**Core Concept**
5-Hydroxyindoleacetic acid (5-HIAA) is a metabolite of serotonin, a neurotransmitter involved in mood regulation, appetite, and sleep. The metabolism of serotonin is crucial in understanding various neurological and psychiatric disorders.
**Why the Correct Answer is Right**
Serotonin is synthesized from tryptophan through the action of tryptophan hydroxylase in the brain. After serotonin is released, it is broken down by monoamine oxidase (MAO) to form 5-hydroxyindoleacetaldehyde, which is then further metabolized by aldehyde dehydrogenase to form 5-HIAA. This metabolite is excreted in the urine and can be measured as a marker of serotonin metabolism. Elevated levels of 5-HIAA are seen in carcinoid syndrome, a condition caused by the excessive production of serotonin by neuroendocrine tumors.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is not related to the metabolism of serotonin.
**Option B:** This option is not a metabolite of serotonin; instead, it is a precursor to serotonin.
**Option C:** This option is not a metabolite of serotonin; instead, it is a different neurotransmitter with distinct metabolic pathways.
**Clinical Pearl / High-Yield Fact**
A key clinical correlation is that elevated 5-HIAA levels can be seen in patients with carcinoid syndrome, which is a condition that requires prompt diagnosis and treatment to prevent life-threatening complications.
**Correct Answer:** C. Serotonin.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.