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Normetanephrine is an active metabolite of norepinephrine.1,2,3 It is formed from norepinephrine by catechol-O-methyltransferase (COMT).1 Normetanephrine induces contractions in isolated rabbit aortic strips in a concentration-dependent manner.2 It inhibits norepinephrine uptake in isolated rat heart (IC50 = 200 µM).3 Plasma levels of normetanephrine are increased in patients with von Hippel-Lindau disease and pheochromocytomas compared with patients with von Hippel-Lindau disease without pheochromocytomas.4 It has been used as a marker of authentic human urine specimens.5
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1. Sources and significance of plasma levels of catechols and their metabolites in humans. J. Pharm. Exp. Ther. 305(3), 800-811 (2003).
2. Comparison of effects of aromatic sympathomimetic amines on rabbit aortic strip and rabbit blood pressure. J. Pharmacol. Exp. Ther. 147, 76-85 (1965).
3. The inhibition of noradrenaline uptake by sympathomimetic amines in the rat isolated heart. Br. J. Pharmacol. Chemother. 25(1), 34-49 (1965).
4. Plasma normetanephrine and metanephrine for detecting pheochromocytoma in von Hippel-
5. Catching fakes: New markers of urine sample validity and invalidity. J. Anal. Toxicol. 41(2), 121-126 (2016).