5-Aminolevulinic acid: A matter of life and caveats

Autor: Luiz D. Ramos, Etelvino J. H. Bechara, Cassius V. Stevani
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Photochemistry and Photobiology, Vol 7, Iss, Pp 100036-(2021)
Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual)
Universidade de São Paulo (USP)
instacron:USP
ISSN: 2666-4690
Popis: 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.
Databáze: OpenAIRE