5-Aminolevulinic acid: A matter of life and caveats

Our mini-review concerns the potential adverse pro-oxidant role of 5-aminolevulinic (ALA), the first protoporphyrin IX (PP-IX)/heme precursor widely used in commercial formulations for endogenous photodynamic therapy (PDT). Our account collates the two sides of (i) ALA aerobic oxidation as a source...

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Main Authors: Etelvino J.H. Bechara, Luiz D. Ramos, Cassius V. Stevani
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:Journal of Photochemistry and Photobiology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S266646902100021X
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author Etelvino J.H. Bechara
Luiz D. Ramos
Cassius V. Stevani
author_facet Etelvino J.H. Bechara
Luiz D. Ramos
Cassius V. Stevani
author_sort Etelvino J.H. Bechara
collection DOAJ
description Our mini-review concerns the potential adverse pro-oxidant role of 5-aminolevulinic (ALA), the first protoporphyrin IX (PP-IX)/heme precursor widely used in commercial formulations for endogenous photodynamic therapy (PDT). Our account collates the two sides of (i) ALA aerobic oxidation as a source of H2O2 and radicals when accumulated in acute intermittent porphyria (AIP), hereditary tyrosinemia type 1 (HT1), and lead poisoning, thereby triggering similar biochemical damage and symptoms and (ii) the central role of PP-IX as the immediate precursor of the heme prosthetic group of key proteins and enzymes (hemoglobin, myoglobin, cytochromes, catalase, and others). Conversely, PP-IX induces skin photodamage when accumulated in sun-exposed erythropoietic protoporphyria (EPP) patients. Furthermore, we highlight the harnessing of such antithetical ALA and PP-IX properties to design efficient PDT and insecticidal strategies. Research on ALA-based PDT photosensitizers calls for more attention on the deleterious action of excess ALA, whose main target is the mitochondrion.
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spelling doaj.art-5332873eb4a24824bc35878324c9e7b82022-12-21T18:48:05ZengElsevierJournal of Photochemistry and Photobiology2666-46902021-09-0171000365-Aminolevulinic acid: A matter of life and caveatsEtelvino J.H. Bechara0Luiz D. Ramos1Cassius V. Stevani2Departamento de Química Fundamental, Instituto de Química, Universidade de São Paulo, SP, Brazil; Corresponding author.Departamento de Química Fundamental, Instituto de Química, Universidade de São Paulo, SP, Brazil; Centro Universitário Anhanguera, UniA, Santo André, SP, BrazilDepartamento de Química Fundamental, Instituto de Química, Universidade de São Paulo, SP, BrazilOur mini-review concerns the potential adverse pro-oxidant role of 5-aminolevulinic (ALA), the first protoporphyrin IX (PP-IX)/heme precursor widely used in commercial formulations for endogenous photodynamic therapy (PDT). Our account collates the two sides of (i) ALA aerobic oxidation as a source of H2O2 and radicals when accumulated in acute intermittent porphyria (AIP), hereditary tyrosinemia type 1 (HT1), and lead poisoning, thereby triggering similar biochemical damage and symptoms and (ii) the central role of PP-IX as the immediate precursor of the heme prosthetic group of key proteins and enzymes (hemoglobin, myoglobin, cytochromes, catalase, and others). Conversely, PP-IX induces skin photodamage when accumulated in sun-exposed erythropoietic protoporphyria (EPP) patients. Furthermore, we highlight the harnessing of such antithetical ALA and PP-IX properties to design efficient PDT and insecticidal strategies. Research on ALA-based PDT photosensitizers calls for more attention on the deleterious action of excess ALA, whose main target is the mitochondrion.http://www.sciencedirect.com/science/article/pii/S266646902100021X5-aminolevulinic acidProtoporphyrin IXPorphyriaOxidative stressPhotodamage
spellingShingle Etelvino J.H. Bechara
Luiz D. Ramos
Cassius V. Stevani
5-Aminolevulinic acid: A matter of life and caveats
Journal of Photochemistry and Photobiology
5-aminolevulinic acid
Protoporphyrin IX
Porphyria
Oxidative stress
Photodamage
title 5-Aminolevulinic acid: A matter of life and caveats
title_full 5-Aminolevulinic acid: A matter of life and caveats
title_fullStr 5-Aminolevulinic acid: A matter of life and caveats
title_full_unstemmed 5-Aminolevulinic acid: A matter of life and caveats
title_short 5-Aminolevulinic acid: A matter of life and caveats
title_sort 5 aminolevulinic acid a matter of life and caveats
topic 5-aminolevulinic acid
Protoporphyrin IX
Porphyria
Oxidative stress
Photodamage
url http://www.sciencedirect.com/science/article/pii/S266646902100021X
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AT luizdramos 5aminolevulinicacidamatteroflifeandcaveats
AT cassiusvstevani 5aminolevulinicacidamatteroflifeandcaveats