Vanillylmandelic acid

Vanillylmandelic acid
Identifiers
CAS number 55-10-7 Y
PubChem 1245
ChemSpider 1207 Y
MeSH Vanilmandelic+acid
ChEBI CHEBI:20106 Y
Jmol-3D images Image 1
Properties
Molecular formula C9H10O5
Molar mass 198.17 g mol−1
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Except where noted otherwise, data are given for materials in their standard state (at 25 °C, 100 kPa)
Infobox references

Vanillyl mandelic acid (VMA) is an end-stage metabolite of the catecholamines epinephrine and norepinephrine. It is produced via intermediary metabolites.

VMA is found in the urine, along with other catecholamine metabolites, including homovanillic acid (HVA), metanephrine and normetanephrine. In timed urine tests the quantity excreted (usually per 24 hours) is assessed, along with creatinine clearance, and the quantity of cortisols, catecholamines, and metanephrines excreted.

Clinical significance

Urinary VMA is elevated in patients with tumors that secrete catecholamines.[2]

These urinalysis tests are used to diagnose an adrenal gland tumor called pheochromocytoma, a tumor of catecholamine-secreting chromaffin cells. These tests may also be used to diagnose neuroblastomas, and to monitor treatment of these conditions.

Norepinephrine breaks down into normetanephrine and VMA. Norepinephrine is one of the hormones produced by the adrenal glands, which are found on top of the kidneys. They are released into the blood during times of physical or emotional stress, which are factors that may skew the results of the test.

References

  1. ^ Figure 11-4 in: Rod Flower; Humphrey P. Rang; Maureen M. Dale; Ritter, James M. (2007). Rang & Dale's pharmacology. Edinburgh: Churchill Livingstone. ISBN 0-443-06911-5. 
  2. ^ Magera MJ, Thompson AL, Matern D, Rinaldo P (May 2003). "Liquid chromatography-tandem mass spectrometry method for the determination of vanillylmandelic acid in urine". Clin. Chem. 49 (5): 825–6. doi:10.1373/49.5.825. PMID 12709381. http://www.clinchem.org/cgi/pmidlookup?view=long&pmid=12709381.