G-protein receptor kinase and -arrestin mediated desensitization of the rat -opioid receptor (KOR) was previously shown using Xenopus oocyte expression to require serine 369 within the C terminus of KOR. To define the effects of phosphorylation of this residue in desensitization and internalization processes in mammalian expression systems, wild-type KOR-green fluorescent protein (KOR-GFP) and KOR(S369A)-GFP were stably expressed in AtT-20 and HEK293 cells. Using whole-cell patch clamp recording in transfected AtT-20 cells, agonist activation of either receptor form produced equivalent activation of the intrinsic G-protein-gated inwardly rectifying potassium channel. Incubation for 60 min with the agonist U50,488 (100 nM) desensitized the response in cells expressing wild-type KOR-GFP by 86% but had no effect on KOR(S369A)-GFP-expressing cells. Phosphorylation of serine 369 was detected using a phosphospecific antibody (KOR-P) able to distinguish the phosphorylated form of the receptor. The agonist-induced increase in KOR-P labeling was dose-dependent, blocked by co-treatment with the antagonist norbinaltorphimine, and prevented by co-expression of the dominant negative form of the Gprotein receptor kinase, GRK2(K220R). In contrast, agonist-induced increase in KOR-P labeling was not evident in KOR(S369A) expressing cells. Prolonged activation resulted in receptor internalization that was also blocked by KOR(S369A) substitution, but interestingly, KOR-P labeling was evident at lower agonist concentrations than required to induce internalization. Following the removal of agonist, receptor dephosphorylation detected by loss of KOR-P labeling was complete within 60 min, could be blocked by okadaic acid, and was not blocked by sucrose inhibition of receptor internalization. These results demonstrate that GRK-mediated phosphorylation of serine 369 mediates rat KOR desensitization and internalization.The use of opioid agonists to produce clinical analgesia is limited by their propensity to induce drug tolerance and dependence (1). Therefore, regulatory mechanisms responsible for opioid tolerance are of therapeutic interest. Opioid receptor desensitization and internalization are likely to play significant roles in the control of receptor signaling, but the biochemical steps underlying these mechanisms are uncertain. Agonistinduced receptor phosphorylation is thought to mediate both G-protein coupled receptor desensitization and internalization (for a recent review, see Ref.2). However, establishing a direct link between these receptor mechanisms and the phosphorylation of individual amino acid residues on the opioid receptors has been confounded by the large number of potential phosphorylation sites and the practical difficulty of identifying specific phosphorylated sites within the opioid receptors.Direct evidence of -opioid receptor (KOR) 1 phosphorylation was obtained by immunoprecipitation of 32 P-labeled KOR from guinea pig hippocampal slices treated with a KOR-selective agonist (3). This increase in KOR phosphor...