cAMP-dependent protein kinases are reversibly complexed with any of the four isoforms of regulatory (R) subunits, which contain either a substrate or a pseudosubstrate autoinhibitory domain. The human protein kinase X (PrKX) is an exemption as it is inhibited only by pseudosubstrate inhibitors, i.e. RI␣ or RI but not by substrate inhibitors RII␣ or RII. Detailed examination of the capacity of five PrKX-like kinases ranging from human to protozoa (Trypanosoma brucei) to form holoenzymes with human R subunits in living cells shows that this preference for pseudosubstrate inhibitors is evolutionarily conserved. To elucidate the molecular basis of this inhibitory pattern, we applied bioluminescence resonance energy transfer and surface plasmon resonance in combination with site-directed mutagenesis. We observed that the conserved ␣H-␣I loop residue Arg-283 in PrKX is crucial for its RI over RII preference, as a R283L mutant was able to form a holoenzyme complex with wild type RII subunits. Changing the corresponding ␣H-␣I loop residue in PKA C␣ (L277R), significantly destabilized holoenzyme complexes in vitro, as cAMP-mediated holoenzyme activation was facilitated by a factor of 2-4, and lead to a decreased affinity of the mutant C subunit for R subunits, significantly affecting RII containing holoenzymes.The protein kinase A (PKA) holoenzyme is a heterotetramer composed of two catalytic (C) 5 subunits kept inactive by a dimer of R subunits. Each R subunit monomer contains two tandem cAMP-binding domains, in which the sequential binding of two cAMP molecules releases an active C subunit (1). Two main classes of PKA isozymes, type I and type II, distinguishable by their R subunits, have been described. Crystal structures and solution scattering data provide evidence of a complex interaction network between C and R subunits as well as differences in global structure of PKA type I and type II holoenzymes (2-5).Homo sapiens express the PKA R subunit isoforms RI␣, RI, RII␣, and RII and C subunits C␣, C, and C␥. Another cAMPdependent protein kinase is PrKX and possibly protein kinase Y (PrKY). PrKY is 94% homologous to PrKX, but shortened by 81 amino acids at the C terminus. On the genome level, PRKX and PRKY are implicated in sex-reversal disorders (6). PrKX is being discussed as a phylogenetically and functionally separate enzyme (7,8). In contrast to the ubiquitously expressed C␣ subunit, PrKX is mainly active during embryonic organ development and cellular differentiation in hematopoietic lineages. It was found to be crucial for macrophage and granulocyte maturation (9, 10). PrKX was shown to be involved in renal development, regulating epithelial cell migration, ureteric bud branching, and induction of glomeruli formation (8,(11)(12)(13).C␣ and human PrKX differ by their selective holoenzyme formation in living cells, as PrKX is inhibited only by RI␣, but not by RII␣ (14,15). Here, we have tested all four human R subunits for the first time side by side and show that this so far unique property of RI over RII pr...