Monoamine oxidase B (MAO-B) is a flavin-containing mitochondrial enzyme belonging to the flavin monoamine oxidase family. It plays a crucial role in catalyzing the oxidative deamination of both biogenic and xenobiotic monoamines. MAO-B is essential for regulating the metabolic breakdown of catecholamines and serotonin in various tissues, including neural tissues. Found in platelets and DOPA-secreting brain neurons, MAO-B, along with MAOA, is vital for DOPA degradation. It exhibits a preference for degrading benzylamine and phenylethylamine. The MAOB gene has been linked to autistic traits, empathy, and Asperger syndrome. Elevated levels of MAO-B are observed in the brains of individuals with Alzheimer's disease. Low MAOB activity in newborns can lead to high phenylethylamine levels, contributing to phenylketonuria. Furthermore, polymorphisms in the MAO-B gene have been associated with smoking behavior.
Human monoamine oxidase B (MAO B) is one of two isoforms of MAO enzymes that catalyze the oxidative deamination of primary and secondary aromatic amines to imines, with concomitant reduction of oxygen to hydrogen peroxide. Both MAO A and MAO B are present in human brain, but they differ in substrate specificity and inhibitor sensitivity. MAO A preferentially oxidizes serotonin and shows overlapping specificity with MAO B for adrenaline and dopamine, while MAO B is most active with other arylalkylamines such as benzylamine . Human platelets contain only MAO B, not MAO A . Both enzymes are integral outer mitochondrial membrane proteins, with MAO B having a C-terminal transmembrane helix that anchors it to the membrane .
MAO B shows specific cellular localization in the human brain. It is mainly expressed by subpial and perivascular cortical astrocytes as well as by fibrous white matter astrocytes in control brains . Unlike MAO A, which is primarily located in neurons, MAO B is preferentially expressed in glial cells and astrocytes . This differential cellular distribution has important implications for understanding the pharmacological effects of MAO inhibitors and their role in neurotransmitter metabolism in different brain regions.
The crystal structure of human MAO B has been determined at 1.7 Å resolution, revealing that the enzyme exists as a dimer with a C-terminal transmembrane helix protruding from each monomer that anchors the protein to the mitochondrial outer membrane . This transmembrane helix departs perpendicularly from the base of the structure in a different manner compared to other monotopic membrane proteins. Several apolar loops on the protein surface are located near the C-terminal helix, providing additional membrane-binding interactions . Importantly, one of these loops (residues 99-112) functions in opening and closing the MAO B active site cavity, suggesting the membrane may have a role in controlling substrate binding .
Crystal structures of human MAO B in complex with inhibitors have provided detailed insights into the binding mechanisms. For example, chromone analogs bind in the active site cavity with the chromone moiety positioned in front of the FAD cofactor . These inhibitors form specific hydrogen bonds with Tyr435 and Cys172 and fit perfectly into the hydrophobic flat active site of human MAO B . This precise molecular fit explains their tight-binding mechanism of inhibition, with Ki values in the nanomolar range. The binding site architecture explains both the potency and selectivity of various inhibitors, information that is crucial for structure-based drug design targeting MAO B .
Genetic variants in the MAO B gene have been associated with altered enzyme activity and disease susceptibility. The rs1799836 polymorphism in particular has been linked to higher MAO B activity in several psychiatric conditions and to greater severity of specific symptoms such as alogia . This variant has been studied in various populations, including Mexican psychiatric patients displaying symptoms of anhedonia . Additionally, genetic variations in both MAO A (rs1465107) and MAO B (rs1799836) have been investigated for their combined effects with adverse childhood experiences on susceptibility to major depressive disorder .
Measuring MAO B activity in human tissue samples requires careful optimization of conditions. For platelet and cerebral cortex samples, researchers have determined specific parameters for reliable enzyme activity assessment . Critical factors include buffer composition, pH optimization, substrate concentration, temperature, and incubation time. To differentiate between MAO A and B activities, selective inhibitors are typically employed (e.g., clorgyline for MAO A, L-deprenyl/selegiline for MAO B). For brain tissue, factors such as post-mortem interval and tissue preservation methods must also be considered to ensure enzyme integrity .
Several methodologies exist for selective detection of MAO B activity. One approach involves electrochemical detection of enzymatically produced hydrogen peroxide, as MAO B catalyzes the oxidative deamination of substrates with concomitant production of H₂O₂ . This sensorial system allows for enzyme activity quantification through selective capturing and amperometric detection. Other methods include spectrophotometric assays using chromogenic or fluorogenic substrates that produce detectable products upon MAO B-mediated oxidation. These techniques are valuable for both basic research and potential diagnostic applications .
Expression and purification of human MAO B for structural and functional studies present challenges due to its membrane-associated nature. Successful approaches have employed recombinant expression systems, often using yeast or insect cells that provide appropriate post-translational modifications . The purification process typically involves detergent solubilization of membranes followed by chromatographic techniques. For crystallography studies, as demonstrated with the 1.7 Å resolution structure and subsequent inhibitor complex structures, careful optimization of purification and crystallization conditions is essential . Maintaining the association with the FAD cofactor throughout the purification process is crucial for obtaining active enzyme.
There is substantial evidence from experimental parkinsonian models demonstrating the neuroprotective effects of MAO B inhibitors beyond their symptomatic benefits . These effects may involve multiple mechanisms, including reduced oxidative stress from decreased hydrogen peroxide production, preservation of dopamine levels, and potential anti-apoptotic actions. The first MAO B inhibitor, L-deprenyl (selegiline), was introduced as an adjunct to L-DOPA therapy for Parkinson's disease and has been shown to potentiate the pharmacological action of L-DOPA . More recent MAO B inhibitors have been studied for their disease-modifying potential in various neurodegenerative disorders .
MAO B appears to play significant roles in neurodegenerative processes. Recent characterization of MAO B as a biomarker in Alzheimer's disease found increased expression in reactive astrocytes . This upregulation may contribute to oxidative stress through enhanced production of hydrogen peroxide, potentially exacerbating neuroinflammation and neurodegeneration. In Parkinson's disease, MAO B-mediated metabolism of dopamine produces potentially neurotoxic byproducts, which may contribute to dopaminergic neuron loss . Understanding these mechanisms has driven the development of MAO B inhibitors as therapeutic agents for these conditions.
MAO B has potential as a biomarker for neurological disorders, particularly for conditions involving astrocyte reactivity. Recent research has characterized MAO B expression levels in postmortem control and Alzheimer's disease brains, examining correlations with local burden of AD neuropathological changes, reactive astrocytes, microglia, and cortical atrophy . This approach aims to validate MAO B as a proxy for PET radiotracer uptake, potentially enabling in vivo assessment of disease progression. Additionally, researchers have investigated whether the MAOB rs1799836 SNP impacts brain MAO B expression levels, which could have implications for individualized medicine approaches .
Development of selective MAO B inhibitors continues to be an active area of research. Structure-based design approaches leverage high-resolution crystal structures of human MAO B in complex with inhibitors . Recent work with chromone analogs has identified compounds with Ki values in the nanomolar range (55, 17, and 31 nM for different derivatives) . These compounds form specific hydrogen bonds with Tyr435 and Cys172 and fit precisely into the hydrophobic active site. Notably, some chromone derivatives were 1000-fold more effective than L-deprenyl in reducing cellular levels of reactive oxygen species, suggesting potential advantages beyond enzyme inhibition .
The interaction between MAO B and the mitochondrial outer membrane appears critical for proper enzyme function. The crystal structure reveals that MAO B is anchored to the membrane via a C-terminal transmembrane helix that departs perpendicularly from the base of the structure . Several apolar loops on the protein surface provide additional membrane-binding interactions. Importantly, one of these loops (residues 99-112) functions in opening and closing the active site cavity, suggesting the membrane environment directly influences substrate access and catalytic activity . This relationship between membrane association and function represents an important consideration for understanding MAO B in its physiological context.
Despite decades of research on MAO B inhibitors, challenges remain in optimizing their therapeutic potential. One issue is balancing efficacy with safety, particularly regarding potential drug-drug and food-drug interactions that can lead to hypertensive crises with non-selective MAO inhibitors . While newer MAO B inhibitors like the selegiline transdermal patch (Emsam) may have improved safety profiles requiring fewer dietary restrictions at lower doses, careful clinical management is still necessary . Additionally, definitively demonstrating disease-modifying effects of MAO B inhibitors in human neurodegenerative diseases remains challenging due to the slow disease progression and lack of reliable progression biomarkers .
MAO-B is a flavin-containing enzyme that is predominantly found in the brain, particularly in the outer mitochondrial membrane of neurons and glial cells . It catalyzes the oxidative deamination of monoamines, which is a critical process for the regulation of neurotransmitter levels in the brain. This enzyme preferentially degrades phenethylamine and benzylamine, which are important for maintaining normal neurological function .
Recombinant MAO-B is produced using genetic engineering techniques, where the human MAO-B gene is inserted into a host cell, such as baculovirus-infected BTI insect cells, to produce the enzyme in large quantities . This recombinant form is used extensively in research to study the enzyme’s properties, its role in various neurological disorders, and to screen for potential MAO-B inhibitors .
MAO-B inhibitors are used in the treatment of several neurological disorders, including Parkinson’s disease and depression . By inhibiting the activity of MAO-B, these drugs help to increase the levels of dopamine in the brain, which can alleviate symptoms of these conditions. Additionally, MAO-B has been studied as a biomarker for reactive astrogliosis in Alzheimer’s disease and related dementias .
Research on MAO-B has expanded our understanding of its role in neurodegenerative diseases. Studies have shown that MAO-B expression is significantly upregulated in reactive astrocytes in Alzheimer’s disease, making it a potential target for PET imaging radiotracers . This enzyme’s activity is also being explored in the context of other neurological conditions, such as Lewy body diseases and frontotemporal lobar degenerations .