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== Normetanephrine ==
{{Short description|Metabolite of norepinephrine}}


[[File:Noradrenaline_breakdown.svg|thumb|right|300px|Pathway of noradrenaline breakdown, showing the formation of normetanephrine.]]
[[File:Noradrenaline_breakdown.svg|thumb|right|300px|Pathway of noradrenaline breakdown, showing the formation of normetanephrine.]]


'''Normetanephrine''' is a [[metabolite]] of the [[catecholamine]] [[norepinephrine]] (also known as noradrenaline). It is produced by the action of the enzyme [[catechol-O-methyltransferase]] (COMT) on norepinephrine. Normetanephrine is an important compound in the diagnosis of certain medical conditions, particularly those related to the [[adrenal gland]]s.
'''Normetanephrine''' is a [[metabolite]] of the [[catecholamine]] [[norepinephrine]], also known as noradrenaline. It is produced through the action of the enzyme [[catechol-O-methyltransferase]] (COMT), which methylates norepinephrine. Normetanephrine is an important biomarker in the diagnosis of certain medical conditions, particularly [[pheochromocytoma]] and other [[neuroendocrine tumors]].


== Biochemistry ==
==Biochemistry==
Normetanephrine is formed when norepinephrine undergoes methylation by the enzyme catechol-O-methyltransferase. This reaction occurs primarily in the liver and kidneys. The methylation of norepinephrine results in the addition of a methyl group to the catecholamine, converting it into normetanephrine.


Normetanephrine is formed when norepinephrine undergoes [[methylation]] by the enzyme catechol-O-methyltransferase. This reaction occurs primarily in the [[liver]] and [[kidney]]s. The chemical structure of normetanephrine is similar to that of norepinephrine, but with a methyl group added to the catechol hydroxyl group.
[[File:Normetanephrine.svg|thumb|left|Chemical structure of normetanephrine.]]


=== Metabolic Pathway ===
Once formed, normetanephrine can be further metabolized into [[vanillylmandelic acid]] (VMA), which is excreted in the urine. The levels of normetanephrine and its metabolites in the body can be measured to assess catecholamine metabolism and to aid in the diagnosis of certain diseases.


The breakdown of norepinephrine involves several steps:
==Clinical Significance==
Normetanephrine is clinically significant as a biomarker for the diagnosis of pheochromocytoma, a type of tumor that arises from the adrenal medulla and secretes excessive amounts of catecholamines. Elevated levels of normetanephrine in the blood or urine can indicate the presence of such tumors.


1. Norepinephrine is released from [[sympathetic nerve]] endings and the [[adrenal medulla]].
In addition to pheochromocytoma, elevated normetanephrine levels may also be observed in other conditions associated with increased catecholamine production, such as [[neuroblastoma]] and certain forms of [[hypertension]].
2. It is either taken back up into nerve terminals or metabolized.
3. When metabolized, norepinephrine is converted to normetanephrine by COMT.
4. Normetanephrine can be further metabolized to [[vanillylmandelic acid]] (VMA), which is excreted in the [[urine]].


== Clinical Significance ==
==Measurement==
 
The measurement of normetanephrine levels is typically performed using [[high-performance liquid chromatography]] (HPLC) or [[mass spectrometry]]. These methods allow for the precise quantification of normetanephrine and its related metabolites in biological samples such as blood plasma and urine.
Normetanephrine levels in the body can be measured to assess the function of the adrenal glands and the sympathetic nervous system. Elevated levels of normetanephrine can indicate the presence of [[pheochromocytoma]], a type of tumor that arises from the adrenal medulla and secretes excessive amounts of catecholamines.
 
=== Diagnostic Use ===
 
The measurement of normetanephrine in the [[plasma]] or [[urine]] is a useful diagnostic tool for detecting pheochromocytomas and other neuroendocrine tumors. It is often measured alongside [[metanephrine]], another metabolite of catecholamines.
 
== Related Pages ==


==Related Pages==
* [[Norepinephrine]]
* [[Norepinephrine]]
* [[Catecholamine]]
* [[Catecholamine]]
* [[Pheochromocytoma]]
* [[Pheochromocytoma]]
* [[Vanillylmandelic acid]]
* [[Catechol-O-methyltransferase]]
* [[Catechol-O-methyltransferase]]
* [[Vanillylmandelic acid]]


[[Category:Biochemistry]]
[[Category:Biomarkers]]
[[Category:Endocrinology]]
[[Category:Metabolites]]
[[Category:Metabolites]]
<gallery>
[[Category:Catecholamines]]
File:Normetanephrine.svg|Normetanephrine
File:Noradrenaline_breakdown.svg|Noradrenaline breakdown
</gallery>
== Normetanephrine ==
<gallery>
File:Normetanephrine.svg|Normetanephrine
File:Noradrenaline_breakdown.svg|Noradrenaline breakdown
</gallery>

Latest revision as of 11:00, 23 March 2025

Metabolite of norepinephrine


Pathway of noradrenaline breakdown, showing the formation of normetanephrine.

Normetanephrine is a metabolite of the catecholamine norepinephrine, also known as noradrenaline. It is produced through the action of the enzyme catechol-O-methyltransferase (COMT), which methylates norepinephrine. Normetanephrine is an important biomarker in the diagnosis of certain medical conditions, particularly pheochromocytoma and other neuroendocrine tumors.

Biochemistry[edit]

Normetanephrine is formed when norepinephrine undergoes methylation by the enzyme catechol-O-methyltransferase. This reaction occurs primarily in the liver and kidneys. The methylation of norepinephrine results in the addition of a methyl group to the catecholamine, converting it into normetanephrine.

Chemical structure of normetanephrine.

Once formed, normetanephrine can be further metabolized into vanillylmandelic acid (VMA), which is excreted in the urine. The levels of normetanephrine and its metabolites in the body can be measured to assess catecholamine metabolism and to aid in the diagnosis of certain diseases.

Clinical Significance[edit]

Normetanephrine is clinically significant as a biomarker for the diagnosis of pheochromocytoma, a type of tumor that arises from the adrenal medulla and secretes excessive amounts of catecholamines. Elevated levels of normetanephrine in the blood or urine can indicate the presence of such tumors.

In addition to pheochromocytoma, elevated normetanephrine levels may also be observed in other conditions associated with increased catecholamine production, such as neuroblastoma and certain forms of hypertension.

Measurement[edit]

The measurement of normetanephrine levels is typically performed using high-performance liquid chromatography (HPLC) or mass spectrometry. These methods allow for the precise quantification of normetanephrine and its related metabolites in biological samples such as blood plasma and urine.

Related Pages[edit]