metabolic disorders, and chronic kidney disease.
- Newer, selective MAO inhibitors show promise in mitigating oxidative stress and inflammation.
Conclusions:
- MAO plays a key role in the oxidative stress underlying major noncommunicable diseases.
- Targeting MAO with selective inhibitors is a promising therapeutic approach.
- Further research into MAO inhibition could lead to novel treatments for cardiovascular and metabolic diseases.
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