- D-Aminolevulinic acid
D-Aminolevulinic acid (dALA or δ-ALA or 5-aminolevulinic acid) is the first compound in the
porphyrinsynthesis pathway, the pathway that leads to hemoglobinin mammals.
eukaryotessuch as animals, insects, fungi, and protozoa, as well as the α-proteobacteria group of bacteria, it is produced by the enzyme ALA synthase, from glycineand succinyl CoA. This reaction is known as the Shemin pathway.
plants, algae, bacteria(except for the α-proteobacteria group) and archaea, it is produced from glutamic acidvia glutamyl-tRNA and glutamate-1-semialdehyde. The enzymes involved in this pathway are glutamyl-tRNA synthetase, glutamyl-tRNA reductase, and glutamate-1-semialdehyde aminotransferase. This pathway is known as the C5 or Beale pathway. [Beale, Samuel I. (1990) Biosynthesis of the tetrapyrrole pigment precursor, d-aminolevulinic acid, from glutamate. Plant Physiology, 93(4), 1273-1279] [Willows R.D. (2004) Chlorophylls In: Encylopaedia of Plant and Crop Science. pp 258-262, Ed: Robert M. Goodman. Marcel Dekker Inc, ISBN 0-8247-4268-0]
It elicits synthesis and accumulation of
fluorescent porphyrins (protoporphyrin IX) in epithelia and neoplastic tissues, among them malignant gliomas. It is used to visualise tumorous tissue in neurosurgical procedures. Studies have shown that the intraoperative use of this guiding method may reduce the tumour residual volume and prolong progression-free survival in patients suffering from this disease. [ cite journal |author=Stummer W, Pichlmeier U, Meinel T, Wiestler OD, Zanella F, Reulen HJ |title=Fluorescence-guided surgery with 5-aminolevulinic acid for resection of malignant glioma: a randomised controlled multicentre phase III trial |journal=Lancet Oncol. |volume=7 |issue=5 |pages=392–401 |year=2006 |pmid=16648043 |doi=10.1016/S1470-2045(06)70665-9]
dALA is also a
photosensitizerfor photodynamic therapy.
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