Human tyrosine hydroxylase exists as four isoforms (hTH1-4), generated by alternative splicing of pre-mRNA, with tissue-specific distribution. Unphosphorylated hTH3 and hTH1 were produced in large amounts in Escherichia coli and purified to homogeneity. The phosphorylation sites were determined after labeling with [ 32 P]phosphate in the presence of cAMPdependent protein kinase (PKA) and calmodulindependent protein kinase II (CaM-PKII). Ser 40 was phosphorylated by PKA, and both Ser 19 and Ser 40 were phosphorylated by CaM-PKII. The enzyme kinetics of hTH3 were determined in the presence of various concentrations of the natural co-substrate (6R)-tetrahydrobiopterin and compared with those of recombinant hTH1 (similar to rat TH). We show that, under initial velocity conditions, excess (6R)-tetrahydrobiopterin inhibits hTH3 and hTH1. The TH catalytic constants (k cat ) were determined for each of the two isoenzymes: hTH3 is about five times more active than hTH1. Phosphorylation by CaM-PKII did not affect the kinetic parameters of hTH3. The classical activation of TH by PKA phosphorylation, demonstrated for hTH1, was not observed with hTH3. Furthermore, hTH3 escapes activity regulation by phosphorylation and is always more active than phosphorylated hTH1. The properties of the hTH3 enzyme may be relevant to diseases affecting dopaminergic cells.Tyrosine hydroxylase (TH, 1 tyrosine 3-monooxygenase, EC 1.14.16.2) catalyzes the formation of L-3,4-dihydroxyphenylalanine (L-dopa) from L-tyrosine in central and peripheral neurons and in adrenal medulla chromaffin cells (1). This reaction is the rate-limiting step in the synthesis of catecholamines which are both neurotransmitters and hormones. Full-length cDNA for TH has been obtained for various animal species as follows: rat (2), mouse (3), cow (4, 5), Drosophila (6), macaque monkey (7), and human (8, 9). In human, four types of mRNA are produced in different tissues by alternative splicing of a single primary transcript (8 -10). hTH1 mRNA is similar to rat TH. hTH2 and hTH3 species differ from hTH1 by the insertion of 12 and 81 nucleotides, respectively, between the 90th and 91st residue. Both the 12 and 81 nucleotide insertions are found in hTH4. The four isoforms of hTH are differently distributed among tissues. Brain and adrenal medulla contain mainly the hTH1 and hTH2 isoforms. Detectable amounts of hTH3 and hTH4 are found in human pheochromocytoma tumors.The active site of TH lies in the C-terminal domain where the physiological co-substrate (6R)-tetrahydrobiopterin (BH 4 ) binds. The enzyme requires Fe(II) and O 2 for the hydroxylation reaction. The molecular weight of the purified active TH indicates that it is a tetramer. A leucine zipper motif in the C terminus of TH might contribute to tetramerization (11). The N terminus acts as a regulatory domain. It contains four serines that can be phosphorylated by several kinases including cyclic AMP-dependent protein kinase (PKA), Ca 2ϩ /calmodulindependent protein kinase (CaM-PKII), and protein kinase C (12-18). Th...