“…Recent studies have indicated that due to its high sensitivity to prooxidant situations, δ -ALAD can be a reliable universal biomarker of oxidative stress—various observations evidence a negative correlation between enzyme activity and level of oxidative stress [20, 26]. δ -ALAD inhibition due to thiol group oxidation leads to δ -ALA autoxidation, further δ -ALAD inhibition, additional O 2 ·- generation, and antioxidant system depletion [26, 46]. Excess δ -ALA in the brain disrupts γ -aminobutyric acid/glutamate system causing neurotoxicity and cell death [19, 46] while decreased heme biosynthesis is known to cause neuronal cell dysfunction, since heme is critical for neuronal cell growth, differentiation, and survival [47].…”