Monoamine oxidase (MAO) is responsible for the oxidation of biogenic and dietary amines. It exists as two isoforms, A and B, which have a 70% amino acid identity and different substrate and inhibitor specificities. This study reports the identification of residues responsible for conferring this specificity in human MAO A and B. Using site-directed mutagenesis we reciprocally interchanged three pairs of corresponding nonconserved amino acids within the central portion of human MAO. Mutant MAO A-I335Y became like MAO B, which exhibits a higher preference for -phenylethylamine than for the MAO A preferred substrate serotonin (5-hydroxytryptamine), and became more sensitive to deprenyl (MAO B-specific inhibitor) than to clorgyline (MAO A-specific inhibitor). The reciprocal mutant MAO B-Y326I exhibited an increased preference for 5-hydroxytryptamine, a decreased preference for -phenylethylamine, and, similar to MAO A, was more sensitive to clorgyline than to deprenyl. These mutants also Monoamine oxidase (MAO 1 ; amine:oxygen oxidoreductase (deaminating) (flavin-containing), EC 1.4.3.4) catalyzes the oxidative deamination of biogenic and xenobiotic amines and plays an important role in regulating their levels. MAO is a flavin-adenine dinucleotide-containing enzyme located on the mitochondrial outer membrane (1-3). It exists in two forms, A and B. MAO A preferentially oxidizes serotonin (5-hydroxytryptamine, 5-HT) and is inhibited by low concentrations of clorgyline (4) and Ro 41-1049 (5), whereas MAO B preferentially oxidizes -phenylethylamine (PEA) and is inhibited by low concentrations of (Ϫ)-deprenyl (6) and Ro 16 -6491 (7). Dopamine is a common substrate (8). MAO A and B are composed of 527 and 520 amino acids, respectively, and have a 70% amino acid identity (9). They are closely linked on the X-chromosome (10) and have an identical intron-exon organization, indicating that they are derived from a common ancestral gene (11). Higher 5-HT and norepinephrine levels and a phenotype characterized by increased aggressive behavior is observed when the MAO A gene is deficient in humans (12) and in mice (13). Disruption of the MAO B gene in mice results in increased PEA but not 5-HT, norepinephrine, or dopmanie and confers a resistance to the Parkinsonism-inducing toxin 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (14). Because MAO is an integral membrane protein, it is difficult to crystallize, and its three-dimensional structure has not been reported.To determine the region(s) responsible for the substrate and inhibitor specificities of the two isoenzymes, we and other groups have made point mutations and chimeric MAO A/B enzymes (15-21). It has been shown that reciprocally interchanging amino acids Phe-208 in MAO A and its corresponding residue in MAO B, Ile-199, was sufficient to partially reverse the substrate and inhibitor specificities of rat MAOs (22) but not human MAOs (21). This indicated that different amino acid residues may determine specificity in human and rat MAOs. We also found that the residues that...