An alpha-hydroxy acid is a carboxylic acid with a hydroxyl group on the carbon immediately adjacent to the carboxyl group. That neighboring carbon is the alpha carbon; in simple systematic numbering it is carbon 2 because the carboxyl carbon is carbon 1. The hydroxyl oxygen within the carboxyl group itself is not the additional hydroxyl that defines this class.[ref]
For a common saturated monocarboxylic example, the local structure can be written
with representing hydrogen or carbon-containing substituents. Glycolic acid, , has two hydrogens at that carbon. Lactic acid, , has hydrogen and methyl groups there and is also called 2-hydroxypropanoic acid.[ref][ref]
Position distinguishes the class. The structure has its additional hydroxyl group at carbon 3 and is a beta-hydroxy acid, even though it has the same molecular formula as lactic acid. A molecular formula therefore does not determine whether a compound is an alpha-hydroxy acid; the connectivity is essential.
The alpha carbon can also be a stereogenic centre. In lactic acid it is bonded to four different groups: hydrogen, hydroxyl, methyl and carboxyl. Its two enantiomers share the alpha-hydroxy classification but differ in three-dimensional arrangement. Glycolic acid does not have that stereogenic centre because two substituents are identical hydrogens.
Both functional groups participate in the chemistry. Loss of the carboxyl proton gives a carboxylate, such as lactate from lactic acid, while the additional hydroxyl remains part of the structure. Distinguishing group identity, position, protonation and stereochemistry makes the class useful in organic and biological chemistry without reducing it to a list of commercial uses.

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