Vanillylmandelic acid

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Vanillylmandelic acid (VMA) is a metabolite of catecholamines dopamine, norepinephrine, and epinephrine. It is used as a reagent to detect disorders related to these catecholamines, particularly tumors such as pheochromocytoma and neuroblastoma.

Pronunciation

Vanillylmandelic acid is pronounced as va-nil-yl-man-de-lic acid.

Etymology

The term "Vanillylmandelic acid" is derived from its structure, which is a combination of vanillin and mandelic acid.

Biochemical Role

Vanillylmandelic acid is a major end product of catecholamine metabolism. It is produced via the action of the enzyme monoamine oxidase on epinephrine and norepinephrine, which are then further metabolized by catechol-O-methyltransferase to VMA.

Clinical Significance

Measurement of VMA levels in urine is a diagnostic test for pheochromocytoma and neuroblastoma. Elevated levels of VMA are indicative of these conditions. However, it is not a definitive test and further diagnostic procedures are required to confirm the diagnosis.

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