Monoamine oxidase (MAO) exists in two forms distinguishable by substra
te specificity. Inhibition of MAO A is believed to be responsible for
the antidepressant activity of MAO inhibitors. A group of N-arylacetam
ides are highly specific inhibitors of MAO A, some with IC50 values in
the 10-100 nM range. The requirements for high activity and specifici
ty include a nearly linear tricyclic aromatic portion but a larger and
a smaller central ring component. The amide group, which is best acet
amido, is optimally placed para to the smaller central group. The size
and shape of the aromatic moiety appear to be the major influence on
activity and specificity for MAO A.