ALDH2 Gene: Aldehyde Dehydrogenase 2 Family (Mitochondrial)

Key enzyme in alcohol metabolism and acetaldehyde detoxification; associated with alcohol sensitivity, cancer risk, and cardiovascular disease.

Gene Information Card

Symbol ALDH2
Full Name Aldehyde Dehydrogenase 2 Family (Mitochondrial)
Gene Type Protein coding
Chromosomal Location 12q24.12
NCBI Gene ID 217 ncbi.nlm.nih.gov/gene/217
Ensembl ID ENSG00000111275
UniProt ID P05091
OMIM ID 100650
HGNC ID 406
Aliases ALDH2, ALDH-E2, ALDHI, ALDM

Description

The ALDH2 gene encodes the mitochondrial aldehyde dehydrogenase 2 enzyme, which catalyzes the oxidation of acetaldehyde to acetate, a critical step in alcohol metabolism. This enzyme is also involved in the detoxification of other reactive aldehydes, including lipid peroxidation products. A common genetic variant (rs671) results in an inactive enzyme, leading to acetaldehyde accumulation and the 'Asian flush' reaction, and is associated with increased risk of certain cancers and cardiovascular diseases.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Alcohol sensitivity (Asian flush) Loss-of-function variant (rs671) reduces acetaldehyde clearance, causing flushing and adverse reactions. ClinVar, OMIM
Esophageal squamous cell carcinoma Accumulation of acetaldehyde, a carcinogen, due to ALDH2 deficiency increases cancer risk, especially with alcohol consumption. COSMIC, ClinVar, OMIM
Coronary artery disease ALDH2 deficiency may increase oxidative stress and impair aldehyde detoxification, contributing to endothelial dysfunction. ClinVar, OMIM
Alcoholic liver disease Reduced ALDH2 activity leads to acetaldehyde-induced liver damage and inflammation. OMIM, ClinVar
Alzheimer's disease ALDH2 dysfunction may increase 4-hydroxynonenal (4-HNE) levels, promoting neurodegeneration. OMIM, ClinVar

Expression Profile

Tissue Expression
Tissue nTPM level
Liver 80.2 High
Kidney 20.5 Medium
Heart 15.3 Medium
Lung 10.1 Low
Brain 5.2 Low
Cell Line Expression
Cell Line nTPM Notes
HepG2 45.3 Liver cancer cell line, high expression
A549 12.4 Lung carcinoma, moderate expression
MCF7 8.7 Breast cancer, low expression
K562 3.2 Leukemia, low expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
rs671 (Glu504Lys) Missense ~40% in East Asians, rare in other populations Inactivates enzyme, leading to acetaldehyde accumulation and alcohol intolerance.
rs886205 (Glu487Lys) Missense Rare Also reduces enzyme activity, similar to rs671.
c.1510G>A (p.Glu504Lys) Missense Common in East Asians Dominant negative effect, causes ALDH2 deficiency.
Mutation functional classification

Loss of Function (LOF)

The rs671 variant results in a catalytically inactive enzyme, leading to reduced acetaldehyde metabolism.

Gain of Function (GOF)

No gain-of-function mutations are reported for ALDH2.

Dominant Negative (DN)

The rs671 allele exerts a dominant negative effect, as the mutant subunit can dimerize with the wild-type subunit and impair overall enzyme activity.

Gene Ontology (GO)

• aldehyde dehydrogenase (NAD+) activity • acetaldehyde dehydrogenase activity
• oxidoreductase activity • mitochondrial matrix
• response to ethanol • cellular response to oxidative stress

Pathways

Alcohol metabolism
Acetaldehyde degradation
Fatty acid oxidation
Glycolysis (aldehyde metabolism)
Ethanol oxidation pathway

Protein Summary

The ALDH2 protein is a tetrameric mitochondrial enzyme that catalyzes the oxidation of acetaldehyde to acetate using NAD+ as a cofactor. It plays a crucial role in alcohol metabolism and detoxification of reactive aldehydes. The enzyme is highly expressed in the liver and also present in other tissues. The common rs671 polymorphism leads to an inactive enzyme, causing acetaldehyde accumulation and associated health risks.

Related Products

Product name Cat.No. Species Gene ID
ALDH2 Knockout HEK293 Cell Line EDJ-KQ12328 Human 217 Details Get a Quote
ALDH2 Knockout A-549 Cell Line EDJ-KQ41173 Human 217 Details Get a Quote
ALDH2 Knockout HCT 116 Cell Line EDJ-KQ41174 Human 217 Details Get a Quote
ALDH2 Knockout HeLa Cell Line EDJ-KQ41175 Human 217 Details Get a Quote
ALDH2 Knockout Hep-G2 Cell Line EDJ-KZ536 Human 217 Details Get a Quote
Aldh2 Knockout Neuro-2a Cell Line EDJ-KZ537 Mouse 11669 Details Get a Quote
Displaying Records 1 To 6 Of 6 Records
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