complex molecular regulation of tyrosine hydroxylase
TRANSCRIPT
TRANSLATIONAL NEUROSCIENCES - REVIEW ARTICLE
Complex molecular regulation of tyrosine hydroxylase
Izel Tekin • Robert Roskoski Jr. • Nurgul Carkaci-Salli •
Kent E. Vrana
Received: 3 April 2014 / Accepted: 4 May 2014
� Springer-Verlag Wien 2014
Abstract Tyrosine hydroxylase, the rate-limiting enzyme
in catecholamine biosynthesis, is strictly controlled by
several interrelated regulatory mechanisms. Enzyme syn-
thesis is controlled by epigenetic factors, transcription
factors, and mRNA levels. Enzyme activity is regulated by
end-product feedback inhibition. Phosphorylation of the
enzyme is catalyzed by several protein kinases and
dephosphorylation is mediated by two protein phosphatases
that establish a sensitive process for regulating enzyme
activity on a minute-to-minute basis. Interactions between
tyrosine hydroxylase and other proteins introduce addi-
tional layers to the already tightly controlled production of
catecholamines. Tyrosine hydroxylase degradation by the
ubiquitin–proteasome coupled pathway represents yet
another mechanism of regulation. Here, we revisit the
myriad mechanisms that regulate tyrosine hydroxylase
expression and activity and highlight their physiological
importance in the control of catecholamine biosynthesis.
Keywords Alternative splicing � Catecholamine
biosynthesis � Feedback inhibition � Phosphorylation �Promoter � Transcription factor
Introduction
Tyrosine hydroxylase (TH) is an important component of
the central and the peripheral nervous systems. It is
essential for the production of three catecholamines
(dopamine, norepinephrine, and epinephrine) whose func-
tions include modulating autonomic reflexes, behavior,
circulatory control, cognition, endocrine function, move-
ment, pain, reward, and vigilance. The catecholamines
function as neurotransmitters while norepinephrine and
epinephrine, which are released from adrenal medullary
chromaffin cells, function as hormones. If one performs a
PubMed search using ‘‘tyrosine hydroxylase,’’ 19,972
citations (as of 4/4/2014) are retrieved. These citations
encompass disparate subjects including enzyme properties,
oxidative stress in neurodegenerative disorders, and the use
of this enzyme as a marker of catecholaminergic cells. As
would be expected from its functional importance, TH is
under strict regulation at several distinct and overlapping
levels. We have previously reviewed these mechanisms in
detail (Kumer and Vrana 1996). Moreover, selected aspects
of this regulation have also been discussed by others
(Dunkley et al. 2004; Haavik et al. 2008; Nakashima et al.
2009; Daubner et al. 2011; Lenartowski and Goc 2011).
Here, however, we present an update of the intricate reg-
ulation of TH that includes approximately 200 selected
articles since 1996 along with conclusions from several
historically important papers.
Catecholamine biosynthesis and physiological relevance
Tyrosine hydroxylase (EC 1.14.16.2) catalyzes the first
(Nagatsu et al. 1964) and rate-limiting step in catechol-
amine biosynthesis (Levitt et al. 1965) (Fig. 1). Tyrosine
I. Tekin and R. Roskoski Jr. have contributed equally to preparation
of this manuscript.
I. Tekin � N. Carkaci-Salli � K. E. Vrana (&)
Department of Pharmacology, Pennsylvania State University
College of Medicine, 500 University Drive, Hershey,
PA 17033-0850, USA
e-mail: [email protected]
R. Roskoski Jr.
Blue Ridge Institute for Medical Research, Horse Shoe, NC,
USA
123
J Neural Transm
DOI 10.1007/s00702-014-1238-7
hydroxylase mediates the reaction of tetrahydrobiopterin
(BH4), molecular oxygen, and tyrosine to form L-3,4-dihy-
droxyphenylalanine (L-DOPA) and pterin-4a-carbinolamine
(4a-OH–BH3). Aromatic amino acid decarboxylase, which
is the second enzyme in the catecholamine biosynthetic
pathway, catalyzes the decarboxylation of DOPA to form
dopamine, the first of the neurotransmitters. Dopamine b-
hydroxylase catalyzes the conversion of DOPA to norepi-
nephrine within vesicles in a reaction involving molecular
oxygen and ascorbate; water and the ascorbate free radical
are the other products. The ascorbate free radical is
reconverted to ascorbate in a complex process involving
cytosolic NADH, cytochrome b561, and intravesicular
ascorbate free radical (Diliberto et al. 1991). S-adenosyl-
methionine is the methyl donor in the reaction converting
norepinephrine to epinephrine. The other product, S-adeno-
sylhomocysteine, is reconverted to S-adenosylmethionine in
a multistep process.
The physiological importance of TH is exemplified by
its role in development. Disruption of the tyrosine
hydroxylase gene in transgenic mice results in mid-ges-
tational lethality (Kobayashi et al. 1995; Zhou et al.
1995). Of the minority of embryos that survive, all
exhibit stunted development and die within the first
5 weeks of life. In addition, more than 53 single nucle-
otide polymorphisms (SNPs) in the coding region of
human TH have been described (Haavik et al. 2008;
Kobayashi and Nagatsu 2005; Rao et al. 2007; http://
www.ncbi.nlm.nih.gov/SNP/). Several of these SNPs are
strongly associated with movement disorders and other
conditions that arise from a deficiency in dopamine
production, as will be discussed later. There are also
numerous polymorphisms observed in the noncoding
(intronic) regions of the TH gene. These polymorphisms
will not be considered in this review primarily because of
a lack of functional data.
Tyrosine hydroxylase, phenylalanine hydroxylase, and
tryptophan hydroxylase form a family of related enzymes
called aromatic amino acid hydroxylases (Grenett et al.
1987). With few exceptions, the mechanism of action of
these enzymes and the tertiary structure of the catalytic
domains are nearly identical and they use the common co-
substrate tetrahydrobiopterin (BH4). Interestingly, genetic
defects in BH4 biosynthesis manifest as a neurodevelop-
mental disorder (Segawa disease) that can be managed, in
part by administration of levodopa (the product of the TH
reaction). (Ichinose et al. 1999; Segawa 2011; Segawa
et al. 2003). In spite of the existence of high sequence
homology among these enzymes, their modes of regula-
tion, however, differ (Fitzpatrick 1999).
Mechanism of the TH reaction
The reaction mechanism for the hydroxylation of tyrosine
has been studied extensively (Fitzpatrick 2003; Roberts
and Fitzpatrick 2013). Fitzpatrick (1991) first determined
the order of substrate binding to purified rat tyrosine
hydroxylase by steady-state enzyme kinetics; the pterin
substrate (BH4) binds first, followed by oxygen in rapid
equilibrium, and then tyrosine. All three substrates must
bind before any chemical reaction occurs. Additionally, a
dead-end enzyme-tyrosine complex can form resulting in
enzyme inhibition by high concentrations of tyrosine.
Fig. 1 Complete reaction pathway for the biosynthesis of the
catecholamines. The rate-limiting step is the conversion of tyrosine
to L-DOPA and is catalyzed by tyrosine hydroxylase. The regulatory
events that affect TH are therefore thought to control the synthesis of
catecholamines. L-DOPA is then converted to dopamine by AADC,
which then is converted to norepinephrine through the action of DBH.
In select cells, the norepinephrine is converted to epinephrine by
PNMT
I. Tekin et al.
123
Tyrosine hydroxylase is able to catalyze the hydroxylation
of phenylalanine and tryptophan in addition to tyrosine.
The specificity constant (Vmax/Km) of tyrosine hydroxylase
for tyrosine is only 10-fold greater than that of phenylal-
anine (Daubner et al. 2000) and 30-fold greater than that of
tryptophan (Daubner et al. 2002). In contrast, the speci-
ficity constant of phenylalanine hydroxylase for phenylal-
anine is 105-fold greater than that for tyrosine (Daubner
et al. 2000). These data indicate that TH can be somewhat
promiscuous in its amino acid selection.
Tyrosine hydroxylase contains a mononuclear non-heme
iron atom. Ferrous iron, but not ferric iron, promotes
enzyme activity (Dix et al. 1987; Fitzpatrick 1989; Haavik
et al. 1988). The iron content of each enzyme subunit is
between 0.4 and 1 atom/subunit of protein (Almas et al.
1992; Haavik et al. 1991). The iron atom is coordinated by
His331, His336, and Glu376 in the rat enzyme (Goodwill
et al. 1997). Ramsey et al. (1995) reported that each of
these residues is required for iron binding and for catalytic
activity. When the ferrous iron in TH undergoes oxidation
to yield ferric iron, reduced BH4 converts the enzyme back
to the active, or ferrous, state (Ramsey et al. 1995). During
catalysis, a bridge is formed among pterin, iron, and oxy-
gen, which results in reduction of molecular oxygen to a
peroxy-pterin intermediate. This intermediate participates
in the hydroxylation reaction as determined with the rat
recombinant enzyme (Chow et al. 2009). Dopamine, nor-
epinephrine, and epinephrine inhibit enzyme activity and it
has been postulated that such feedback inhibition is phys-
iologically important (Meyer-Klaucke et al. 1996; Nagatsu
et al. 1964; Okuno and Fujisawa 1985), a hypothesis that is
widely accepted today.
TH gene structure
The human TH gene contains 14 exons. Four different
human TH isoforms are formed as a result of the alternative
splicing of the hnRNA (Fig. 2). The rat and mouse TH
gene contains 13 exons separated by 12 introns. In addi-
tion, there are two alternatively spliced isoforms in monkey
that correspond to the most common human isoforms
(hTH-1 and hTH-2; Ichinose et al. 1993). The TH pro-
moter, which is located upstream of the gene, contains
binding sites for several transcription factors (reviewed in
Kumer and Vrana 1996; Lenartowski and Goc 2011).
During development, TH expression is restricted to several
discrete components of the central and peripheral nervous
systems and to adrenal chromaffin cells (Schimmel et al.
1999). The balanced production of the different transcrip-
tion factors mediates tissue-specific expression of the gene
(Tinti et al. 1996).
TH protein structure
Native tyrosine hydroxylase exists as a tetramer with a
molecular mass of &240 kDa (Kumer and Vrana 1996). In
mouse and rat, each monomer is composed of 498 amino
acids (Grima et al. 1985). The human enzyme consists of
four isoforms that result from the alternative splicing of the
primary RNA transcript although the primary form is
cognate to the rodent enzymes. Each TH monomer consists
of three components (Fig. 3). The first 165 residues con-
stitute a regulatory segment, the next 280 residues make up
the catalytic domain, and the last 40 residues make up a
tetramerization domain (Abate et al. 1988; Fitzpatrick
2003; Liu and Vrana 1991; Lohse and Fitzpatrick 1993;
Nakashima et al. 2009; Ota et al. 1995; Walker et al. 1994).
The X-ray crystal structure of the catalytic and tetra-
merization domains of rat (PDB ID 1TOH and 2TOH;
Goodwill et al. 1997, 1998) and human (PDB ID 2XSN)
TH have been determined. The overall structure of each
monomer is a basket-like arrangement of helices and loops
with a long carboxyl-terminal a-helix that forms the core of
the tetramer (Fig. 3b).
The overall structure of each catalytic domain is a
basket-like arrangement of helices and loops with a long
C-terminal a-helix which forms the core of the tetramer
(Fig. 3). Each monomer contains 16 a-helices and 12 b-
strands including those of the regulatory segment (2 a-
helices and 4 b-strands). The catalytic domain has a 30-A
wide and 17-A deep active site within the basket-like
Fig. 2 Overview of the different modes of TH regulation. The human
TH gene contains 14 exons that are alternatively spliced (to exclude
exon 2 [short isoforms] or include exon 2 [long isoforms]). TH gene
expression can be regulated by different transcription factors, as well
as changes in RNA half-life. Numerous single nucleotide polymor-
phisms (SNPs) exist in the population that produces variant mRNAs
and proteins. Once the transcript is translated, several post-transla-
tional modifications can occur to regulate catecholamine biosynthesis
Regulation of tyrosine hydroxylase activity
123
arrangement. Site-directed mutagenesis studies have iden-
tified amino acid residues that are involved in crucial steps
such as iron binding, feedback inhibition, tetramerization,
and amino acid hydroxylation (Ellis et al. 2000; He et al.
1996; Quinsey et al. 1996; Ribeiro et al. 1993; Vrana et al.
1994; Yohrling et al. 2000). We should note, however, that
crystallization studies have been unable to visualize the
structure of the regulatory domain. This may indicate that
this segment does not assume a stable conformation.
Recently, a segment of the regulatory domain of rat TH has
been determined via NMR studies (Zhang et al. 2014).
TH possesses a flexible loop (Fig. 3c) consisting of
residues 177–191 that may form part of the tyrosine-
binding site (Daubner et al. 2006). The conformation of the
PAH homolog of this loop changes when an amino acid is
bound, suggesting that this loop plays a role in amino acid
binding. However, site-directed mutagenesis studies indi-
cate that specific residues in the loop fail to play a domi-
nant role in determining the amino acid substrate
specificity of either TH or PAH. Sura et al. (2006) sug-
gested that pterin binding results in a conformational
change of this loop that supports formation of the amino
acid binding site in TH. An iron atom is 10 A below the
enzyme surface within the active site cleft. The iron atom is
coordinated by His331, His336, and Glu376. Each of these
residues has been shown to be required for iron binding and
for activity by site-directed mutagenesis (Ramsey et al.
1995). The crystal structure of TH with bound 7,8-
Fig. 3 Molecular models prepared from the crystal structure of the
rat isoform of tyrosine hydroxylase. The catalytic domain of the
protein is about 50 % a-helix, 10 % b-sheet, and 40 % random coil
(based on X-ray crystallography). Crystal structures of the regulatory
domain, however, are not available. a Linear structure of the
monomeric human tyrosine hydroxylase. The figure is prepared with
DOG 2.0 software from NM_000360 (NCBI Nucleotide Database).
b Molecular model of tetrameric (I–IV) rat tyrosine hydroxylase
showing two of the four regulatory segments. The other two
regulatory domains, which are in back of the structure, are obscured.
c Same view as b depicting the tetramerization domains that are
colored coded to match the catalytic domains; the regulatory domains
are omitted for clarity. d A view directed into the active site of rat
monomeric tyrosine hydroxylase. The active site contains iron and a
bound substrate analog (7,8-tetrahydrobiopterin, or BH4). His331,
His336, and Glu376, which bind iron, and the cofactors are shown as
stick representations. b–d are adapted from Zhang et al. and Jaffe
et al. and BH2 of d is superposed from PDB ID 2TOH. Ct
carboxyterminus, Nt amino-terminus, TIZ tetramerization segment.
The structures were prepared using the PyMOL Molecular Graphics
System Version 1.5.0.4 Schrodinger, LLC
I. Tekin et al.
123
dihydrobiopterin (PDB ID 2TOH) reveals no conforma-
tional changes when compared with the resting enzyme
(PDB ID 1TOH) (Goodwill et al. 1997, 1998). Both of
these structures show a five-coordinate ferric iron site with
His 331 as the axial ligand and two water molecules joining
the protein ligands in the equatorial positions with the iron
atom in the plane of the equatorial ligands. Several other
prokaryotic and eukaryotic oxygen-utilizing enzymes pos-
sess this 2-His-1-carboxylate facial triad (Que 2000). The
facial triad binds iron in the active site and leaves the
opposite face of the octahedron available to coordinate a
variety of exogenous ligands. The biopterin binds close to
iron; the 4a-carbon is 5.9 A from it. 7,8-Dihydrobiopterin
binds to several residues in the peptide backbone of TH
through hydrogen bonding, while the only interaction with
the side chain of an amino acid residue involves that of
Glu322.
Zhang et al. (2014) compared the structure of the
phosphorylated and unphosphorylated regulatory segment
by NMR. These peptides exhibited the same chemical
shifts except for Gly36, Arg37, Gln39, Ser40, Leu41, Ile42,
and Glu43. The authors conclude that the core structure of
the regulatory segment of TH remains the same as that in
the unphosphorylated segment and a local structural
change takes place around Ser40. At the present time there
is no structural information on the catalytically relevant
ferrous form of resting TH or of TH with tyrosine or
tyrosine plus pterin bound. It would be of value to deter-
mine these structures and those of the unphosphorylated
and Ser40-phosphorylated holoenzymes. Thus far struc-
tural studies aimed at defining that the structures of
unphosphorylated and phosphorylated TH holoenzymes
have been problematic.
The tetramerization domain of tyrosine hydroxylase
consists of residues 457–498 and is formed by two b-
strands and a 40 A-long a-helix (Goodwill et al. 1997,
1998) (Fig. 3b). Based on the primary structure of the
aromatic amino acid hydroxylases, Liu and Vrana
hypothesized that these enzymes assemble into tetramers
through the involvement of coiled-coil interactions of the
carboxyl-terminal (Liu and Vrana 1991), which was then
confirmed experimentally by deletion mutagenesis studies
(Lohse and Fitzpatrick 1993; Vrana et al. 1994). Later
crystallization data confirmed this notion and demonstrated
that the 40-A long a-helix forms a coiled-coil at the core of
the tetramer (Goodwill et al. 1997) as depicted in Fig. 3.
Deletion of the carboxyl-terminal 19 residues results in a
protein that migrates as a dimer while the wild-type
enzyme migrates as a tetramer (Yohrling et al. 2000). The
tetramer consists of a dimer of dimers (I and II with III and
IV). Subunits I and II interact via a salt bridge (Lys170–
Glu282) and their tetramerization domains are in contact
(Fig. 3c). The only contact between subunits I and III is by
their tetramerization domains, and subunits I and IV have
no direct contact. Zhang et al. found that residues 1–72 of
the amino-terminal regulatory segment (residues 1–159)
were unstructured. They performed more extensive studies
on the regulatory segment consisting of residues 65–159.
This segment forms a dimer in solution and contains an
ACT domain (named after aspartate kinase, chorismate
mutase and TyrA, or prephenate dehydrogenase), which
consists of 2 a-helices and 4 b-strands. The secondary
structure of the ACT domain consists of a b1-sheet, an a1-
helix, the b2- and b3-sheets, the a2-helix and finally the
b4-sheet (Fig. 3d). Zhang et al. combined their structural
information with that of Jaffe et al. on phenylalanine
hydroxylase and arrived at the model shown in Fig. 3b, c
(Zhang et al. 2014; Jaffe et al. 2013). Two regulatory
segments are in front of the complex (from subunits I and
IV) and two are in the back of the complex (II and III) that
cannot be seen.
X-ray studies identified hydrogen bonds and a salt
bridge from Glu282 of one subunit to Lys170 in the
adjacent subunit as a dimerization interface between the
two subunits. Point mutants of residues that form the salt
bridge result in a protein that migrates as a dimer, thus
indicating that this salt bridge plays an essential role in the
formation of a tetramer (Yohrling et al. 2000). Deletion of
the carboxyl-terminal residues results in the formation of a
protein that migrates as a dimer or monomer, while the
wild-type enzyme migrates as a tetramer (Lohse and Fitz-
patrick 1993; Vrana et al. 1994; Yohrling et al. 2000).
Although it is unclear whether the monomers directly form
a tetramer or they first form dimers that then come together
to form a tetramer, the native enzyme exists as a tetramer.
A point mutation (Leu435Ala) or deletion of multiple
residues in the long carboxyl-terminal helix results in the
formation of a protein dimer (Vrana et al. 1994; He et al.
1996).
Overview of TH regulation
Owing to the physiological importance of the catechol-
amine end products, TH is under stringent control at the
transcriptional, translational, and post-translational levels
(Kumer and Vrana 1996) (Fig. 2). An important element
necessitating strict control of TH is the observation that
catecholamines undergo reactions with molecular oxygen
to generate toxic catechol-quinones (Hastings and Zig-
mond 1994). These reactions occur at neutral pH, but not
under acidic conditions. Cells minimize the generation of
these toxic metabolites by maintaining production of cat-
echolamines at near-optimal levels, by providing on-
demand regulation of synthesis, and by storing them in
acidic synaptic vesicles. TH gene expression is strictly
Regulation of tyrosine hydroxylase activity
123
controlled by numerous promoter sequences that are loca-
ted upstream of the 50 transcription initiation site (Lenar-
towski and Goc 2011). These elements mediate
quantitative tissue-specific expression and maintenance of
TH (Kessler et al. 2003). Alterations in TH mRNA stability
and the existence of different TH mRNA transcripts that
are produced by alternative hnRNA splicing provide
additional avenues for regulation (Kumer and Vrana 1996).
Four human TH mRNAs and proteins occur physio-
logically, and several others are observed under patholog-
ical conditions. Expression can also be regulated in a cell
type-specific fashion by neuropeptides and by depolariza-
tion (Zigmond 1998). TH regulation at the protein level is
mediated by phosphorylation, dephosphorylation, changes
in enzyme stability, substrate inhibition, and feedback
inhibition by catecholamines (Daubner et al. 2011; Daub-
ner and Piper 1995; Nakashima et al. 2002). Phosphory-
lation occurs at four different serine residues (Campbell
et al. 1986), which activate the enzyme and alter its sta-
bility (Dunkley et al. 2004; Fujisawa and Okuno 2005;
Martinez et al. 1996; Zigmond et al. 1989). These regula-
tory mechanisms will each be discussed in the following
sections.
Overview of transcriptional regulation of the TH gene
TH plays important physiological roles in both the central
and peripheral nervous systems and is under dynamic
developmental and environmental transcriptional control.
In the CNS, TH is expressed in dopaminergic cell-con-
taining areas including the substantia nigra and ventral
tegmental area in the midbrain, the diencephalon, the
olfactory bulb, and retinal amacrine cells. TH is also
expressed in adrenergic and noradrenergic cells found in
the hypothalamus, medulla, and locus coeruleus (LC).
TH expression occurs peripherally in sympathetic ganglia
and also in adrenal chromaffin cells (Kumer and Vrana
1996).
TH gene transcription, mRNA stability, and SNP vari-
ants participate in the regulation of TH expression both
temporally and spatially. These modalities of TH regula-
tion have been reviewed in detail (Kumer and Vrana 1996;
Lenartowski and Goc 2011). The TH promoter contains
numerous transcription factor-binding sites that permit
mRNA levels to be regulated by Ca2?, glucocorticoids,
neuronal activity, oxygen levels, and stress. Extracellular
stimuli acting through several protein kinases mediate
transcriptional regulation of TH (Hebert et al. 2005; Seta
and Millhorn 2004; Suzuki et al. 2004). Stress increases
TH expression by increasing both TH gene transcription
and mRNA stability (Tank et al. 2008). Recent advances in
these regulatory mechanisms will be addressed in turn.
Tissue-specific and developmental regulation of TH
gene expression
There is developing knowledge of the DNA elements and
regulatory proteins responsible for tissue-specific expres-
sion of TH. Transgenic mice containing the 9-kb 50-upstream segment of the rat TH promoter fused to the b-
galactosidase reporter gene, but not mice bearing 0.15 or
2.4 kb of 50 flanking sequence, are able to express the
reporter at levels equivalent to endogenous TH in central
catecholaminergic cells (Min et al. 1994). The authors
concluded that the crucial catecholaminergic neuron-spe-
cific DNA elements reside between -9 and -2.4 kb of the
50 flanking region of the TH gene. Moreover, stimuli that
increase or reduce TH levels produce parallel changes in b-
galactosidase expression in various brain regions in trans-
genic mice bearing the 50 9-kb rat TH promoter region
indicating that this promoter sequence mediates cell type-
specific regulation of reporter gene expression (Min et al.
1996).
Dopaminergic TH mRNA expression
Nuclear receptor related-1 (Nurr1) is an orphan nuclear
receptor that is required for the development and mainte-
nance of mouse midbrain dopaminergic neurons (Zetter-
strom et al. 1997). Nurr-1 deficient mice fail to generate
these midbrain neurons, are hypoactive, and die shortly
after birth. Moreover, Nurr-1 expression mediates dopa-
minergic-specific TH gene expression. Satoh and Kuroda
(2002) reported that Nurr1 interaction with the TH pro-
moter is mediated by PKA and PKC in NTera2 human
embryonic stem cells over-expressing the receptor protein.
In rats, Nurr1 can bind directly to the TH promoter at any
of three sites that are located 1 kb upstream of the tran-
scription start site, and it increases gene expression in
progenitor cells during their differentiation into midbrain
dopaminergic neurons (Sakurada et al. 1999; Kim et al.
2003). Schimmel et al. (1999) reported that about 4.5 kb of
the rat TH promoter is required for TH expression during
development and that this region contains consensus
sequences for neural restrictive silencer element (NRSE),
Nurr1, Pitx1/3 and Gli1/2. The rat promoter contains a
Nurr1 response element (Iwawaki et al. 2000). Jacobsen
et al. (2008) identified a point mutation in a Nurr1 ERK1/2
phosphorylation site (Ser125Cys) in a Parkinson’s disease
patient. They demonstrated that this mutation attenuated
Nurr1-induced transcriptional activation in human neuro-
blastoma cells (SK-N-AS). Following activation, they
found that ERK1/2 proteins enhance transcriptional acti-
vation by wild-type Nurr1, but not the Ser125Cys mutant.
A Pitx3 site is found 50 bp upstream of the transcription
initiation site in the rat TH promoter (Cazorla et al. 2000)
I. Tekin et al.
123
(Fig. 4). The mouse TH promoter also contains a Pitx3
response element while lacking a consensus sequence for
Nurr1 (Lebel et al. 2001). In mice, deletion of Pitx3 results
in the loss of TH in midbrain dopaminergic neurons
(Maxwell et al. 2005). Nurr1 and Pitx3 are both required
for the differentiation of mouse and human embryonic stem
cells into dopaminergic neurons (Martinat et al. 2006).
However, there was no difference in the levels of TH
expression in human and mouse embryonic stem cells
when these transcription factors are expressed alone or in
combination (Messmer et al. 2007). Jacobs et al. (2009)
suggested that Nurr1 is bound by a repressor protein and
upon interaction with Pitx3, Nurr1 is released, allowing it
to act on the TH promoter. In addition to Pitx3, Brn4 can
also work in concert with Nurr1 to mediate dopaminergic
neuronal differentiation (Tan et al. 2011). Stott et al. (2013)
reported that Foxa1 and Foxa2 transcription factors are
required for the development and maintenance of the
dopaminergic phenotype in mouse. Deletion of Foxa1 and
Foxa2 significantly reduces the number of TH positive
dopaminergic neurons, which they report is due to a
reduction in the binding of Nurr1 to the promoter region of
TH.
Lazaroff et al. (1998) compared the expression of a
transiently transfected chloramphenicol acetyltransferase
(CAT) reporter gene under the transcriptional control of the
TH 50 flanking DNA in undifferentiated and differentiated
mouse CNS CAD (Cath.a-differentiated) cells and found
that TH expression varied as a function of their differen-
tiated state. They reported that the cAMP response element
(CRE) and the AP-1 site participate in TH expression in
both states. In undifferentiated cells, however, the dyad/E-
box element represses expression of the reporter gene to
25–33 % that of the differentiated cell. This corresponds to
the decrease in TH protein that occurs in undifferentiated
cells. Based upon immunoreactivity, Ghee et al. (1998)
reported that CRE-associated transcription factors exist and
regulate TH expression in rat midbrain dopaminergic cells,
but that these cells lack Fos. In contrast, Fos expression in
the olfactory bulb parallels TH expression while CRE-
associated transcription factors remain constant. They
conclude that Fos and CREB make differential contribu-
tions to TH gene activity in different cells.
Noradrenergic and adrenergic TH mRNA expression
Although many studies on the regulation of TH expression
have focused on dopaminergic cells, owing to their
importance in the pathogenesis of Parkinson’s disease, an
extensive literature also exists on the regulation of TH in
adrenergic and noradrenergic phenotypes, mainly focusing
on the peripheral nervous system development (Apostolova
and Dechant 2009; Ernsberger 2001).
The regulation of the rat promoter in vivo depends on
the duration and nature of a stimulus. Sun et al. (2003)
reported that chronic nicotine administration (14 days),
acting through cholinergic receptors, results in a sustained
increase in rat TH mRNA, protein, and activity in the
adrenal medulla. A sustained transcriptional rate that lasted
1 week following chronic nicotine treatment correlated
with a modest increase in adrenal TH gene AP-1 binding,
but not in the levels of Fra-2 or other Fos or Jun proteins. A
single nicotine injection elicited only a small and transient
increase in TH mRNA, but not protein. Sun et al. (2004)
Fig. 4 Schematic
representation and overview of
the regulation of the rat TH
promoter. Some of the well-
known stimuli and their
corresponding sites on the
promoter are depicted with the
black arrows (GRE
glucocorticoid response
element, HRE hypoxia response
element, E-box enhancer box,
AP-1 activator protein-1, Egr/
Sp1 early growth response
protein 1/steroidogenic factor 1,
CRE1/2 cAMP response
element 1/2, ERE estrogen-
response element, CaRE
calcium response element,
pDSE partial dyad symmetry
element)
Regulation of tyrosine hydroxylase activity
123
found that chronic nicotine treatment induced TH mRNA
and protein in rat LC neurons. These increases lasted for
3 days in LC cell bodies, but for at least 1 week in LC
nerve terminals. In contrast to the adrenal medulla, these
investigators found no sustained transcriptional response in
the LC and suggested that post-transcriptional mechanisms
may play a role in this long-term response.
The response to acute and chronic stimuli may be
mediated through the differential activation of several
transcription factors. For example, Sabban et al. (2004)
reported that the AP-1 factor Fra-2 increases in the rat
adrenal medulla (but not in LC) after 6 days of repeated
immobilization stress. However, Fos increases in both the
adrenal medulla and LC following acute immobilization
stress. The changes of Fos and Fra-2 observed in this study,
but not in response to chronic nicotine treatment (Sun et al.
2003), most likely reflect the complexity of the immobili-
zation stress paradigm. In the same study by Sun et al.,
both acute and chronic immobilization stresses increase
early growth response protein 1 (Egr1) in the medulla, but
not in the LC. Furthermore, short- and long-term immo-
bilization increases CREB phosphorylation in the LC. In
studies from the same laboratory, Hebert et al. (2005)
observed an increase in Fos levels and CREB phosphory-
lation following a single immobilization without changing
the expression of Egr1, Fra-2, or phosphorylated activating
transcription factor-2. Repeated immobilization induced
Fos and Fra-2. These investigators reported that repeated
immobilization stress increased phosphorylation of several
mitogen-activated protein kinases (MAPK) including p38,
c-Jun N-terminal kinases (JNK1/2/3) and extracellular
signal-regulated kinases (ERK1/2). It is clear that tran-
scription factor binding to the promoter region in TH is an
important regulatory mechanism that determines cate-
cholamine levels in different tissues. Not surprisingly,
however, the specific elements are different depending on
the type of cells and their functions.
TH promoter and regulatory elements
Regulatory elements in the TH promoter include the glu-
cocorticoid response element (GRE; 450 bp upstream),
activator protein-1 (AP-1; 200 bp upstream), cAMP
response elements (CRE1/2; 40 and 90 bp upstream), a cis-
acting dyad element (200 bp upstream), and an inhibitory
heptamer sequence (HEPT; 160 bp upstream) along with
other factors, that are depicted in Fig. 4, and initially dis-
cussed in Kumer and Vrana (1996). We will describe
recent studies investigating the regulatory elements in the
TH promoter and other regions on TH mRNA. The sections
below will focus on some of the well-established stimuli
and the promoter sequences through which they act.
Interestingly, studies with the rat promoter display a
cooperation between different regulatory sequences.
However, it should be noted that there are differences in
the types of promoter elements utilized by the rodent and
human promoter, as will be discussed below.
Ca2? and cAMP
Nankova et al. (1996) measured the induction of the bac-
terial CAT reporter fused to wild-type or mutant 50 flanking
sequences of the rat TH gene in rat PC12 cells in response
to the Ca2? ionophore, ionomycin. Point mutations in CRE
abolished the ionomycin-induced reporter gene induction
that was not overcome by an intact AP-1 site. These
investigators found that ionomycin rapidly increased the
phosphorylation of the CREB transcription factor. KN62,
which is a CaMPK inhibitor, prevented the ionomycin
induction of the reporter gene. These investigators con-
cluded that Ca2? activation of the rat promoter is mediated
mainly through CaMPKII and CREB phosphorylation.
Nagamoto-Combs et al. (1997) studied constructs of the
CAT reporter gene expressed in rat PC12 cells in response
to 50-mM KCl-induced Ca2? influx. They found that TH
reporter gene induction by KCl is dependent upon both
CRE and the AP-1 sites. Both sites are required for the KCl
induction, but either site will support induction mediated
by the A23187 calcium ionophore. In a CREB-deficient
PC12 cell line, the response to cAMP is greatly inhibited,
but the response to A23187 is robust. Thus, calcium-
dependent increases in TH expression can also occur
through a mechanism that is independent of CREB phos-
phorylation, suggesting that there are multiple pathways
that regulate calcium-dependent TH expression. Both PKA
and CaMPKII catalyze the phosphorylation of CREB and
increase TH mRNA expression.
Approximately 40 bp upstream of the transcription start
site on the rat TH promoter is a CRE/CaRE site that reg-
ulates TH expression in rat PC12 cells (Osaka and Sabban
1997) (Fig. 4). CRE is one of the most highly studied and
important factors for the control of TH expression, and its
significance has been established by mutagenesis of a rat
TH promoter CAT reporter gene construct transfected in
the human SK-N-BE(2)C neuroblastoma cell line (Tinti
et al. 1997). A second rat CRE site about 95 bp upstream of
the transcription start site can also be activated by phorbol
esters in a rat CAT reporter construct expressed in rat PC12
cells (Best and Tank 1998). In the mouse, ATF-2 binds to
the CRE site to regulate TH promoter activity (Suzuki et al.
2002). Increases in cAMP and activation of PKA can also
result in the repression of the TH promoter through
inducible cAMP early repressor (ICER) as demonstrated in
transfected PC12 cells (Tinti et al. 1996). Hiremagalur
et al. (1993) reported that nicotine treatment of PC12 cells
I. Tekin et al.
123
for 1–2 days increased both TH and dopamine b-hydrox-
ylase mRNA levels. Mutagenesis of the CRE site abolished
the response to nicotine as determined in TH reporter
constructs. Nicotine treatment elevated intracellular Ca2?
in PC12-derived cells lacking PKA, but it failed to induce
TH mRNA levels. These results indicate that PKA is
required for the nicotine-stimulated TH induction (Nank-
ova et al. 1996).
In addition to their separate roles, AP-1 and CRE can
work in concert with a partial dyad element (the partial
dyad involves symmetry between the sequences GAATAC
and GTATTC that is hypothesized to mediate positive
transcriptional regulation) that regulates basal rat TH
expression in seven TH-expressing cell lines: CATH.a and
CATH.b (mouse CNS tumor), PATH.2 (mouse adrenal
tumor), CAD (mouse CNS), PC12 (rat adrenal medulla
tumor), SK-N-BE(2)C (human neuroblastoma), and B103
(rat CNS tumor) (Patankar et al. 1997). The partial dyad is
required for TH expression in cell lines that rely on CRE or
the AP-1 dyad element. The partial dyad is not required for
the cAMP-mediated TH induction in PC8b cells (derived
from PC12 cells) or in CATH.a cells, nor is it required for
the KCl induction of TH in CATH.a cells.
Calcium and cAMP are important regulators of TH
promoter activity. As discussed, they work through multi-
ple regions on the promoter. In addition, they are also
involved in several other cellular events, which make the
regulation of TH gene expression more complex. Even
though these stimuli have been characterized rather early
on, there is still more to be known regarding their role in
the maintenance of catecholamine production.
Phorbol esters
Yang et al. (1998) identified seven rat cis-regulatory ele-
ments by DNAse I footprint analysis from extracts pre-
pared from SK-N-BE(2) and CATH.a cells within the first
0.5 kb upstream promoter region. They found that the
element located from -124 to -107 bp proximal to the
transcription start site interacts with Specificity protein 1
(Sp1) and contributes to the transcriptional activation of the
TH gene in cooperation with CRE. Papanikolaou and
Sabban reported that the Sp1 region and an Egr1 motif
(Fig. 4) of the TH promoter bind rat adrenomedullary
protein factors following immobilization stress (Papa-
nikolaou and Sabban 1999, 2000). They also found that
phorbol esters increase Egr1/Sp1 response element binding
activity, and that this can work in concert with the AP-1
element.
Nakashima et al. (2003) found that phorbol esters induce
both Egr1 and AP-1 factors in rat PC12 cells. They also
reported that the insertion of 10 bp between the Spr/Egr1
and AP-1/E-box reduced the ability of EGR1 to upregulate
luciferase reporter activity controlled by the proximal 272
nucleotides of the rat TH promoter in these cells. Although
there is no competition between the Sp1/Egr1 site and the
AP-1 site, the Sp1/Egr1 site can still be acted upon by AP-1
factors to modulate the rat TH promoter linked to a lucif-
erase reporter gene. This observation is supported by the
finding that binding to Egr1 increases upon the treatment of
the tumorigenic mouse brain noradrenergic CATH.a cell
line with phorbol esters (Stefano et al. 2006).
Piech-Dumas et al. (2001) found that both wild-type AP-
1 and CRE sites are required for the complete activation of
gene expression by phorbol esters in rat PC12 cells.
Phorbol esters lead to the phosphorylation of CREB and to
the activation of PKA. Phorbol esters also lead to the
activation of ERK1/2 following activation of PKC (rev. in
Roskoski 2012), and ERK1/2 activation may also partici-
pate in regulating TH expression. AP-1 activation occurs
via stimulation of the upstream ERK1/2 pathway in neu-
rons of the developing rat brain striatum (Guo et al. 1998).
Cazorla et al. (2000) reported that CRE in mouse neuro-
blastoma Neuro2A cells does not interact with the previ-
ously mentioned Pitx3 site. It appears, therefore, that there
may be several differences regarding the inter-species
mechanisms for the regulation of TH gene expression as we
note for the human gene below.
Hypoxia
In rat PC12 cells, hypoxia increases Fos expression, AP-1
promoter activity, and results in increases in TH mRNA
levels (Mishra et al. 1998). Fos expression is required in
depolarization and phorbol ester activation of this promoter
(Sun and Tank 2003). However, this hypoxic response is
not observed in a human neuroblastoma cell line. Hypoxia
also increases CRE activity to increase TH mRNA levels
(Beitner-Johnson and Millhorn 1998). A study investigat-
ing the effect of multiple stimuli on rat TH promoter
activity demonstrated that basal expression is mediated
through the partial dyad involving CRE and AP-1 elements
while inducible expression occurs mainly via CRE and to a
lesser extent through AP-1 and hypoxia response element 1
(HRE1) (Lewis-Tuffin et al. 2004). Moreover, Rani et al.
(2009) found a novel 7-bp AP-1 like element about
-5.7 kb upstream from the TH transcription start site that
mediates the response to glucocorticoids in rat PC12 cells
transfected with a rat 9-kb TH promoter-luciferase con-
struct. Deletion of all but 100 bp surrounding the -5.7 kb
upstream sequence from the 9 kb construct resulted in a
promoter that fully maintained the response to dexameth-
asone, providing strong evidence that this sequence is
responsible for glucocorticoid sensitivity.
von Hippel–Lindau protein (VHL) is a tumor suppressor
protein, and its loss is frequently observed in vascular
Regulation of tyrosine hydroxylase activity
123
tumors of the CNS, renal cell carcinomas, and pheochro-
mocytomas (Chou et al. 2013). Overexpression of VHL in
rat pheochromocytoma PC12 cells decreases TH mRNA
levels by reducing mRNA elongation (Kroll et al. 1999).
Inhibition of the endogenous levels of VHL in PC12 cells
with antisense RNA results in an increase in TH expression
(Bauer et al. 2002). This increase may be mediated through
the inhibition of a response that results in increased ubiq-
uitination and degradation of hypoxia-inducible transcrip-
tion factors (HIFs) that normally bind to the hypoxia-
responsive element (HRE-1) (Fig. 4) and activate the TH
promoter (Schnell et al. 2003).
Gender
Gender also plays a role in the differential regulation of TH
expression. Sry, a gene found on the Y chromosome,
encodes a protein that binds to the rat TH promoter (pre-
sumably to an AP-1 site) about 300 bp upstream of the
transcription start site (Milsted et al. 2004). Sry is
expressed in catecholaminergic regions in male, but not
female, rats. Cotransfection of rat PC12 cells with an
expression vector for Sry and a luciferase reporter con-
struct containing 773 of the proximal nucleotides of the TH
promoter led to the elevation of reporter activity. However,
a reporter construct lacking the canonical Sry site also
responded to Sry. Mutation of the AP-1 site in the TH
promoter reduced induction suggesting that regulation
occurs primarily at this motif.
Estrogen and progesterone participate in the regulation
of TH expression. Estradiol increases promoter activity in
rat PC12 cells transfected with estrogen receptors-a/b(ER-a/b) through an estrogen-response element (ERE) that
overlaps with the CRE/CaRE site (Maharjan et al. 2005)
(Fig. 4). The action of 17 b-estradiol can also be mediated
at the plasma membrane as demonstrated by experiments
performed with an impermeable estradiol derivative (Ma-
harjan et al. 2010). An estradiol/ER-a complex can acti-
vate PKA/MEK signaling that results in the
phosphorylation of CREB and the activation of CRE/
CaRE, where MEK refers to Mitogen-activated/ERK
Kinase (Roskoski 2012). Progesterone receptors also bind
to the TH promoter 1.4 kb upstream of the transcription
start site in experiments performed with mouse neuronal
CAD cells (Jensik and Arbogast 2011). In addition,
intracerebroventricular injection of progesterone receptor
antisense RNA decreases progesterone receptor levels and
increases TH levels in rat hypothalamus (Gonzalez-Flores
et al. 2011). The latter authors suggest that their findings
indicate a direct role for progesterone in the neuroendo-
crine regulation of dopaminergic neurons in the CNS
through progesterone receptors.
Introns as regulators of TH expression
Kelly et al. (2006) replaced the first exon and first intron of
one allele of the mouse TH gene with yellow fluorescent
protein. The reporter gene failed to identify functional TH-
expressing cells with complete accuracy in a mouse
transgenic knock-in model. These investigators suggested
that the first intron of the mouse TH gene functions as a cis-
regulatory element. Romano et al. (2007) analyzed the
transcriptional profile of the promoter, the first exon, and
the first intron of the human TH gene in human neuro-
blastoma BE(2)-C-16 cells. The addition of a 1.2-kb frag-
ment of the first intron enhanced transcriptional activity of
the recombinant promoter.
Epigenetic regulation
The epigenetic states of the chromosome and histone
acetylation are also important factors in determining TH
transcription levels (Lenartowski et al. 2003). In addition to
the investigation of the role of introns, Romano et al.
(2007) also found, through chromatin immunoprecipita-
tion, that extensive histone H3 and H4 acetylation occurs in
nucleosomes isolated from the TH promoter region of
BE(2)-C-16 cells. In human renal carcinoma 293FT cells
that fail to express TH, histone acetylation in the TH pro-
moter region was minimal. The effect of acetylation on the
regulation of TH mRNA levels occurs through regulation
of RNA stability, as TH mRNA stability was shown to
decrease upon treatment of PC12 cells with sodium buty-
rate, a histone deacetylase inhibitor (Aranyi et al. 2007).
Detailed discussion of these mechanisms and their physi-
ological and developmental roles is provided elsewhere
(Lenartowski and Goc 2011).
Human TH promoter
Although most transcriptional regulation studies have been
performed in rat and mouse models, important differences
exist in human and rodent TH promoters. Studies of the
human TH promoter in human neuroblastoma cell cultures
indicate that nucleotides 513 bp upstream of the tran-
scription initiation site and 976 bp downstream from the 30
end are required for TH expression (Gardaneh et al. 2000).
However, transgenic mice that contain the 50 11 kb region
of the human TH promoter express a reporter in TH posi-
tive cells in vivo (Kessler et al. 2003). Sequence analysis of
this region led to the identification of five common con-
sensus sites that are similar to those of rat and mouse
sequences: GR, AP-1, HOXA4/HOXA5, TBF-1, and AP-3.
The nearest (GR) is 2.3 kb and the farthest (AP-3) is 8.8 kb
from the transcription start site.
I. Tekin et al.
123
Constructs prepared with minimal promoters that con-
tain the five conserved consensus sites were able to drive
TH expression in a commercially available human neuro-
nal progenitor cell line, but they failed to do so in mouse
primary striatal or substantia nigral cells in culture
(Romano et al. 2005). This finding indicates that there are
differences in the promoter-based regulation of TH gene
expression in human and mouse cells and suggests that
extra caution be used when extrapolating from rodent to
human biology. Despite its important developmental role in
rodents, studies from the same laboratory indicate that
Nurr1 lacks a consensus binding site on the human TH
promoter (Jin et al. 2006). This is in agreement with the
finding of Satoh and Kuroda (2002) who reported that
human neuroblastoma SK-N-SH cells fail to express Nurr1
mRNA.
A neuron-restrictive silencer element/repressor element
1 (NRSE/RE1) occurs about 2 kb upstream in the human
TH promoter, binds neuron-restrictive silencer factor/
repressor element transcription factor (NRSF/REST) and
inhibits TH mRNA synthesis in human HB1.F3 neural
stem cells (Kim et al. 2006). This repression is alleviated
by either mutating or deleting NRSE/RE1. In SH-SY5Y
human dopaminergic neuroblastoma cells that express TH,
mutating or deleting NRSE/RE1 has no effect on TH
expression, implying that this element regulates TH
expression in a cell type-specific manner.
Despite the myriad studies available on the structure and
regulation of the rodent promoter, few data are available
regarding the control of human TH expression. This pre-
sents a strong need in the field for the understanding of the
TH promoter and how it will affect TH gene regulation.
Having insight into these mechanisms will allow us to be
able to propose ways to reach optimal levels of catechol-
amines in both the central and peripheral nervous systems.
In addition, such knowledge may also contribute to a fur-
ther understanding of the pathological conditions that
affect catecholaminergic tissues.
Regulation of TH mRNA stability
TH mRNA can be stabilized by interacting with selected
proteins, leading to increased translation of TH and, hence,
increased TH protein and activity (Roe et al. 2004).
Expression of these mRNA-binding proteins and their
combined interaction with TH mRNA is altered by cellular
activity. Several TH splice variants have been identified,
and their role in regulating and maintaining catecholamine
levels are reviewed here (and will be discussed in detail in
the following sections) and have been addressed elsewhere
(Haavik et al. 2008; Kobayashi and Nagatsu 2005; Wil-
lemsen et al. 2010).
Several factors that control TH promoter activity regu-
late mRNA stability including hypoxia and stress
(reviewed in Kumer and Vrana 1996). The stabilization of
rat PC12 cell TH mRNA occurs through binding of
hypoxia-inducible protein (HIP) to a 27-bp binding site
(HIPBS) in the 30-UTR (untranslated region) of TH mRNA
(Czyzyk-Krzeska and Beresh 1996). The HIPBS element is
conserved in bovine, human, mouse, and rat TH mRNA.
This 27-bp stabilizing domain contains a pyrimidine-rich
sequence that increases rat TH mRNA stability in PC12
cells during hypoxic conditions (Paulding and Czyzyk-
Krzeska 1999). Sustained hypoxia increases TH mRNA in
rat cerebral cortex, which is expected with increased
mRNA stability (Gozal et al. 2005). The levels of TH
protein measured immunochemically, however, remain
unchanged. The reason for the discrepancy between TH
mRNA and protein levels is unclear. However, tyrosine
hydroxylase activity is increased in response to hypoxia
owing to the phosphorylation of Ser40 as described later.
Nicotine treatment of bovine adrenal chromaffin cells
increases TH mRNA stability and induces the binding of
novel proteins to the 30 UTR (Roe et al. 2004). Long-term
stress also induces protein binding to the poly-pyrimidine
rich region in the 30-UTR (Tank et al. 2008). Chen et al.
(2008) reported that cAMP leads to the induction of TH
protein and activity, but not TH mRNA, in rat ventral
midbrain slice cultures and in MN9D cell cultures, which
are hybrids of mouse neuroblastoma and embryonic mouse
mesencephalic neurons. cAMP increases the translational
activation of TH mRNA that is mediated by sequences
within the 30-UTR. These authors suggest that cAMP-
dependent increases in expression of stabilizing trans-
activating factors occur in these rodent systems. Xu et al.
(2009) reported that cAMP increases levels of the poly(C)-
binding protein-2 (PCBP2) in MN9D cells. PCBP2 binds to
the poly-pyrimidine rich region of the 30-UTR and thereby
stabilizes TH mRNA. It previously has been suggested that
TH mRNA stability may be important for the maintenance
of mRNA levels (Kumer and Vrana 1996). In addition, it is
interesting that the same environmental factors that affect
the promoter activity can regulate mRNA stability.
Alternative RNA processing
TH exists in various isoforms in a few species, including
humans, as a result of alternative splicing of hnRNA
(Kumer and Vrana 1996). Such splicing changes the reg-
ulatory, but not catalytic domains of TH. Mogi et al. (1984)
purified tyrosine hydroxylase from human adrenal medulla
and resolved two fractions with different specific activities.
This was the first suggestion of the existence of different
TH isoforms. Two splice variants occur in non-human
Regulation of tyrosine hydroxylase activity
123
primates and Drosophila (Birman et al. 1994; Ichikawa
et al. 1990; Ichinose et al. 1993; Lewis et al. 1994). Two
splice variants have also been reported in rat (Laniece et al.
1996), but this finding has not been corroborated (Haycock
2002b; Ichikawa et al. 1990).
Human TH has four splice variants that are denoted as
hTH-1, hTH-2, hTH-3, and hTH-4, and were named in the
order that they were discovered. hTH-1 is composed of 13
exons, consists of 1,494 nucleotides and shows 89 %
identity to its rat counterpart. Specifically, hTH-1 is the
most abundant isoform and the closest homolog to the rat
enzyme (the rat enzyme is 498 and the human ortholog is
497 amino acids long). hTH-2, hTH-3, and hTH-4 contain
the addition of 4, 27, and 31 (4 ? 27) amino acids,
respectively (derived from exon 1, plus or minus exon 2)
(Grima et al. 1987; Kaneda et al. 1987). Computer-assisted
analysis of the secondary structure of the primary RNA
transcript led to the prediction of four stable hairpin loops
in introns 1 and 2 (Kobayashi et al. 1988). This analysis
indicates that these secondary structures may account for
the inclusion/exclusion of exon 2 that occurs during hTH-1
and hTH-2 generation. Other minor TH mRNAs were
identified that lack exons 3, 4, 8, and 9 (Bodeau-Pean et al.
1999; Ohye et al. 2001; Parareda et al. 2003). Splicing
patterns resulting in the major mRNAs and TH protein
isoforms are shown in Fig. 5.
All of the human TH isoforms are found in adrenal
chromaffin cells (Haycock 1991) and in brain catechol-
aminergic neurons with hTH-1 and hTH-2 accounting for
about 90 % of human brain TH (Lewis et al. 1993).
Moreover, all isoforms are expressed in human pheochro-
mocytomas (Haycock 2002b) and neuroblastomas (Hay-
cock 1993). Among the major four isoforms, hTH-1 and
hTH-2 mRNA transcripts are detected in highest abun-
dance (Ichinose et al. 1994). Human pheochromocytomas
contain the highest relative abundance of hTH-3 and hTH-
4 (Coker et al. 1990; Grima et al. 1987; Haycock 1991,
1993; Le Bourdelles et al. 1988; Lewis et al. 1993). Several
additional isoforms occur in human neuroblastomas and in
brain samples from patients with progressive supranuclear
palsy (Bodeau-Pean et al. 1999; Dumas et al. 1996; Ohye
et al. 2001; Parareda et al. 2003; Roma et al. 2007).
After identification of different TH mRNAs, investiga-
tors sought to characterize enzymes produced from the
different splice variants. Eukaryotic expression systems
such as COS cells and Xenopus oocytes have been utilized,
along with expression of the enzyme in E. coli (Horellou
et al. 1988; Kobayashi et al. 1988). In spite of varying
Fig. 5 a Schematic representation of the differential regulation of TH
through several protein kinases and phosphatases. b Alignment of the
first 50 amino acids of different rat and human TH mRNAs. Human
TH lacks one of the serines (position 8) that is present in the rat
mRNA. In addition, while hTH2 contains the equivalent of serine 31,
it is not phosphorylated by ERK1/2. Note that the most abundant
isoform (hTH-1) is also most closely homologous to the rat TH
protein. The sequences were obtained from NCBI Nucleotide
Database (rTH: NM_012740.3, hTH-1: NM_000360.3, hTH-2:
XM_005253099.1, hTH-3: NM_199293.2, hTH-4: NM_199292.2)
I. Tekin et al.
123
specific values for enzyme activities that most likely reflect
different assay conditions, all reports indicate that hTH-1
has the highest specific activity. Nasrin et al. (1994)
reported a regulatory effect of BH4 on enzyme activity at
high concentrations of tyrosine substrate. These investi-
gators reported that hTH-2 and hTH-4 are more stable at
elevated temperatures than hTH-1 and hTH-3. Bodeau-
Pean et al. (1999) found an isoform that lacks exon 3 in a
human neuroblastoma that has 30 % of the activity of hTH-
1 but exhibits a tenfold increase in its Ki for dopamine.
The physiological significance of the four human TH
isoforms remains unclear. Although hTH-1 has the highest
specific activity, it is not that much different from that of
the other isoforms. Perhaps the major difference in the
isoforms is the sequence variation in the regulatory ERK1/
2 protein kinase Ser31 phosphorylation site (Kumer and
Vrana 1996), which is described below.
Feedback inhibition of TH
Inhibition of TH by pathway end products is an important
regulatory mechanism that acts as a sensor to maintain
required levels of the catecholamines. Excessive cate-
cholamines can be harmful, as these substances have been
shown to form toxic quinones as noted earlier. For exam-
ple, dopamine forms reactive quinone metabolites (Has-
tings and Zigmond 1994; reviewed in Stokes et al. 1999).
Reactive quinones (1) form reactive oxygen species, (2)
mediate the covalent modification of DNA and proteins,
and (3) activate apoptotic pathways (Stokes et al. 1999).
Direct effects of catechol-quinones on TH protein have
been characterized in vitro (Kuhn et al. 1999; Xu et al.
1998a). The extent that such modifications occur in vivo is
unclear.
Dopamine exerts direct inhibitory effect on TH at con-
centrations that are in the nanomolar range. This low Ki of
TH for DA allows for the strict control of intracellular
catecholamine levels. Feedback inhibition of TH can be
considered in two parts. The first is concentration depen-
dent, reversible, and results from direct binding of DA to
TH. DA is a competitive inhibitor of TH against BH4 and a
non-competitive inhibitor against tyrosine (Fitzpatrick
1988). Binding of DA prevents BH4 from binding to the
active site, thereby causing a dramatic increase in the Km
value for this substrate (Ribeiro et al. 1992). The second
mechanism of inhibition of TH by DA results from the
formation of a tight enzyme–iron–catecholamine complex.
DA interacts with the active site iron atom, but only when
the iron is in its ferric form (Andersson et al. 1988; Okuno
and Fujisawa 1985; Ramsey and Fitzpatrick 1998). The
ferric form occurs as a result of oxidation by molecular
oxygen in the cell or during enzyme isolation. DA binds
tightly to ferric iron, which is located in the active site
cleft. As described above, TH requires its iron atom to be in
the ferrous form during the reaction. The pterin co-sub-
strate reduces the ferric iron to enable formation of an
active enzyme.
Alterations in feedback inhibition occur as a result of
enzyme phosphorylation as catalyzed by various protein
kinases as noted here and in the following section. PKA
catalyzed phosphorylation of TH at Ser40 increases the Ki
value for DA and decreases the Km for BH4 (Daubner et al.
1992; Ramsey and Fitzpatrick 1998; Ribeiro et al. 1992).
Note that an increase in Ki and a decrease in Km increase
TH activity. Inhibition of TH purified from rat PC12 cells
and from bovine adrenal by catecholamine end products
and relief of this inhibition following Ser40 phosphoryla-
tion as catalyzed by PKA have been shown in vitro (An-
dersson et al. 1992). Inhibition of TH also occurs in vivo,
as the enzyme isolated from brain is found in a complex
with DA. However, this may result from oxidation of fer-
rous to ferric iron during isolation with the subsequent
formation of the DA–enzyme complex. All four isoforms
of human TH are subject to feedback inhibition to the same
extent when assayed in vitro (Almas et al. 1992).
Structural modeling (Maass et al. 2003) and kinetic
studies (Ramsey and Fitzpatrick 2000) of rat TH have been
used to decipher the nature of catecholamine binding to the
enzyme. Dopamine interacts with iron and a negatively
charged carboxyl group in the active site cleft (Haavik
et al. 1990). Molecular modeling predicts two planar con-
formations for DA, whose binding is favored by neutral
pH, while DOPA has only one conformation that is ener-
getically favorable. Electrostatic repulsion is hypothesized
to occur between the carboxyl group of DOPA and the side
chain of nearby Asp425. This explains the twofold increase
in Ki values for DOPA when compared with DA. A short
stretch of the regulatory domain, whose involvement in DA
inhibition has been supported by the role of phosphoryla-
tion in reversing the inhibition, is hypothesized to interact
with DA while closing on the catalytic domain. However,
there is no structural evidence for this prediction due to the
unavailability of a crystal structure for the complete
enzyme. Nonetheless, mutagenesis studies have identified
residues in the regulatory segment including Gly36, Arg37,
and Arg38 as the critical regions involved in mediating
catecholamine binding to recombinant rat (McCulloch and
Fitzpatrick 1999; Nakashima et al. 1999, 2000; Ota et al.
1997).
Gordon et al. (2008) have suggested the existence of a
second binding site for dopamine with much lower affinity.
They reported that all four human isoforms possess this
second site. They came to this conclusion by fitting their
data to a two-site binding model. They followed a similar
approach to reproduce their results in rat PC12 cells in situ
Regulation of tyrosine hydroxylase activity
123
and showed that this site also resides in the catalytic
domain (Gordon et al. 2009b). Using site-directed muta-
genesis of selected residues in the carboxyl-terminal cata-
lytic domain of recombinant hTH-1, they concluded that
the second binding site is located in a region close to the
first, which was later confirmed by the same group (Briggs
et al. 2011). They conclude that the two sites may be
present on different monomers. However, it is also possible
that there are distinct versions of the enzyme with dis-
similar dissociation constants, rather than two different
binding sites. These differing KD values may arise owing to
distinctive enzyme conformations. These conformations
might have different affinities, and as there is not a single
enzyme conformation, dose–response curves appear shal-
low. Further investigation is warranted to differentiate
between these possibilities.
Phosphorylation of TH serine residues
Phosphorylation and regulation of TH have been well
established in vitro, in situ with cell cultures and brain
slices, and in vivo using complex systems such as brain or
retina in intact animals. In the present context, we will
focus most of our attention on the mechanistic conse-
quences of phosphorylation on enzyme activity, but note
that there is a considerable recent literature on the physi-
ological signals responsible for the dynamic regulation of
phosphorylation state (reviewed in Daubner et al. 2011;
Dickson and Briggs 2013; Dunkley et al. 2004; Nakashima
et al. 2013).
Rat TH is phosphorylated at four different sites following
cellular stimulation with cAMP, growth factors, phorbol
esters, or depolarization with KCl or neurotransmitters
(McTigue et al. 1985). These sites are comprised of serines
8, 19, 31 and 40 in the rat enzyme and serines 19, 31, and 40
in the human enzyme in vitro (Campbell et al. 1986; Hay-
cock 1990; Haycock and Wakade 1992; Waymire et al.
1988), in situ (Haycock 1990), and in vivo (Haycock and
Haycock 1991). A threonine occurs at position 8 in the
human enzyme isoforms. Although threonine is a substrate
for protein serine/threonine kinases, phosphorylation of Ser/
Thr8 appears to play no role in the regulation of TH.
Regulation of enzyme activity by phosphorylation is one
of the most extensively studied forms of metabolic control
of cellular processes in general (Cohen 2002) and of TH in
particular (Daubner et al. 2011; Dickson and Briggs 2013;
Dunkley et al. 2004; Fujisawa and Okuno 2005; Kumer and
Vrana 1996; Nakashima et al. 2009, 2013). Phosphoryla-
tion as catalyzed by protein kinases and dephosphorylation
as catalyzed by protein phosphatases allow for a rapid and
reversible regulation of TH and are critical for maintaining
optimal catecholamine levels in cells (Fig. 5).
Early phosphorylation studies of TH focused on the rat
enzyme because of its ready availability. Following the
production of recombinant enzymes, data obtained initially
from the rat enzyme were confirmed and extended with
human TH isoforms. To avoid confusion, however, specific
residues will be denoted by their positions in the rat protein
(recalling that there are four human isoform proteins gen-
erated by alternative splicing). Four sites have been iden-
tified, in the rat enzyme, that are phosphorylated by various
protein kinases. Sequences of the amino-terminal segments
of rat TH and the human TH isoforms are shown in Fig. 5,
and consensus motif sequences are highlighted. Note that
the rat enzyme and four human isoforms contain two serine
residues embedded in consensus phosphorylation sites (the
rat Ser19 and Ser40 equivalents). The amino acid sequence
preceding the Ser31 site in human isoforms 2, 3, and 4
differs from that of isoform 1 as a result of alternative
splicing (Fig. 5). The significance of this finding is related
to ERK1/2 catalyzed phosphorylation as discussed later.
Phosphorylation of TH at different residues produces
differing molecular effects. However, TH phosphorylation
generally results in an increase in catecholamine produc-
tion. Throughout this section, we will discuss individual
serine residues and (1) the effect of their phosphorylation
on enzyme activity, (2) the different kinases implicated in
phosphorylation, and (3) dephosphorylation by phospha-
tases. We will describe the physiological importance of
these events on regulation of brain catecholamine levels. It
is beyond the scope of the present review to explore all of
the various stimuli (stress, drugs, behavior, etc.) that trigger
phosphorylation; however, selected exemplars will be
provided.
There are three important regulatory phosphorylation
sites in TH (Ser19/31/40). The phosphorylation of Ser8 in
the rat enzyme has little, if any, regulatory effect and a
threonine occurs in its place in the human enzyme iso-
forms. A large number of protein kinases are involved in
phosphorylation–regulation of TH (summarized in
Table 1).
Phosphorylation and regulation of rat and bovine TH
Serine-40
Initial reports of TH phosphorylation showed PKA to be a
central component of enzyme regulation. Increases in
enzyme activity were reported when rat brain or bovine
adrenal TH was incubated in vitro with ATP and (1) PKA
or (2) cAMP (Joh et al. 1978; Morgenroth et al. 1975;
Yamauchi and Fujisawa 1979; Vrana et al. 1981; Vrana
and Roskoski 1983). The phosphorylation-dependent
increase in rat or bovine TH activity occurs as a result of
lowering the Km for BH4 and an increase in the Ki for
I. Tekin et al.
123
dopamine both in vitro (Daubner et al. 1992; Lovenberg
et al. 1975; Okuno and Fujisawa 1985; Ramsey and Fitz-
patrick 1998; Vrana et al. 1981; Vrana and Roskoski 1983;
Vulliet et al. 1980) and in vivo (Haavik et al. 1990).
However, Ribeiro et al. (1992) suggested that the increased
PKA-dependent activation occurs after the rat recombinant
enzyme, which is isolated in a catecholamine-free state, is
treated with and inhibited by DA. The hydroxyl group of
recombinant rat TH serine residue 40 has been hypothe-
sized to interact with DA, which is reversed upon phos-
phorylation (McCulloch et al. 2001). The PKA-mediated
decrease in the Km for BH4 and the resulting increase in
activity have also been demonstrated in bovine adrenal
chromaffin cells in situ (Meligeni et al. 1982). Phosphor-
ylation of TH, isolated from bovine striatum, by PKA
stabilizes the interactions occurring between the protein
backbone in the region surrounding the active site and the
hydroxyl groups of BH4 (Bailey et al. 1989).
Interestingly, the Km of PKA for rat TH and for peptides
corresponding to the TH Ser40 phosphorylation site has
been shown to be about 100 lM, which is rather high
(Roskoski and Ritchie 1991). Almas et al. (1992) reported
that the Km of PKA for bovine TH was about 150 lM
in vitro. These high values can be explained in part by an
evolutionary mechanism of the cell adapting itself to the
relatively high intracellular TH concentration (Roskoski
and Ritchie 1991). When expressed and purified in vitro,
hTH-1/2/4 isoforms are catecholamine free and required
the addition of FeSO4 for detectable activity (Almas et al.
1992). These proteins were good substrates for PKA with
Km values of only 5 lM. However, the addition of Fe2?
and DA increased the Km about threefold. This suggests
that the presence of tightly bound iron and DA in the
enzyme isolated from mammalian cells contributes to the
higher Km observed for the rat pheochromocytoma and
bovine adrenal enzymes.
Funakoshi et al. (1991) reported that TH phosphoryla-
tion at Ser40 by PKA results in an increase in activity,
while phosphorylation of this site by CaMPKII or PKC
fails to increase activity in vitro. The stoichiometry of rat
Ser40 phosphorylation by PKA was 0.78 mol/mol of sub-
unit, while that for PKC and CaMPKII were both 0.4 mol/
mol of subunit. The authors suggest that phosphorylation of
Ser40 in all four subunits is required for activation, and
such extensive phosphorylation is not achieved by PKC or
CaMPKII.
PKC phosphorylation has been shown to produce effects
similar to those induced by PKA. This is, in part, because
they both phosphorylate Ser40 in the rat enzyme (or its
equivalent in the human enzyme isoforms). Albert et al.
(1984) reported that PKC-mediated phosphorylation of
partially purified rat TH decreases the Km for BH4 and
increases the Ki for DA, which leads to an increase in
enzyme activity. They found that PKC and PKA catalyze
the phosphorylation of the same serine residue. However,
Cahill et al. (1989) reported that treatment of rat PC12 cells
with phorbol ester leads to the phosphorylation of a dif-
ferent serine residue than that mediated by cAMP as
determined by 32Pi labeling followed by trypsin digestion.
The explanation for this difference in in vitro versus in situ
labeling is unclear. Rat TH is also phosphorylated and
activated by PKG via cGMP in a manner similar to PKA
(via cAMP) in situ (Roskoski and Roskoski 1987).
Harada et al. (1996) found that elimination of rat TH
Ser40 by site-directed mutagenesis, which they expressed
in non-neuronal mouse AtT20 cells, is still activated by
phosphorylation of other residues. The effect of ERK 1/2-
mediated phosphorylation was confirmed by the observed
increase in catecholamine synthesis in bovine adrenal
chromaffin cells in situ following treatment with acetyl-
choline, an ERK1/2 (p42/p44) MAP kinase activator (Luke
and Hexum 2008; Thomas et al. 1997; Yu et al. 2011). TH
is phosphorylated by ERK1/2 at Ser40 to a lesser extent, as
will be discussed further in the following sections (Hay-
cock 2002a). Royo and Colette Daubner (2006) reported
that the phosphorylation of recombinant rat tyrosine
Table 1 Tyrosine hydroxylase phosphorylation sites and protein
kinases
Site Protein kinase References
Ser40 PKA Edelman et al. (1978), Joh et al.
(1978), Campbell et al. (1986)
PKG Roskoski et al. (1987)
PKC Albert et al. (1984)
CaMPKII Vulliet et al. (1984)
MSK1 Toska et al. (2002a)
MAPKAPK1 Sutherland et al. (1993)
MAPKAPK2 Sutherland et al. (1993)
MAPKAPK5/PRAK Toska et al. (2002a)
Ser19 CaMPKII Schworer and Soderling (1983),
Campbell et al. (1986)
MAPKAPK2 Sutherland et al. (1993)
MAPKAPK5/PRAK Toska et al. (2002a, b)
Cdk11 Sachs and Vaillancourt (2004)
Ser31 ERK1/2 Haycock et al. (1992)
Cdk5 Kansy et al. (2004)
The three serine residues are numbered as per the rat enzyme and
human TH-1 (see Fig. 5)
CaMPKII calcium–calmodulin-dependent protein kinase II, Cdk
cyclin-dependent kinase, ERK1/2 extracellular signal-regulated
kinase 1 and 2, or microtubule-associated protein kinases 1 and 2,
MAPKAPK microtubule-associated protein kinase-activated protein
kinase, MSK1 mitogen and stress-activated kinase 1, PKA protein
kinase A, or cyclic AMP-dependent protein kinase, PKC protein
kinase C, where C refers to calcium ion, PKG protein kinase G, or
cyclic GMP-dependent protein kinase, PRAK p38-regulated/activated
protein kinase
Regulation of tyrosine hydroxylase activity
123
hydroxylase at Ser40 by purified bovine heart PKA was
diminished in the presence of dopamine. Ser40 phosphor-
ylation also may occur through the action of mitogen and
stress-activated kinase (MSK1) (Toska et al. 2002a).
As it has been established to be a pivotal mechanism for
the activation of TH, the effects of phosphorylation at
Ser40 on the enzyme structure have been an active area of
more recent investigation. It has been suggested, through
conformation studies, that Ser40 phosphorylation of the rat
enzyme will result in the promotion of an open confor-
mation in vitro (Bevilaqua et al. 2001; Wang et al. 2011).
Moreover, while it is beyond the scope of this review,
considerable other work has been reported on what phys-
iological insults and influences mediate Ser40 phosphory-
lation and TH activation. Such effectors include
depolarization, hormones, receptor stimulation, and path-
ological conditions (reviewed in Daubner et al. 2011;
Dickson and Briggs 2013; Dunkley et al. 2004; Nakashima
et al. 2013).
Serine-31
The ERK1/2 serine kinases have also been shown to be
important components in the regulation of catecholamine
biosynthesis (Haycock et al. 1992; Luke and Hexum 2008;
Yu et al. 2011). ERK 1 and 2 are proline-directed protein
serine/threonine kinases that are members of the mitogen-
activated protein kinase (MAPK) family that characteris-
tically function downstream of growth factor receptors
(Roskoski 2012). ERK 1 and 2 occur together in most cells
where they act in concert. Halloran and Vulliet (1994)
reported that depolarization of bovine adrenal chromaffin
cells in culture leads to the phosphorylation of TH Ser31.
They found that the depolarization-activated kinase shares
biochemical properties with ERK1/2 proline-directed pro-
tein kinases. This phosphorylation leads to a twofold
increase in TH enzyme activity. In addition, unlike the
phosphorylation at Ser40, phosphorylation of this site by
recombinant ERK2 is unaffected by dopamine (Royo and
Colette Daubner 2006).
Cyclin-dependent kinase 5 (Cdk5) can phosphorylate
TH in vitro and in vivo and this phosphorylation occurs at
Ser31 (Kansy et al. 2004). In transgenic animals, Cdk5
expression correlates with the preservation of TH protein
levels (Moy and Tsai 2004). However, the mechanism
through which Cdk5 may regulate TH expression warrants
further investigation.
Serine-19
CaMPKII catalyzes the phosphorylation of TH at Ser19 in
the presence of calcium; however, phosphorylation of TH
by CaMPKII fails to activate the enzyme in the same
manner as PKA. An additional protein, identified as a
member of the 14-3-3 chaperone protein family, is required
to activate human (Itagaki et al. 1999), rat (Funakoshi et al.
1991; Ichimura et al. 1987) and bovine TH (Yamauchi and
Fujisawa 1981; Yamauchi et al. 1981) phosphorylated by
CaMPKII in vitro. The c-isoform of 14-3-3 protein is
abundant in brain, suggesting a role for this chaperone
protein isoform in the regulation of TH (Isobe et al. 1991).
Nonetheless, CaMPKII seems to be an important regulator
of catecholamine synthesis, as suggested by studies in
which cellular inhibition of calcium channels leads to a
decrease in DA production in rat PC12h cells, (a subclone
of PC12 cells that undergoes differentiation following
treatment with epidermal growth factor) (Sumi et al. 1991).
However, it is unlikely that this is solely Ser19 mediated,
as mutagenesis studies have eliminated a direct role for this
residue in controlling catecholamine amounts in other
PC12 cell lines (Haycock et al. 1998). TH can be phos-
phorylated at this site by other kinases as well, as seen
following inhibition of CaMPKII in situ (Goncalves et al.
1997). MAPK, for instance, has been shown to phosphor-
ylate TH at Ser19 (Bobrovskaya et al. 2004).
Despite the known effects of the phosphorylation at this
site (enzyme activation through allowing the binding of
activator proteins), phosphorylation itself is not thought to
alter the enzyme’s conformation (Bevilaqua et al. 2001).
However, the binding of 14-3-3 protein to the Ser19
phosphorylated TH has been shown to produce a more
extended and relaxed conformation (Skjevik et al. 2014).
Ser19 phosphorylation also increases the rate of phos-
phorylation at Ser40, a process described as hierarchical
phosphorylation. Such hierarchical phosphorylation has
been observed upon phosphorylation of Ser19 in bovine
adrenal chromaffin cells (Bobrovskaya et al. 2004).
Phosphorylation of recombinant human TH
Given that the alternative splicing of human TH occurs
within the regulatory domain, it is likely that the resulting
isoforms are differentially phosphorylated (recalling that
hTH-1 is the closest homolog to rat TH; see Fig. 5b—all
residues are referred to as the number of the rat TH/human
TH-1 homologous residue). Upon expression in E. coli,
hTH-1, hTH-2, and hTH-3 are phosphorylated by PKA at
Ser40, and they are phosphorylated at Ser19 and Ser40 by
CaMPKII (Almas et al. 1992; Alterio et al. 1998). The
extent of dopamine binding is reduced upon Ser40 phos-
phorylation in hTH-1 (Sura et al. 2004). MAPKAP Kinase
1 and MAPKAP Kinase 2 phosphorylate serine residues 19
and 40, respectively, in all four isoforms. Among the four
isoforms, hTH-3 and hTH-4 phosphorylation by recombi-
nant mouse ERK2 at Ser31 occurs at a much higher rate
(Sutherland et al. 1993). Activation by phosphorylation of
I. Tekin et al.
123
isoforms 3 and 4 (twofold increase in activity) was also
higher than that of isoform 1, whose activity was increased
by 40 %. hTH-1 is phosphorylated at Ser31 by ERK2
in vitro, whereas hTH-2 is not. Differential phosphoryla-
tion by ERK1/2 was investigated in neuronal cells (Gordon
et al. 2009a). Human neuroblastoma SH-SY5Y dopami-
nergic cells were transfected with hTH-1 or hTH-2. hTH-1
displayed variable levels of phosphorylation upon stimu-
lation of the cells with epidermal growth factor (EGF), the
receptor of which is the protein-tyrosine kinase that is
upstream of ERK1/2. hTH-2 was not phosphorylated at a
residue that corresponds to Ser-31 in hTH-1.
Lehmann et al. (2006) reported that the hierarchical
activation of Ser40 upon phosphorylation of Ser19 as cat-
alyzed by CaMPKII was higher in hTH-2 than hTH-1.
Furthermore, ERK1/2-catalyzed phosphorylation of Ser31
in hTH-1 increased the phosphorylation rate of Ser40 by
ninefold. This effect was not observed in hTH-3 and hTH-
4. When ERK1/2 was inhibited with UO126, the decrease
in the phosphorylation of hTH-1 at Ser31 resulted in a
50 % decrease in the phosphorylation at Ser40. The authors
concluded that hierarchical phosphorylation provides a
mechanism whereby the two major human TH isoforms (1
and 2) can be differentially regulated with only hTH-1
responding to the ERK1/2 pathway, whereas hTH-2 is
more sensitive to calcium-mediated events.
Possible mechanisms for the regulation of TH activity
via phosphorylation
Up to this point, we have discussed the mechanisms for TH
phosphorylation separately. However, it should be con-
sidered that all these mechanism may act on TH in an
overlapping manner in cells and tissues. This section will
discuss the evidence for the existence for these multiple
mechanisms, and provide a brief discussion of the physi-
ological importance and relevance of this type of molecular
regulation of TH activity. Incubation of purified rat TH
with both PKA and CaMPKII results in additive incorpo-
ration of phosphate under in vitro assay conditions sug-
gesting that these kinases act on distinct residues (Vulliet
et al. 1984). PKC, on the other hand, phosphorylates the
same site as PKA in vitro (Vulliet et al. 1985). Griffith and
Schulman (1988) stimulated rat PC12 cells with A23187 (a
calcium ionophore), carbachol, or high KCl, each of which
leads to the phosphorylation and activation of TH. They
showed that the concentration of cAMP is not elevated by
any of these treatments. They also found that cells deficient
in PKC exhibit TH phosphorylation and increase in activity
following stimulation. They found that the sites of TH
phosphorylation catalyzed by CaMPKII most closely
mimic those observed in vivo and conclude that this
enzyme mediates TH phosphorylation induced by
hormonal and electrical stimuli that elevate intracellular
Ca2?. Tachikawa et al. (1987) found that the incubation of
rat PC12 cells with ionomycin (a calcium ionophore) leads
to an increase in phosphorylation of three TH peptides
derived from TH following tryptic digestion. In contrast,
incubation with phorbol ester (an activator of PKC) or
forskolin (an adenylyl cyclase and hence PKA activator)
leads to increased phosphorylation of only one TH peptide.
Surprisingly in this study, the resulting single tryptic pep-
tides were different and the explanation for this finding is
unclear. PKG phosphorylation also occurs at the same site
as that of PKA as demonstrated in PC12 cells (Roskoski
et al. 1987) and bovine adrenal chromaffin cells (Rodri-
guez-Pascual et al. 1999). Both Ser19 and Ser40 are
phosphorylated by MAPKAP2 in situ as well (Toska et al.
2002b). In addition, new kinases have been implicated in
the phosphorylation of TH at multiple residues such as the
AMP-activated protein kinase (AMPK) (Fukuda et al.
2007). These results might be due to the activation of
downstream protein kinases, and experiments with purified
AMPK and TH should be performed to determine whether
the kinase acts directly on TH, and if so, which residues are
phosphorylated.
Differential phosphorylation of TH occurs in a cell
location-specific manner. That is, differing phosphorylation
patterns occur depending on where in the cell the enzyme is
located. Phosphorylation of different residues causes dis-
tinct effects on catecholamine biosynthesis and provides
cell and cell location-specific regulatory mechanisms in the
grand scheme of catecholamine neurotransmission. Xu
et al. (1998b) examined the state of phosphorylation of TH
in different rat brain regions and different cellular locations
using immunohistochemical studies performed with phos-
pho-specific antibodies against TH. They reported that the
noradrenergic locus coeruleus (LC) and the A5 cell bodies
had high levels of TH phosphorylated at Ser40 and Ser19,
but that the nerve terminals lacked TH that was phos-
phorylated at either residue. Moreover, different subpopu-
lations of dopamine neurons in the ventral tegmental area
express different amounts of Ser40-phosphorylated TH,
while Ser19 phosphorylation was more uniform. Lindgren
et al. (2002) reported that ERK1/2-mediated Ser31 phos-
phorylation increased in rat striatal slices upon depolar-
ization, but that PKA-mediated Ser40 phosphorylation was
not as great. The authors suggested that there might be a
threshold for the effects obtained from Ser40 phosphor-
ylation-dependent activation. When the phosphorylation
stoichiometries are low, there is little or no activation until
the threshold is reached. In light of the suggestion that
Ser40-mediated activation requires dopamine binding to
TH, Ser40 phosphorylation may mainly be involved in the
relief of feedback inhibition. Using phosphorylation site-
specific antibodies and an antibody against total TH,
Regulation of tyrosine hydroxylase activity
123
Salvatore et al. (2000) measured the phosphorylation
stoichiometry of TH at different amino acid residues in rat
nigrostriatal and mesolimbic dopaminergic cell bodies
(substantia nigra and ventral tegmental area) and nerve
terminals (corpus striatum and nucleus accumbens). The
extent of phosphorylation of Ser19 and Ser31 differs
between the cell bodies and terminal fields. Ser19 phos-
phorylation is greater in the cell bodies (1.5-fold higher)
and Ser31 phosphorylation is greater in the nerve terminals
(two- to fourfold). Ser40 phosphorylation is similar in these
two compartments and has the lowest value with only 3 %
of the TH Ser40 sites bearing a phosphate group (Table 2).
Ser40 phosphorylation is 1/3rd to 1/10th the level of Ser19
or Ser31 phosphorylation in any region. Haloperidol
treatment of rats for 30–40 min caused an approximate
230 % increase in total phosphorylation (Ser19/31/40) in
nerve terminals, while there was a smaller increase in their
phosphorylation stoichiometry (around a 130 % increase)
in the cell bodies. The authors suggest that the mechanism
of haloperidol action on TH in vivo in the nigrostriatal
system involves both pre- and post-synaptic DA receptors.
Region-specific phosphorylation seems to be mostly neu-
ronal, as this type of regulation is not observed in rat retina
(Witkovsky et al. 2004). Salvatore et al. (2001) measured
the phosphorylation stoichiometry in response to depolar-
ization by 58 mM KCl in rat PC12 cells and in a PC12 cell
line (A126-B1) that lacks PKA. They found that Ser19 and
Ser31 phosphorylation increased three- to fourfold in both
cell lines. Ser40 phosphorylation increased about 40 %
following depolarization of PC12 cells, but there was little,
if any, increase in the A126-B1 cell line. The depolariza-
tion-dependent increases in phosphorylation at all sites
were dependent upon external Ca2?. MEK is upstream of
ERK1/2, and inhibition of the former by PD98059
decreased basal Ser31 phosphorylation and completely
prevented the KCl stimulation in both cell lines. The MEK
inhibitor decreased basal Ser40 phosphorylation in PC12
cells, but not in A126-B1 cells, suggesting that there is
cross-talk between ERK and PKA pathways in PC12 cells.
They used a CaMPKII inhibitor in an effort to identify this
protein kinase as being responsible for Ser19 phosphory-
lation. This proved impractical because its inactive con-
gener had the same inhibitory effects. They reported that
PKA is responsible for the increase in Ser40 phosphory-
lation in PC12 cells and they concluded that Ser31 phos-
phorylation is necessary and sufficient for depolarization-
dependent increases in catecholamine synthesis in PC12
and A126-B1 cells. They concluded that Ser40 phosphor-
ylation plays little or no role in this process. However, they
suggested that PKA-mediated phosphorylation of Ser40
could play a role in regulating catecholamine biosynthesis
under other conditions. In fact, these investigators con-
cluded that the increases in catecholamine biosynthesis in
rat brain following haloperidol treatment were due to
activation of PKA (Salvatore et al. 2000).
In light of these data, we propose a model for regulation
of dopamine synthesis in neurons (similar mechanisms may
be partially active in noradrenergic and adrenergic neurons)
(summarized in Fig. 6). Depolarization of the presynaptic
terminal would activate ERK1/2 and increase DA produc-
tion. Increases in calcium concentration at the nerve ter-
minal to induce synaptic vesicle fusion to the presynaptic
cell membrane will also simultaneously activate CaMPKII,
causing an increase in DA production. Ser40 phosphoryla-
tion (established through studies performed with PKA) will
mainly regulate DA-dependent changes in TH activity, in
addition to responding to the cell’s requirement for rapid
increases in the DA production by increasing enzyme
activity (lower Km for BH4 and higher Ki for DA). When the
DA in the synaptic cleft is taken back up by the reuptake
transporter, TH will be inhibited. Also, depending on the
extent of stimulation of DA autoreceptors, PKA activation
will be regulated. Hence when there is less DA present, TH
is a better substrate for PKA, which increases TH phos-
phorylation and decreases feedback inhibition.
The main effect exerted by phosphorylation of TH,
regardless of the phosphorylation site and the kinase(s)
involved, seems to be activation of the enzyme. Another
effect of TH phosphorylation, however, has negative effects
on the thermal stability of TH protein. Phosphorylation of rat
TH is accompanied by a 50 % decrease in half-life of the
protein (Gahn and Roskoski 1995; Lazar et al. 1981). Sur-
prisingly, Royo et al. (2005) found that phosphorylation of
recombinant rat TH residues other than Ser40 increases in
protein stability. The role of phosphorylation as a regulator
of thermal stability will be discussed later.
Table 2 Phosphorylation stoichiometry of tyrosine hydroxylase
SN Striatum VTA NA Hypothalamus PC12 cells A126-B1
Ser19 0.25 0.10 0.25 0.15 0.26 0.05 0.05
Ser31 0.08 0.30 0.10 0.20 0.13 0.09 0.08
Ser40 0.03 0.03 0.04 0.04 0.05 0.035 0.01
Number of moles of phosphate/mole of tyrosine hydroxylase subunit; data from Salvatore et al. (2000, 2001)
SN substantia nigra, VTA ventral tegmental area, NA nucleus accumbens
I. Tekin et al.
123
Dephosphorylation of TH
Phosphorylation-dependent TH activation is reversed by
the removal of phosphate residues by phosphatases. In the
case of bovine adrenal and corpus striatum, PP2A and
PP2C (phosphoprotein phosphatases 2A and 2C) are the
key enzymes that catalyze the dephosphorylation of bovine
TH (Haavik et al. 1989). BH4 increases the rate of
dephosphorylation of the rat striatal TH as catalyzed by
PP2A (Ribeiro and Kaufman 1994). These experiments
suggest that BH4 may play a dual role (activating and
deactivating) in the regulation of TH activity. That PP2A is
abundant in rat corpus striatum, while PP2C content is only
10 % that of PP2A, supports the role of the former in TH
regulation (Berresheim and Kuhn 1994). Inhibition of
PP2A by okadaic acid and microcystin leads to increased
phosphorylation levels of bovine adrenal TH in digitonin-
permeabilized chromaffin cells, especially at Ser19 and
Ser40 (Goncalves et al. 1997). The rates of dephospho-
rylation of different phosphoserines by PP2A in bovine
adrenal chromaffin cells have been shown to be highest for
Ser40, followed by Ser19, Ser31, and Ser8, in descending
order (Leal et al. 2002). PP2A from rat corpus striatum is
the main TH phosphatase from brain as determined by
measuring the dephosphorylation of recombinant rat TH,
while PP2C is the chief TH protein phosphatase that occurs
in adrenal chromaffin cells (Bevilaqua et al. 2003).
In vitro, a-synuclein, a protein that is known to
accompany the pathology in Parkinson’s disease, increases
the activity of PP2A, thereby decreasing TH activity
through reduced Ser40 phosphorylation (Peng et al. 2005).
However, a study that investigated the effects of a-synuc-
lein on PP2A did not provide a similar observation in vivo
(Drolet et al. 2006). Interestingly, a-synuclein overex-
pression and the presence of pathological mutations known
to accompany the disease-related phenotype of this protein
have been shown to be associated with increased TH
phosphorylation, suggesting the loss of a necessary func-
tion for PP2A during neuronal loss (Alerte et al. 2008; Lou
et al. 2010).
Recent evidence has suggested that the regulation of TH
through dephosphorylation is more complicated than has
been thought previously. First, there is a specific isoform of
the PP2A regulatory subunit (PP2A/B0b) that is found
predominantly in the brain and localizes to specific cellular
compartments (nerve terminal; Saraf et al. 2007). Second,
there appears to be specific glutamate residue on PP2A that
interacts with the TH regulatory domain (Saraf et al. 2010).
In addition, PP2A activity itself can be regulated through
phosphorylation by a PKC isoform (Zhang et al. 2007) and
the action of PKC on PP2A is more pronounced on a
heterotrimeric regulatory subunit (Ahn et al. 2011). Finally,
in vivo PP2A activity may be regulated via fluctuations in
the levels of progesterone (increased PP2A activity
accompanying an acute rise in progesterone levels) (Liu
and Arbogast 2008) and hypoxia-dependent increases in
reactive oxygen species (downregulation of PP2A) (Rag-
huraman et al. 2009).
Fig. 6 Schematic depiction of
the summary of the proposed
physiological effect of TH
phosphorylation. a The relative
amount of TH phosphorylated at
different sites is depicted in
accordance with their
subcellular locations. b The role
of Ser40 phosphorylation and its
regulation in maintaining
dopamine in the nerve terminal
are shown for stimuli
originating from autoreceptors,
reuptake transporters, cAMP,
and Ca2?
Regulation of tyrosine hydroxylase activity
123
TH-binding partners
The first identified binding partner of TH was a member of
the 14-3-3 family of scaffolding proteins (Ichimura et al.
1987). These proteins bind to bovine adrenal medullary TH
phosphorylated at Ser19 by CaMPKII, and this binding
induces activation (Yamauchi and Fujisawa 1981; Yama-
uchi et al. 1981). Binding requires stimuli such as depo-
larization or an increase in calcium to activate CaMPKII.
Itagaki et al. (1999) studied the interaction between
recombinant hTH-1 and 14-3-3g. Phosphorylation of TH
by purified rat brain CaMPKII resulted in Ser19 phos-
phorylation and binding of 14-3-3 with a Kd of 3 nM.
Phosphorylation by recombinant PKA leads to phosphor-
ylation of Ser40 but not to 14-3-3 binding. The Ser40Ala
TH mutant was a poor substrate for CaMPKII and failed to
bind 14-3-3. The mutant possessed basal TH activity.
Analysis of a PC12 cell line transfected with myc-tagged
14-3-3 showed that it formed a complex with endogenous
TH after KCl-induced depolarization.
Kleppe et al. (2001) reported that binding of yeast and
sheep brain 14-3-3 proteins to bovine and human TH iso-
forms occurs following phosphorylation of Ser40, but
binding of bovine brain 14-3-3-f is not increased. Toska
et al. (2002a), from the same laboratory, found that binding
of 14-3-3 proteins to recombinant human TH decreases the
rates for Ser19 and Ser40 dephosphorylation by 82 and
36 %, respectively. Obsilova et al. (2008) found that the
interaction between 14-3-3 and Ser19- and Ser40-phos-
phorylated hTH-1 decreases the exposure of regulatory
domain amino acids with the solvent as determined by
time-resolved tryptophan fluorescence measurements.
These investigators found no changes in hTH-1 secondary
structure following 14-3-3 binding as determined by cir-
cular dichroism.
Many studies have been conducted to identify the spe-
cific 14-3-3 subtype(s) interacting with TH. The 14-3-3 cisoform has been suggested as a binding partner owing to
its predominant expression in bovine brain (Isobe et al.
1991). Halskau et al. (2009) found that recombinant human
14-3-3c forms a triplet complex with bovine adrenal
chromaffin membrane lipids and Ser19-phosphorylated
recombinant hTH-1, suggesting a role for cellular locali-
zation and hTH-1 activation by this protein. These inves-
tigators reported that the amino-terminal regulatory
segment of TH binds to membranes. This finding validates
and perhaps explains the initial observations of membrane-
associated and soluble forms of TH described in bovine
brain homogenates (Kuczenski 1973, 1983). Interaction of
TH with lipid bilayer fatty acids is thought to stabilize
secondary structural elements, especially a-helices, hence
protecting the enzyme against thermal denaturation.
However, the membrane-bound form also displays lower
catalytic activity (Thorolfsson et al. 2002).
Co-precipitation and knock down experiments on 14-3-3
and TH from rat midbrain and cultured dopaminergic cells
indicated a role for the f isoform, and this isoform co-
localized with TH on mitochondria in MN9D cells (Wang
et al. 2009). There seems to be the requirement for a spe-
cific subcellular localization for TH interaction with dif-
ferent 14-3-3 isoforms. Whether there are different effects
occurring following different isoforms has yet to be
reported. Sachs and Vaillancourt (2004) reported that
phosphorylation of recombinant rat TH catalyzed by casein
kinase 2 or its downstream cyclin-dependent kinase
inhibits interaction with 14-3-3 and thus diminishes TH
activity. These investigators did not determine which res-
idues of TH were phosphorylated by these enzymes. These
experiments represent an unusual situation where TH
phosphorylation is associated with a decrease in catalytic
activity. The rat 14-3-3 g subtype may decrease hTH-1
stability upon interacting with its regulatory domain
(Nakashima et al. 2007).
Other binding partners identified for TH have been
investigated owing to their proposed roles in neurodegen-
eration. These include a-synuclein (a-Syn), which is a
major protein in Lewy bodies, the intraneuronal protein
aggregates characteristic of Parkinson’s disease (Spillantini
et al. 1998). a-Syn, which has homology with the 14-3-3
chaperone, binds rat TH and decreases its activity (Leong
et al. 2009; Perez et al. 2002). a-Syn co-immunoprecipi-
tates with TH in rat brain and in mouse MN9D dopami-
nergic cells (Perez et al. 2002). a-Syn overexpression not
only reduces TH activity, but it also causes a decrease in
mouse MN9D cellular dopamine content. a-Syn is over-
expressed upon increased dopamine oxidation; hence pro-
ducing an increase in the amount of reactive oxygen
species in MN9D cells that, in turn, promotes reduction of
TH activity (Leong et al. 2009; Perez et al. 2002).
Lou et al. (2010) found that wild-type human a-syn
expression in mouse MN9D cells reduces endogenous TH
Ser19 phosphorylation. They also reported that either wild-
type or mutant human Ser129Ala a-syn enhances PP2A
activity in these cells with the Ser129Ala mutant producing
greater activation. Phosphorylation of a-syn at Ser129
decreases its PP2A stimulatory activity. They also found
that overexpression of wild-type human a-syn driven by
the TH promoter in transgenic mice stimulates PP2A and
reduces TH phosphorylation in dopaminergic cells. An
increase in TH dephosphorylation is hypothesized to be the
main mechanism through which a-syn depletes cellular
dopamine content (Perez et al. 2002). Regulation of a-
synuclein, therefore, provides an additional control point in
catecholamine homeostasis.
I. Tekin et al.
123
TH activity in Drosophila is regulated by binding to
GTP cyclohydrolase I (the rate-limiting enzyme for BH4
synthesis), and the interaction of these two enzymes
promotes the activity of both partners (Bowling et al.
2008). The authors suggest that this interaction may
provide a mechanism by which TH can obtain cofactor
upon need. Vesicular monoamine transporter (VMAT)
proteins interact with TH and aromatic amino acid
decarboxylase in rat brain as demonstrated by co-immu-
noprecipitation, and complex formation involving these
components provides a mechanism that links DA syn-
thesis with synaptic vesicle filling (Cartier et al. 2010).
This linkage may maintain low cytosolic dopamine levels
and decreases the generation of reactive neurotoxic cate-
chol-quinones. Identification of these binding partners
provides additional insight into the functional regulation
of catecholamine biosynthesis.
TH enzyme stability and proteasomal degradation
A number of regulatory factors or physiological conditions
alter the inherent stability of the TH protein. Rat TH sta-
bility is decreased by enzyme phosphorylation or treatment
with ascorbate or BH4 (Lazar et al. 1981; Vrana et al. 1981;
Wilgus and Roskoski 1988). Binding of tyrosine or dopa-
mine has a protective effect against enzyme inactivation
(Roskoski et al. 1990). Binding of anionic heparin or RNA
stabilizes the protein (Gahn and Roskoski 1995). The
decrease in enzyme stability is ascribed to changes in the
tertiary structure of the protein (Gahn and Roskoski 1995;
Roskoski et al. 1993). Phosphorylation itself induces these
aforementioned structural changes. Among the different
phosphorylation states of TH, phospho-Ser 40 shows the
least stability, while phospho-Ser19, phospho-Ser31, and
phospho-Ser8 are even more stable than the wild-type
enzyme (Royo et al. 2005).
Another mode of regulation for human (Doskeland and
Flatmark 2002) and rat TH (Nakashima et al. 2011)
involves the ubiquitination of TH followed by proteasomal
enzyme degradation. Proteasomal degradation of TH seems
to be triggered by enzyme phosphorylation. Serine phos-
phorylation at residues 19 and 40 is considered to be the
main regulator of ubiquitination for rat TH as demonstrated
in PC12D cells (a subline derived from PC12 cells), while
Ser31 phosphorylation has no effect (Nakashima et al.
2011; Kawahata et al. 2009). One study reports the exis-
tence of a PEST (proline, glutamate, serine and threonine)
motif in the human TH amino-terminal regulatory domain,
which might be one of the underlying causes for the
instability of the cellular enzyme observed in AtT20 cells
(Nakashima et al. 2005). PEST sequences target proteins
for proteasomal degradation.
Several candidate stimuli may lead to TH degradation
via proteasomes including angiotensin in rat hypothalamus
(Lopez Verrilli et al. 2009) and ciliary neurotrophic factor
(CNTF) and leukemia inhibitory factor inflammatory
cytokines in mouse and rat sympathetic neurons and M17
human neuroblastoma cells in culture (Shi and Habecker
2012). Shi and Habecker (2012) reported that cytokine
activation of gp130 increases the ubiquitination of TH.
Moreover, they reported that the proteasome inhibitors
MG-132 and lactacystin prevented the loss of TH in
CNTF-treated sympathetic neuronal cells. In fact, binding
of these inflammatory cytokines to the gp130 receptor
results in TH degradation via activating ERK 1/2. This
intriguing finding suggests an additional role for ERK1/2 in
TH regulation in addition to increasing enzyme activity.
Future imperatives
TH serves as the central control mechanism in catechol-
amine biosynthesis. Despite the extensive study of the
enzyme and its regulation, several areas remain to be
tackled. Clearly, more work needs to be conducted to
define the dynamic protein interactome involving TH and
affecting its regulation. Considerable uncertainty exists
around which specific 14-3-3 proteins are engaged in dif-
ferent cell types and what other proteins may contribute to
TH regulation, stability, and turnover. Moreover, the recent
reports from the Habecker laboratory (Shi and Habecker
2012) may provide important initial insights into the role of
neuroinflammation in the regulation of catecholamine
production in health and disease. One important future
consideration will be the role of aberrant regulatory
mechanisms that contribute to pathophysiological condi-
tions. TH dysfunction has been implicated in several dis-
eases including alcohol and drug addiction, bipolar
disorder, hypertension, movement disorders (Parkinson’s
disease), and schizophrenia (Bademci et al. 2012; Zhu et al.
2012; Sumi-Ichinose et al. 2010; Bellivier 2005). Note that
this need not mean that TH causes the disorder; rather,
aberrant regulation of the enzyme may exacerbate the
disorder. Clearly, these situations will be very difficult to
address in living organisms (especially human subjects).
However, one can easily imagine a neurodegenerative
disease in which TH regulation fails to compensate for
reduced catecholamine function, thus exacerbating the
symptoms or inducing more rapid progression.
In a similar vein, the completion of the human genome
project and ongoing sequencing efforts (e.g., the 1000
Genome Project) are opening up new vistas for exploration.
The NCBI dbSNP database of single nucleotide polymor-
phisms indicates that there are more than 50 genetic vari-
ants in human TH coding region that alter amino acids
Regulation of tyrosine hydroxylase activity
123
(Fig. 7). As we have noted elsewhere (Tekin and Vrana
2013), these reported SNP variants need to be carefully
examined for validation, but they represent a natural lab-
oratory for enzyme structure–function relationships. There
is surprisingly little information on the functional conse-
quences of these variants. While there are clearly a few
genetic variants that are associated with frank disease (e.g.,
R202H and L205P in DOPA-responsive dystonia; Haavik
et al. 2008), the vast majority of the SNPs have no asso-
ciated pathology. Indeed, given that TH deletion is asso-
ciated with embryonic lethality, we anticipate that there
may be severe consequences for a few genetic variants.
Moreover, genetically mediated changes in protein struc-
ture may influence the regulation of this pivotal enzyme
and so modulate catecholamine levels. For this reason,
future work in personalized medicine will need to incor-
porate knowledge of the regulatory effects of TH SNPs (as
well as other enzymes) on catecholamine levels in health
and disease.
Acknowledgments This work was supported by grants from the
National Institutes of Health (GM38931) and the Penn State Institute
for Personalized Medicine (04-017-52 HY 8A1HO; under a grant
from the Pennsylvania Department of Health using Tobacco CURE
Funds). The PA Department of Health specifically disclaims
responsibility for any analyses, interpretations or conclusions.
References
Abate C, Smith JA, Joh TH (1988) Characterization of the catalytic
domain of bovine adrenal tyrosine hydroxylase. Biochem
Biophys Res Commun 151(3):1446–1453
Ahn JH, Kim Y, Kim HS, Greengard P, Nairn AC (2011) Protein
kinase C-dependent dephosphorylation of tyrosine hydroxylase
requires the B56delta heterotrimeric form of protein phosphatase
2A. PLoS One 6(10):e26292. doi:10.1371/journal.pone.0026292
Albert KA, Helmer-Matyjek E, Nairn AC, Muller TH, Haycock JW,
Greene LA, Goldstein M, Greengard P (1984) Calcium/
phospholipid-dependent protein kinase (protein kinase C) phos-
phorylates and activates tyrosine hydroxylase. Proc Natl Acad
Sci USA 81(24):7713–7717
Alerte TN, Akinfolarin AA, Friedrich EE, Mader SA, Hong CS, Perez
RG (2008) a-Synuclein aggregation alters tyrosine hydroxylase
phosphorylation and immunoreactivity: lessons from viral
transduction of knockout mice. Neurosci Lett 435(1):24–29.
doi:10.1016/j.neulet.2008.02.014
Almas B, Le Bourdelles B, Flatmark T, Mallet J, Haavik J (1992)
Regulation of recombinant human tyrosine hydroxylase
isozymes by catecholamine binding and phosphorylation. Struc-
ture/activity studies and mechanistic implications. Eur J Bio-
chem 209(1):249–255
Alterio J, Ravassard P, Haavik J, Le Caer JP, Biguet NF, Waksman G,
Mallet J (1998) Human tyrosine hydroxylase isoforms. Inhibition
by excess tetrahydropterin and unusual behavior of isoform 3
after camp-dependent protein kinase phosphorylation. J Biol
Chem 273(17):10196–10201
Andersson KK, Cox DD, Que L Jr, Flatmark T, Haavik J (1988)
Resonance Raman studies on the blue-green-colored bovine
adrenal tyrosine 3-monooxygenase (tyrosine hydroxylase). Evi-
dence that the feedback inhibitors adrenaline and noradrenaline
are coordinated to iron. J Biol Chem 263(35):18621–18626
Andersson KK, Vassort C, Brennan BA, Que L Jr, Haavik J, Flatmark
T, Gros F, Thibault J (1992) Purification and characterization of
the blue-green rat phaeochromocytoma (PC12) tyrosine hydrox-
ylase with a dopamine-Fe(III) complex. Reversal of the endog-
enous feedback inhibition by phosphorylation of serine-40.
Biochem J 284(Pt 3):687–695
Apostolova G, Dechant G (2009) Development of neurotransmitter
phenotypes in sympathetic neurons. Auton Neurosci
151(1):30–38. doi:10.1016/j.autneu.2009.08.012
Aranyi T, Sarkis C, Berrard S, Sardin K, Siron V, Khalfallah O,
Mallet J (2007) Sodium butyrate modifies the stabilizing
complexes of tyrosine hydroxylase mRNA. Biochem Biophys
Res Commun 359(1):15–19. doi:10.1016/j.bbrc.2007.05.025
Bademci G, Vance JM, Wang L (2012) Tyrosine hydroxylase gene:
another piece of the genetic puzzle of Parkinson’s disease. CNS
Neurol Disord Drug Targets 11(4):469–481
Bailey SW, Dillard SB, Thomas KB, Ayling JE (1989) Changes in the
cofactor binding domain of bovine striatal tyrosine hydroxylase
at physiological pH upon cAMP-dependent phosphorylation
mapped with tetrahydrobiopterin analogues. Biochemistry
28(2):494–504
Bauer AL, Paulding WR, Striet JB, Schnell PO, Czyzyk-Krzeska MF
(2002) Endogenous von Hippel–Lindau tumor suppressor protein
regulates catecholaminergic phenotype in PC12 cells. Cancer
Res 62(6):1682–1687
Beitner-Johnson D, Millhorn DE (1998) Hypoxia induces phosphor-
ylation of the cyclic AMP response element-binding protein by a
novel signaling mechanism. J Biol Chem 273(31):19834–19839
Bellivier F (2005) Schizophrenia, antipsychotics and diabetes: genetic
aspects. Eur Psychiatry 20(Suppl 4):S335–S339
Berresheim U, Kuhn DM (1994) Dephosphorylation of tyrosine
hydroxylase by brain protein phosphatases: a predominant role
for type 2A. Brain Res 637(1–2):273–276
Best JA, Tank AW (1998) The THCRE2 site in the rat tyrosine
hydroxylase gene promoter is responsive to phorbol ester.
Neurosci Lett 258(3):131–134
Bevilaqua LR, Graham ME, Dunkley PR, von Nagy-Felsobuki EI,
Dickson PW (2001) Phosphorylation of Ser(19) alters the
conformation of tyrosine hydroxylase to increase the rate of
phosphorylation of Ser(40). J Biol Chem 276(44):40411–40416.
doi:10.1074/jbc.M105280200
Fig. 7 Reported SNPs and their position on TH mRNA. The red dots
represent single nucleotide polymorphisms that have been reported in
the NCBI SNP database as of 2013. Note that the genetic variants are
spread throughout the protein, although perhaps a little less densely in
the center of the catalytic domain where they would be more likely to
severely impact (or abolish) enzyme activity
I. Tekin et al.
123
Bevilaqua LR, Cammarota M, Dickson PW, Sim AT, Dunkley PR
(2003) Role of protein phosphatase 2C from bovine adrenal
chromaffin cells in the dephosphorylation of phospho-serine 40
tyrosine hydroxylase. J Neurochem 85(6):1368–1373
Birman S, Morgan B, Anzivino M, Hirsh J (1994) A novel and major
isoform of tyrosine hydroxylase in Drosophila is generated by
alternative RNA processing. J Biol Chem 269(42):26559–26567
Bobrovskaya L, Dunkley PR, Dickson PW (2004) Phosphorylation of
Ser19 increases both Ser40 phosphorylation and enzyme activity
of tyrosine hydroxylase in intact cells. J Neurochem
90(4):857–864. doi:10.1111/j.1471-4159.2004.02550.x
Bodeau-Pean S, Ravassard P, Neuner-Jehle M, Faucheux B, Mallet J,
Dumas S (1999) A human tyrosine hydroxylase isoform
associated with progressive supranuclear palsy shows altered
enzymatic activity. J Biol Chem 274(6):3469–3475
Bowling KM, Huang Z, Xu D, Ferdousy F, Funderburk CD, Karnik
N, Neckameyer W, O’Donnell JM (2008) Direct binding of GTP
cyclohydrolase and tyrosine hydroxylase: regulatory interactions
between key enzymes in dopamine biosynthesis. J Biol Chem
283(46):31449–31459. doi:10.1074/jbc.M802552200
Briggs GD, Gordon SL, Dickson PW (2011) Mutational analysis of
catecholamine binding in tyrosine hydroxylase. Biochemistry
50(9):1545–1555. doi:10.1021/bi101455b
Cahill AL, Horwitz J, Perlman RL (1989) Phosphorylation of tyrosine
hydroxylase in protein kinase C-deficient PC12 cells. Neurosci-
ence 30(3):811–818
Campbell DG, Hardie DG, Vulliet PR (1986) Identification of four
phosphorylation sites in the N-terminal region of tyrosine
hydroxylase. J Biol Chem 261(23):10489–10492
Cartier EA, Parra LA, Baust TB, Quiroz M, Salazar G, Faundez V,
Egana L, Torres GE (2010) A biochemical and functional protein
complex involving dopamine synthesis and transport into
synaptic vesicles. J Biol Chem 285(3):1957–1966. doi:10.1074/
jbc.M109.054510
Cazorla P, Smidt MP, O’Malley KL, Burbach JP (2000) A response
element for the homeodomain transcription factor Ptx3 in the
tyrosine hydroxylase gene promoter. J Neurochem
74(5):1829–1837
Chen X, Xu L, Radcliffe P, Sun B, Tank AW (2008) Activation of
tyrosine hydroxylase mRNA translation by cAMP in midbrain
dopaminergic neurons. Mol Pharmacol 73(6):1816–1828. doi:10.
1124/mol.107.043968
Chou A, Toon C, Pickett J, Gill AJ (2013) von Hippel–Lindau
syndrome. Front Horm Res 41:30–49. doi:10.1159/000345668
Chow MS, Eser BE, Wilson SA, Hodgson KO, Hedman B, Fitzpatrick
PF, Solomon EI (2009) Spectroscopy and kinetics of wild-type
and mutant tyrosine hydroxylase: mechanistic insight into O2
activation. J Am Chem Soc 131(22):7685–7698. doi:10.1021/
ja810080c
Cohen P (2002) The origins of protein phosphorylation. Nat Cell Biol
4(5):E127–E130. doi:10.1038/ncb0502-e127
Coker GT 3rd, Studelska D, Harmon S, Burke W, O’Malley KL
(1990) Analysis of tyrosine hydroxylase and insulin transcripts
in human neuroendocrine tissues. Brain Res Mol Brain Res
8(2):93–98
Czyzyk-Krzeska MF, Beresh JE (1996) Characterization of the
hypoxia-inducible protein binding site within the pyrimidine-rich
tract in the 30-untranslated region of the tyrosine hydroxylase
mRNA. J Biol Chem 271(6):3293–3299
Daubner SC, Piper MM (1995) Deletion mutants of tyrosine
hydroxylase identify a region critical for heparin binding.
Protein Sci 4(3):538–541. doi:10.1002/pro.5560040320
Daubner SC, Lauriano C, Haycock JW, Fitzpatrick PF (1992) Site-
directed mutagenesis of serine 40 of rat tyrosine hydroxylase.
Effects of dopamine and cAMP-dependent phosphorylation on
enzyme activity. J Biol Chem 267(18):12639–12646
Daubner SC, Melendez J, Fitzpatrick PF (2000) Reversing the
substrate specificities of phenylalanine and tyrosine hydroxylase:
aspartate 425 of tyrosine hydroxylase is essential for L-DOPA
formation. Biochemistry 39(32):9652–9661
Daubner SC, Moran GR, Fitzpatrick PF (2002) Role of tryptophan
hydroxylase phe313 in determining substrate specificity. Bio-
chem Biophys Res Commun 292(3):639–641. doi:10.1006/bbrc.
2002.6719
Daubner SC, McGinnis JT, Gardner M, Kroboth SL, Morris AR,
Fitzpatrick PF (2006) A flexible loop in tyrosine hydroxylase
controls coupling of amino acid hydroxylation to tetrahydrop-
terin oxidation. J Mol Biol 359(2):299–307. doi:10.1016/j.jmb.
2006.03.016
Daubner SC, Le T, Wang S (2011) Tyrosine hydroxylase and
regulation of dopamine synthesis. Arch Biochem Biophys
508(1):1–12. doi:10.1016/j.abb.2010.12.017
Dickson PW, Briggs GD (2013) Tyrosine hydroxylase: regulation by
feedback inhibition and phosphorylation. Adv Pharmacol
68:13–21. doi:10.1016/B978-0-12-411512-5.00002-6
Diliberto EJ Jr, Daniels AJ, Viveros OH (1991) Multicompartmental
secretion of ascorbate and its dual role in dopamine beta-
hydroxylation. Am J Clin Nutr 54(6 Suppl):1163S–1172S
Dix TA, Kuhn DM, Benkovic SJ (1987) Mechanism of oxygen
activation by tyrosine hydroxylase. Biochemistry
26(12):3354–3361
Doskeland AP, Flatmark T (2002) Ubiquitination of soluble and
membrane-bound tyrosine hydroxylase and degradation of the
soluble form. Eur J Biochem 269(5):1561–1569
Drolet RE, Behrouz B, Lookingland KJ, Goudreau JL (2006)
Substrate-mediated enhancement of phosphorylated tyrosine
hydroxylase in nigrostriatal dopamine neurons: evidence for a
role of a-synuclein. J Neurochem 96(4):950–959. doi:10.1111/j.
1471-4159.2005.03606.x
Dumas S, Le Hir H, Bodeau-Pean S, Hirsch E, Thermes C, Mallet J
(1996) New species of human tyrosine hydroxylase mRNA are
produced in variable amounts in adrenal medulla and are
overexpressed in progressive supranuclear palsy. J Neurochem
67(1):19–25
Dunkley PR, Bobrovskaya L, Graham ME, von Nagy-Felsobuki EI,
Dickson PW (2004) Tyrosine hydroxylase phosphorylation:
regulation and consequences. J Neurochem 91(5):1025–1043.
doi:10.1111/j.1471-4159.2004.02797.x
Edelman AM, Raese JD, Lazar MA, Barchas JD (1978) In vitro
phosphorylation of a purified preparation of bovine corpus
striatal tyrosine hydroxylase. Commun Psychopharmacol
2(6):461–465
Ellis HR, Daubner SC, Fitzpatrick PF (2000) Mutation of serine 395
of tyrosine hydroxylase decouples oxygen–oxygen bond cleav-
age and tyrosine hydroxylation. Biochemistry 39(14):4174–4181
Ernsberger U (2001) The development of postganglionic sympathetic
neurons: coordinating neuronal differentiation and diversifica-
tion. Auton Neurosci 94(1–2):1–13. doi:10.1016/S1566-
0702(01)00336-8
Fitzpatrick PF (1988) The pH dependence of binding of inhibitors to
bovine adrenal tyrosine hydroxylase. J Biol Chem
263(31):16058–16062
Fitzpatrick PF (1989) The metal requirement of rat tyrosine hydrox-
ylase. Biochem Biophys Res Commun 161(1):211–215
Fitzpatrick PF (1991) Steady-state kinetic mechanism of rat tyrosine
hydroxylase. Biochemistry 30(15):3658–3662
Fitzpatrick PF (1999) Tetrahydropterin-dependent amino acid
hydroxylases. Annu Rev Biochem 68:355–381. doi:10.1146/
annurev.biochem.68.1.355
Fitzpatrick PF (2003) Mechanism of aromatic amino acid hydroxyl-
ation. Biochemistry 42(48):14083–14091. doi:10.1021/
bi035656u
Regulation of tyrosine hydroxylase activity
123
Fujisawa H, Okuno S (2005) Regulatory mechanism of tyrosine
hydroxylase activity. Biochem Biophys Res Commun
338(1):271–276. doi:10.1016/j.bbrc.2005.07.183
Fukuda T, Ishii K, Nanmoku T, Isobe K, Kawakami Y, Takekoshi K
(2007) 5-Aminoimidazole-4-carboxamide-1-beta-4-ribofurano-
side stimulates tyrosine hydroxylase activity and catecholamine
secretion by activation of AMP-activated protein kinase in PC12
cells. J Neuroendocrinol 19(8):621–631. doi:10.1111/j.1365-
2826.2007.01570.x
Funakoshi H, Okuno S, Fujisawa H (1991) Different effects on
activity caused by phosphorylation of tyrosine hydroxylase at
serine 40 by three multifunctional protein kinases. J Biol Chem
266(24):15614–15620
Gahn LG, Roskoski R Jr (1995) Thermal stability and CD analysis of
rat tyrosine hydroxylase. Biochemistry 34(1):252–256
Gardaneh M, Gilbert J, Haber M, Norris MD, Cohn SL, Schmidt ML,
Marshall GM (2000) Synergy between 50 and 30 flanking regions
of the human tyrosine hydroxylase gene ensures specific, high-
level expression in neuroblastoma cells. Neurosci Lett
292(3):147–150
Ghee M, Baker H, Miller JC, Ziff EB (1998) AP-1, CREB and CBP
transcription factors differentially regulate the tyrosine hydrox-
ylase gene. Brain Res Mol Brain Res 55(1):101–114
Goncalves CA, Hall A, Sim AT, Bunn SJ, Marley PD, Cheah TB,
Dunkley PR (1997) Tyrosine hydroxylase phosphorylation in
digitonin-permeabilized bovine adrenal chromaffin cells: the
effect of protein kinase and phosphatase inhibitors on Ser19 and
Ser40 phosphorylation. J Neurochem 69(6):2387–2396
Gonzalez-Flores O, Gomora-Arrati P, Garcia-Juarez M, Miranda-
Martinez A, Armengual-Villegas A, Camacho-Arroyo I, Guerra-
Araiza C (2011) Progesterone receptor isoforms differentially
regulate the expression of tryptophan and tyrosine hydroxylase
and glutamic acid decarboxylase in the rat hypothalamus.
Neurochem Int 59(5):671–676. doi:10.1016/j.neuint.2011.06.013
Goodwill KE, Sabatier C, Marks C, Raag R, Fitzpatrick PF, Stevens
RC (1997) Crystal structure of tyrosine hydroxylase at 2.3 A and
its implications for inherited neurodegenerative diseases. Nat
Struct Biol 4(7):578–585
Goodwill KE, Sabatier C, Stevens RC (1998) Crystal structure of
tyrosine hydroxylase with bound cofactor analogue and iron at
2.3 A resolution: self-hydroxylation of Phe300 and the pterin-
binding site. Biochemistry 37(39):13437–13445. doi:10.1021/
bi981462g
Gordon SL, Quinsey NS, Dunkley PR, Dickson PW (2008) Tyrosine
hydroxylase activity is regulated by two distinct dopamine-
binding sites. J Neurochem 106(4):1614–1623. doi:10.1111/j.
1471-4159.2008.05509.x
Gordon SL, Bobrovskaya L, Dunkley PR, Dickson PW (2009a)
Differential regulation of human tyrosine hydroxylase isoforms 1
and 2 in situ: Isoform 2 is not phosphorylated at Ser35. Biochim
Biophys Acta 1793(12):1860–1867. doi:10.1016/j.bbamcr.2009.
10.001
Gordon SL, Webb JK, Shehadeh J, Dunkley PR, Dickson PW (2009b)
The low affinity dopamine binding site on tyrosine hydroxylase:
the role of the N-terminus and in situ regulation of enzyme
activity. Neurochem Res 34(10):1830–1837. doi:10.1007/
s11064-009-9989-5
Gozal E, Shah ZA, Pequignot JM, Pequignot J, Sachleben LR,
Czyzyk-Krzeska MF, Li RC, Guo SZ, Gozal D (2005) Tyrosine
hydroxylase expression and activity in the rat brain: differential
regulation after long-term intermittent or sustained hypoxia. J Appl
Physiol 99(2):642–649. doi:10.1152/japplphysiol.00880.2004
Grenett HE, Ledley FD, Reed LL, Woo SL (1987) Full-length cDNA
for rabbit tryptophan hydroxylase: functional domains and
evolution of aromatic amino acid hydroxylases. Proc Natl Acad
Sci USA 84(16):5530–5534
Griffith LC, Schulman H (1988) The multifunctional Ca2?/calmod-
ulin-dependent protein kinase mediates Ca2?-dependent phos-
phorylation of tyrosine hydroxylase. J Biol Chem
263(19):9542–9549
Grima B, Lamouroux A, Blanot F, Biguet NF, Mallet J (1985)
Complete coding sequence of rat tyrosine hydroxylase mRNA.
Proc Natl Acad Sci USA 82(2):617–621
Grima B, Lamouroux A, Boni C, Julien JF, Javoy-Agid F, Mallet J
(1987) A single human gene encoding multiple tyrosine
hydroxylases with different predicted functional characteristics.
Nature 326(6114):707–711. doi:10.1038/326707a0
Guo Z, Du X, Iacovitti L (1998) Regulation of tyrosine hydroxylase
gene expression during transdifferentiation of striatal neurons:
changes in transcription factors binding the AP-1 site. J Neurosci
18(20):8163–8174
Haavik J, Andersson KK, Petersson L, Flatmark T (1988) Soluble
tyrosine hydroxylase (tyrosine 3-monooxygenase) from bovine
adrenal medulla: large-scale purification and physicochemical
properties. Biochim Biophys Acta 953(2):142–156
Haavik J, Schelling DL, Campbell DG, Andersson KK, Flatmark T,
Cohen P (1989) Identification of protein phosphatase 2A as the
major tyrosine hydroxylase phosphatase in adrenal medulla and
corpus striatum: evidence from the effects of okadaic acid. FEBS
Lett 251(1–2):36–42
Haavik J, Martinez A, Flatmark T (1990) pH-dependent release of
catecholamines from tyrosine hydroxylase and the effect of
phosphorylation of Ser-40. FEBS Lett 262(2):363–365
Haavik J, Le Bourdelles B, Martinez A, Flatmark T, Mallet J (1991)
Recombinant human tyrosine hydroxylase isozymes. Reconsti-
tution with iron and inhibitory effect of other metal ions. Eur J
Biochem 199(2):371–378
Haavik J, Blau N, Thony B (2008) Mutations in human monoamine-
related neurotransmitter pathway genes. Hum Mutat
29(7):891–902. doi:10.1002/humu.20700
Halloran SM, Vulliet PR (1994) Microtubule-associated protein
kinase-2 phosphorylates and activates tyrosine hydroxylase
following depolarization of bovine adrenal chromaffin cells.
J Biol Chem 269(49):30960–30965
Halskau O Jr, Ying M, Baumann A, Kleppe R, Rodriguez-Larrea D,
Almas B, Haavik J, Martinez A (2009) Three-way interaction
between 14-3-3 proteins, the N-terminal region of tyrosine
hydroxylase, and negatively charged membranes. J Biol Chem
284(47):32758–32769. doi:10.1074/jbc.M109.027706
Harada WuJ, Haycock JW, Goldstein M (1996) Regulation of L-
DOPA biosynthesis by site-specific phosphorylation of tyrosine
hydroxylase in AtT-20 cells expressing wild-type and serine
40-substituted enzyme. J Neurochem 67(2):629–635
Hastings TG, Zigmond MJ (1994) Identification of catechol-protein
conjugates in neostriatal slices incubated with [3H]dopamine: impact
of ascorbic acid and glutathione. J Neurochem 63(3):1126–1132
Haycock JW (1990) Phosphorylation of tyrosine hydroxylase in situ
at serine 8, 19, 31, and 40. J Biol Chem 265(20):11682–11691
Haycock JW (1991) Four forms of tyrosine hydroxylase are present in
human adrenal medulla. J Neurochem 56(6):2139–2142
Haycock JW (1993) Multiple forms of tyrosine hydroxylase in human
neuroblastoma cells: quantitation with isoform-specific antibod-
ies. J Neurochem 60(2):493–502
Haycock JW (2002a) Peptide substrates for ERK1/2: structure-
function studies of serine 31 in tyrosine hydroxylase. J Neurosci
Methods 116(1):29–34
Haycock JW (2002b) Species differences in the expression of
multiple tyrosine hydroxylase protein isoforms. J Neurochem
81(5):947–953
Haycock JW, Haycock DA (1991) Tyrosine hydroxylase in rat brain
dopaminergic nerve terminals. Multiple-site phosphorylation
in vivo and in synaptosomes. J Biol Chem 266(9):5650–5657
I. Tekin et al.
123
Haycock JW, Wakade AR (1992) Activation and multiple-site
phosphorylation of tyrosine hydroxylase in perfused rat adrenal
glands. J Neurochem 58(1):57–64
Haycock JW, Ahn NG, Cobb MH, Krebs EG (1992) ERK1 and
ERK2, two microtubule-associated protein 2 kinases, mediate
the phosphorylation of tyrosine hydroxylase at serine-31 in situ.
Proc Natl Acad Sci USA 89(6):2365–2369
Haycock JW, Lew JY, Garcia-Espana A, Lee KY, Harada K, Meller
E, Goldstein M (1998) Role of serine-19 phosphorylation in
regulating tyrosine hydroxylase studied with site- and phospho-
specific antibodies and site-directed mutagenesis. J Neurochem
71(4):1670–1675
He X, Lee KY, Li LhL, Meller E, Goldstein M (1996) Relationship
between enzymatic activity and oligomerization state of tyrosine
hydroxylase. J Biomed Sci 3(5):332–337
Hebert MA, Serova LI, Sabban EL (2005) Single and repeated
immobilization stress differentially trigger induction and phos-
phorylation of several transcription factors and mitogen-acti-
vated protein kinases in the rat locus coeruleus. J Neurochem
95(2):484–498. doi:10.1111/j.1471-4159.2005.03386.x
Hiremagalur B, Nankova B, Nitahara J, Zeman R, Sabban EL (1993)
Nicotine increases expression of tyrosine hydroxylase gene.
Involvement of protein kinase A-mediated pathway. J Biol Chem
268(31):23704–23711
Horellou P, Le Bourdelles B, Clot-Humbert J, Guibert B, Leviel V,
Mallet J (1988) Multiple human tyrosine hydroxylase enzymes,
generated through alternative splicing, have different specific
activities in Xenopus oocytes. J Neurochem 51(2):652–655
Ichikawa S, Ichinose H, Nagatsu T (1990) Multiple mRNAs of
monkey tyrosine hydroxylase. Biochem Biophys Res Commun
173(3):1331–1336
Ichimura T, Isobe T, Okuyama T, Yamauchi T, Fujisawa H (1987)
Brain 14-3-3 protein is an activator protein that activates
tryptophan 5-monooxygenase and tyrosine 3-monooxygenase
in the presence of Ca2?, calmodulin-dependent protein kinase II.
FEBS Lett 219(1):79–82
Ichinose H, Ohye T, Fujita K, Yoshida M, Ueda S, Nagatsu T (1993)
Increased heterogeneity of tyrosine hydroxylase in humans.
Biochem Biophys Res Commun 195(1):158–165. doi:10.1006/
bbrc.1993.2024
Ichinose H, Ohye T, Fujita K, Pantucek F, Lange K, Riederer P,
Nagatsu T (1994) Quantification of mRNA of tyrosine hydrox-
ylase and aromatic L-amino acid decarboxylase in the substantia
nigra in Parkinson’s disease and schizophrenia. J Neural Transm
8(1–2):149–158
Ichinose H, Suzuki T, Inagaki H, Ohye T, Nagatsu T (1999)
Molecular genetics of dopa-responsive dystonia. Biol Chem
380(12):1355–1364. doi:10.1515/BC.1999.175
Isobe T, Ichimura T, Sunaya T, Okuyama T, Takahashi N, Kuwano R,
Takahashi Y (1991) Distinct forms of the protein kinase-
dependent activator of tyrosine and tryptophan hydroxylases.
J Mol Biol 217(1):125–132
Itagaki C, Isobe T, Taoka M, Natsume T, Nomura N, Horigome T,
Omata S, Ichinose H, Nagatsu T, Greene LA, Ichimura T (1999)
Stimulus-coupled interaction of tyrosine hydroxylase with 14-3-
3 proteins. Biochemistry 38(47):15673–15680
Iwawaki T, Kohno K, Kobayashi K (2000) Identification of a
potential nurr1 response element that activates the tyrosine
hydroxylase gene promoter in cultured cells. Biochem Biophys
Res Commun 274(3):590–595. doi:10.1006/bbrc.2000.3204
Jacobs FM, van Erp S, van der Linden AJ, von Oerthel L, Burbach JP,
Smidt MP (2009) Pitx3 potentiates Nurr1 in dopamine neuron
terminal differentiation through release of SMRT-mediated repres-
sion. Development 136(4):531–540. doi:10.1242/dev.029769
Jacobsen KX, MacDonald H, Lemonde S, Daigle M, Grimes DA,
Bulman DE, Albert PR (2008) A Nurr1 point mutant, implicated
in Parkinson’s disease, uncouples ERK1/2-dependent regulation
of tyrosine hydroxylase transcription. Neurobiol Dis
29(1):117–122. doi:10.1016/j.nbd.2007.08.003
Jaffe EK, Stith L, Lawrence SH, Andrake M, Dunbrack RL Jr (2013)
A new model for allosteric regulation of phenylalanine hydrox-
ylase: implications for disease and therapeutics. Arch Biochem
Biophys 530(2):73–82. doi:10.1016/j.abb.2012.12.017
Jensik PJ, Arbogast LA (2011) Differential and interactive effects of
ligand-bound progesterone receptor A and B isoforms on
tyrosine hydroxylase promoter activity. J Neuroendocrinol
23(10):915–925. doi:10.1111/j.1365-2826.2011.02197.x
Jin H, Romano G, Marshall C, Donaldson AE, Suon S, Iacovitti L
(2006) Tyrosine hydroxylase gene regulation in human neuronal
progenitor cells does not depend on Nurr1 as in the murine and
rat systems. J Cell Physiol 207(1):49–57. doi:10.1002/jcp.20534
Joh TH, Park DH, Reis DJ (1978) Direct phosphorylation of brain
tyrosine hydroxylase by cyclic AMP-dependent protein kinase:
mechanism of enzyme activation. Proc Natl Acad Sci USA
75(10):4744–4748
Kaneda N, Kobayashi K, Ichinose H, Kishi F, Nakazawa A,
Kurosawa Y, Fujita K, Nagatsu T (1987) Isolation of a novel
cDNA clone for human tyrosine hydroxylase: alternative RNA
splicing produces four kinds of mRNA from a single gene.
Biochem Biophys Res Commun 146(3):971–975
Kansy JW, Daubner SC, Nishi A, Sotogaku N, Lloyd MD, Nguyen C,
Lu L, Haycock JW, Hope BT, Fitzpatrick PF, Bibb JA (2004)
Identification of tyrosine hydroxylase as a physiological sub-
strate for Cdk5. J Neurochem 91(2):374–384. doi:10.1111/j.
1471-4159.2004.02723.x
Kawahata I, Tokuoka H, Parvez H, Ichinose H (2009) Accumulation
of phosphorylated tyrosine hydroxylase into insoluble protein
aggregates by inhibition of an ubiquitin-proteasome system in
PC12D cells. J Neural Transm 116(12):1571–1578. doi:10.1007/
s00702-009-0304-z
Kelly BB, Hedlund E, Kim C, Ishiguro H, Isacson O, Chikaraishi
DM, Kim KS, Feng G (2006) A tyrosine hydroxylase-yellow
fluorescent protein knock-in reporter system labeling dopami-
nergic neurons reveals potential regulatory role for the first
intron of the rodent tyrosine hydroxylase gene. Neuroscience
142(2):343–354. doi:10.1016/j.neuroscience.2006.06.032
Kessler MA, Yang M, Gollomp KL, Jin H, Iacovitti L (2003) The
human tyrosine hydroxylase gene promoter. Brain Res Mol
Brain Res 112(1–2):8–23
Kim KS, Kim CH, Hwang DY, Seo H, Chung S, Hong SJ, Lim JK,
Anderson T, Isacson O (2003) Orphan nuclear receptor Nurr1
directly transactivates the promoter activity of the tyrosine
hydroxylase gene in a cell-specific manner. J Neurochem
85(3):622–634
Kim SM, Yang JW, Park MJ, Lee JK, Kim SU, Lee YS, Lee MA
(2006) Regulation of human tyrosine hydroxylase gene by
neuron-restrictive silencer factor. Biochem Biophys Res Com-
mun 346(2):426–435. doi:10.1016/j.bbrc.2006.05.142
Kleppe R, Toska K, Haavik J (2001) Interaction of phosphorylated
tyrosine hydroxylase with 14-3-3 proteins: evidence for a phospho-
serine 40-dependent association. J Neurochem 77(4):1097–1107
Kobayashi K, Nagatsu T (2005) Molecular genetics of tyrosine
3-monooxygenase and inherited diseases. Biochem Biophys Res
Commun 338(1):267–270. doi:10.1016/j.bbrc.2005.07.186
Kobayashi K, Kiuchi K, Ishii A, Kaneda N, Kurosawa Y, Fujita K,
Nagatsu T (1988) Expression of four types of human tyrosine
hydroxylase in COS cells. FEBS Lett 238(2):431–434
Kobayashi K, Morita S, Sawada H, Mizuguchi T, Yamada K, Nagatsu
I, Hata T, Watanabe Y, Fujita K, Nagatsu T (1995) Targeted
disruption of the tyrosine hydroxylase locus results in severe
catecholamine depletion and perinatal lethality in mice. J Biol
Chem 270(45):27235–27243
Regulation of tyrosine hydroxylase activity
123
Kroll SL, Paulding WR, Schnell PO, Barton MC, Conaway JW,
Conaway RC, Czyzyk-Krzeska MF (1999) von Hippel–Lindau
protein induces hypoxia-regulated arrest of tyrosine hydroxylase
transcript elongation in pheochromocytoma cells. J Biol Chem
274(42):30109–30114
Kuczenski R (1973) Soluble, membrane-bound, and detergent-
solubilized rat striatal tyrosine hydroxylase. pH-dependent
cofactor binding. J Biol Chem 248(14):5074–5080
Kuczenski R (1983) Effects of phospholipases on the kinetic
properties of rat striatal membrane-bound tyrosine hydroxylase.
J Neurochem 40(3):821–829
Kuhn DM, Arthur RE Jr, Thomas DM, Elferink LA (1999) Tyrosine
hydroxylase is inactivated by catechol-quinones and converted to
a redox-cycling quinoprotein: possible relevance to Parkinson’s
disease. J Neurochem 73(3):1309–1317
Kumer SC, Vrana KE (1996) Intricate regulation of tyrosine
hydroxylase activity and gene expression. J Neurochem
67(2):443–462
Laniece P, Le Hir H, Bodeau-Pean S, Charon Y, Valentin L, Thermes
C, Mallet J, Dumas S (1996) A novel rat tyrosine hydroxylase
mRNA species generated by alternative splicing. J Neurochem
66(5):1819–1825
Lazar MA, Truscott RJ, Raese JD, Barchas JD (1981) Thermal
denaturation of native striatal tyrosine hydroxylase: increased
thermolability of the phosphorylated form of the enzyme.
J Neurochem 36(2):677–682
Lazaroff M, Qi Y, Chikaraishi DM (1998) Differentiation of a
catecholaminergic CNS cell line modifies tyrosine hydroxylase
transcriptional regulation. J Neurochem 71(1):51–59
Le Bourdelles B, Boularand S, Boni C, Horellou P, Dumas S, Grima
B, Mallet J (1988) Analysis of the 50 region of the human
tyrosine hydroxylase gene: combinatorial patterns of exon
splicing generate multiple regulated tyrosine hydroxylase iso-
forms. J Neurochem 50(3):988–991
Leal RB, Sim AT, Goncalves CA, Dunkley PR (2002) Tyrosine
hydroxylase dephosphorylation by protein phosphatase 2A in
bovine adrenal chromaffin cells. Neurochem Res 27(3):207–213
Lebel M, Gauthier Y, Moreau A, Drouin J (2001) Pitx3 activates
mouse tyrosine hydroxylase promoter via a high-affinity binding
site. J Neurochem 77(2):558–567
Lehmann IT, Bobrovskaya L, Gordon SL, Dunkley PR, Dickson PW
(2006) Differential regulation of the human tyrosine hydroxylase
isoforms via hierarchical phosphorylation. J Biol Chem
281(26):17644–17651. doi:10.1074/jbc.M512194200
Lenartowski R, Goc A (2011) Epigenetic, transcriptional and
posttranscriptional regulation of the tyrosine hydroxylase gene.
Int J Dev Neurosci 29(8):873–883. doi:10.1016/j.ijdevneu.2011.
07.006
Lenartowski R, Grzybowski T, Miscicka-Sliwka D, Wojciechowski
W, Goc A (2003) The bovine tyrosine hydroxylase gene
associates in vitro with the nuclear matrix by its first intron
sequence. Acta Biochim Pol 50(3):865–873
Leong SL, Cappai R, Barnham KJ, Pham CL (2009) Modulation of a-
synuclein aggregation by dopamine: a review. Neurochem Res
34(10):1838–1846. doi:10.1007/s11064-009-9986-8
Levitt M, Spector S, Sjoerdsma A, Udenfriend S (1965) Elucidation
of the rate-limiting step in norepinephrine biosynthesis in the
perfused guinea-pig heart. J Pharmacol Exp Ther 148:1–8
Lewis DA, Melchitzky DS, Haycock JW (1993) Four isoforms of
tyrosine hydroxylase are expressed in human brain. Neurosci-
ence 54(2):477–492
Lewis DA, Melchitzky DS, Haycock JW (1994) Expression and
distribution of two isoforms of tyrosine hydroxylase in macaque
monkey brain. Brain Res 656(1):1–13
Lewis-Tuffin LJ, Quinn PG, Chikaraishi DM (2004) Tyrosine
hydroxylase transcription depends primarily on cAMP response
element activity, regardless of the type of inducing stimulus. Mol
Cell Neurosci 25(3):536–547. doi:10.1016/j.mcn.2003.10.010
Lindgren N, Goiny M, Herrera-Marschitz M, Haycock JW, Hokfelt T,
Fisone G (2002) Activation of extracellular signal-regulated
kinases 1 and 2 by depolarization stimulates tyrosine hydroxy-
lase phosphorylation and dopamine synthesis in rat brain. Eur J
Neurosci 15(4):769–773
Liu B, Arbogast LA (2008) Phosphorylation state of tyrosine
hydroxylase in the stalk-median eminence is decreased by
progesterone in cycling female rats. Endocrinology
149(4):1462–1469. doi:10.1210/en.2007-1345
Liu X, Vrana KE (1991) Leucine zippers and coiled-coils in the
aromatic amino acid hydroxylases. Neurochem Int 18(1):27–31
Lohse DL, Fitzpatrick PF (1993) Identification of the intersubunit
binding region in rat tyrosine hydroxylase. Biochem Biophys
Res Commun 197(3):1543–1548. doi:10.1006/bbrc.1993.2653
Lopez Verrilli MA, Pirola CJ, Pascual MM, Dominici FP, Turyn D,
Gironacci MM (2009) Angiotensin-(1-7) through AT receptors
mediates tyrosine hydroxylase degradation via the ubiquitin–
proteasome pathway. J Neurochem 109(2):326–335. doi:10.
1111/j.1471-4159.2009.05912.x
Lou H, Montoya SE, Alerte TN, Wang J, Wu J, Peng X, Hong CS,
Friedrich EE, Mader SA, Pedersen CJ, Marcus BS, McCormack
AL, Di Monte DA, Daubner SC, Perez RG (2010) Serine 129
phosphorylation reduces the ability of a-synuclein to regulate
tyrosine hydroxylase and protein phosphatase 2A in vitro and
in vivo. J Biol Chem 285(23):17648–17661. doi:10.1074/jbc.
M110.100867
Lovenberg W, Bruckwick EA, Hanbauer I (1975) ATP, cyclic AMP,
and magnesium increase the affinity of rat striatal tyrosine
hydroxylase for its cofactor. Proc Natl Acad Sci USA
72(8):2955–2958
Luke TM, Hexum TD (2008) Tyrosine hydroxylase phosphorylation
increases in response to ATP and neuropeptide Y co-stimulation
of ERK2 phosphorylation. Pharmacol Res 58(1):52–57. doi:10.
1016/j.phrs.2008.06.010
Maass A, Scholz J, Moser A (2003) Modeled ligand-protein
complexes elucidate the origin of substrate specificity and
provide insight into catalytic mechanisms of phenylalanine
hydroxylase and tyrosine hydroxylase. Eur J Biochem
270(6):1065–1075
Maharjan S, Serova L, Sabban EL (2005) Transcriptional regulation
of tyrosine hydroxylase by estrogen: opposite effects with
estrogen receptors a and beta and interactions with cyclic AMP.
J Neurochem 93(6):1502–1514. doi:10.1111/j.1471-4159.2005.
03142.x
Maharjan S, Serova LI, Sabban EL (2010) Membrane-initiated
estradiol signaling increases tyrosine hydroxylase promoter
activity with ER a in PC12 cells. J Neurochem 112(1):42–55.
doi:10.1111/j.1471-4159.2009.06430.x
Martinat C, Bacci JJ, Leete T, Kim J, Vanti WB, Newman AH, Cha
JH, Gether U, Wang H, Abeliovich A (2006) Cooperative
transcription activation by Nurr1 and Pitx3 induces embryonic
stem cell maturation to the midbrain dopamine neuron pheno-
type. Proc Natl Acad Sci USA 103(8):2874–2879. doi:10.1073/
pnas.0511153103
Martinez A, Haavik J, Flatmark T, Arrondo JL, Muga A (1996)
Conformational properties and stability of tyrosine hydroxylase
studied by infrared spectroscopy. Effect of iron/catecholamine
binding and phosphorylation. J Biol Chem 271(33):
19737–19742
Maxwell SL, Ho HY, Kuehner E, Zhao S, Li M (2005) Pitx3 regulates
tyrosine hydroxylase expression in the substantia nigra and
identifies a subgroup of mesencephalic dopaminergic progenitor
neurons during mouse development. Dev Biol 282(2):467–479.
doi:10.1016/j.ydbio.2005.03.028
I. Tekin et al.
123
McCulloch RI, Fitzpatrick PF (1999) Limited proteolysis of tyrosine
hydroxylase identifies residues 33-50 as conformationally sen-
sitive to phosphorylation state and dopamine binding. Arch
Biochem Biophys 367(1):143–145. doi:10.1006/abbi.1999.1259
McCulloch RI, Daubner SC, Fitzpatrick PF (2001) Effects of
substitution at serine 40 of tyrosine hydroxylase on catechol-
amine binding. Biochemistry 40(24):7273–7278
McTigue M, Cremins J, Halegoua S (1985) Nerve growth factor and
other agents mediate phosphorylation and activation of tyrosine
hydroxylase. A convergence of multiple kinase activities. J Biol
Chem 260(15):9047–9056
Meligeni JA, Haycock JW, Bennett WF, Waymire JC (1982)
Phosphorylation and activation of tyrosine hydroxylase mediate
the cAMP-induced increase in catecholamine biosynthesis in
adrenal chromaffin cells. J Biol Chem 257(21):12632–12640
Messmer K, Remington MP, Skidmore F, Fishman PS (2007)
Induction of tyrosine hydroxylase expression by the transcription
factor Pitx3. Int J Dev Neurosci 25(1):29–37. doi:10.1016/j.
ijdevneu.2006.11.003
Meyer-Klaucke W, Winkler H, Schunemann V, Trautwein AX,
Nolting HF, Haavik J (1996) Mossbauer, electron-paramagnetic-
resonance and X-ray-absorption fine-structure studies of the iron
environment in recombinant human tyrosine hydroxylase. Eur J
Biochem 241(2):432–439
Milsted A, Serova L, Sabban EL, Dunphy G, Turner ME, Ely DL
(2004) Regulation of tyrosine hydroxylase gene transcription by
Sry. Neurosci Lett 369(3):203–207. doi:10.1016/j.neulet.2004.
07.052
Min N, Joh TH, Kim KS, Peng C, Son JH (1994) 50 upstream DNA
sequence of the rat tyrosine hydroxylase gene directs high-level
and tissue-specific expression to catecholaminergic neurons in
the central nervous system of transgenic mice. Brain Res Mol
Brain Res 27(2):281–289
Min N, Joh TH, Corp ES, Baker H, Cubells JF, Son JH (1996) A
transgenic mouse model to study transsynaptic regulation of
tyrosine hydroxylase gene expression. J Neurochem 67(1):11–18
Mishra RR, Adhikary G, Simonson MS, Cherniack NS, Prabhakar NR
(1998) Role of c-fos in hypoxia-induced AP-1 cis-element
activity and tyrosine hydroxylase gene expression. Brain Res
Mol Brain Res 59(1):74–83
Mogi M, Kojima K, Nagatsu T (1984) Detection of inactive or less
active forms of tyrosine hydroxylase in human adrenals by a
sandwich enzyme immunoassay. Anal Biochem 138(1):125–132
Morgenroth VH 3rd, Hegstrand LR, Roth RH, Greengard P (1975)
Evidence for involvement of protein kinase in the activation by
adenosine 30:50-monophosphate of brain tyrosine 3-monooxy-
genase. J Biol Chem 250(5):1946–1948
Moy LY, Tsai LH (2004) Cyclin-dependent kinase 5 phosphorylates
serine 31 of tyrosine hydroxylase and regulates its stability.
J Biol Chem 279(52):54487–54493. doi:10.1074/jbc.
M406636200
Nagamoto-Combs K, Piech KM, Best JA, Sun B, Tank AW (1997)
Tyrosine hydroxylase gene promoter activity is regulated by
both cyclic AMP-responsive element and AP1 sites following
calcium influx. Evidence for cyclic amp-responsive element
binding protein-independent regulation. J Biol Chem
272(9):6051–6058
Nagatsu T, Levitt M, Udenfriend S (1964) Tyrosine hydroxylase. The
initial step in norepinephrine biosynthesis. J Biol Chem
239:2910–2917
Nakashima A, Mori K, Suzuki T, Kurita H, Otani M, Nagatsu T, Ota
A (1999) Dopamine inhibition of human tyrosine hydroxylase
type 1 is controlled by the specific portion in the N-terminus of
the enzyme. J Neurochem 72(5):2145–2153
Nakashima A, Hayashi N, Mori K, Kaneko YS, Nagatsu T, Ota A
(2000) Positive charge intrinsic to Arg(37)–Arg(38) is critical for
dopamine inhibition of the catalytic activity of human tyrosine
hydroxylase type 1. FEBS Lett 465(1):59–63
Nakashima A, Kaneko YS, Mori K, Fujiwara K, Tsugu T, Suzuki T,
Nagatsu T, Ota A (2002) The mutation of two amino acid
residues in the N-terminus of tyrosine hydroxylase (TH)
dramatically enhances the catalytic activity in neuroendocrine
AtT-20 cells. J Neurochem 82(1):202–206
Nakashima A, Ota A, Sabban EL (2003) Interactions between Egr1
and AP1 factors in regulation of tyrosine hydroxylase transcrip-
tion. Brain Res Mol Brain Res 112(1–2):61–69
Nakashima A, Hayashi N, Kaneko YS, Mori K, Egusa H, Nagatsu T,
Ota A (2005) Deletion of N-terminus of human tyrosine
hydroxylase type 1 enhances stability of the enzyme in AtT-20
cells. J Neurosci Res 81(1):110–120. doi:10.1002/jnr.20540
Nakashima A, Hayashi N, Kaneko YS, Mori K, Sabban EL, Nagatsu
T, Ota A (2007) RNAi of 14-3-3eta protein increases intracel-
lular stability of tyrosine hydroxylase. Biochem Biophys Res
Commun 363(3):817–821. doi:10.1016/j.bbrc.2007.09.042
Nakashima A, Hayashi N, Kaneko YS, Mori K, Sabban EL, Nagatsu
T, Ota A (2009) Role of N-terminus of tyrosine hydroxylase in
the biosynthesis of catecholamines. J Neural Transm
116(11):1355–1362. doi:10.1007/s00702-009-0227-8
Nakashima A, Mori K, Kaneko YS, Hayashi N, Nagatsu T, Ota A
(2011) Phosphorylation of the N-terminal portion of tyrosine
hydroxylase triggers proteasomal digestion of the enzyme.
Biochem Biophys Res Commun 407(2):343–347. doi:10.1016/
j.bbrc.2011.03.020
Nakashima A, Kaneko YS, Kodani Y, Mori K, Nagasaki H, Nagatsu
T, Ota A (2013) Intracellular stability of tyrosine hydroxylase:
phosphorylation and proteasomal digestion of the enzyme. Adv
Pharmacol 68:3–11. doi:10.1016/B978-0-12-411512-5.00001-4
Nankova B, Hiremagalur B, Menezes A, Zeman R, Sabban E (1996)
Promoter elements and second messenger pathways involved in
transcriptional activation of tyrosine hydroxylase by ionomycin.
Brain Res Mol Brain Res 35(1–2):164–172
Nasrin S, Ichinose H, Hidaka H, Nagatsu T (1994) Recombinant
human tyrosine hydroxylase types 1–4 show regulatory kinetic
properties for the natural (6R)-tetrahydrobiopterin cofactor.
J Biochem 116(2):393–398
Obsilova V, Nedbalkova E, Silhan J, Boura E, Herman P, Vecer J,
Sulc M, Teisinger J, Dyda F, Obsil T (2008) The 14-3-3 protein
affects the conformation of the regulatory domain of human
tyrosine hydroxylase. Biochemistry 47(6):1768–1777. doi:10.
1021/bi7019468
Ohye T, Ichinose H, Yoshizawa T, Kanazawa I, Nagatsu T (2001) A
new splicing variant for human tyrosine hydroxylase in the
adrenal medulla. Neurosci Lett 312(3):157–160
Okuno S, Fujisawa H (1985) A new mechanism for regulation of
tyrosine 3-monooxygenase by end product and cyclic AMP-
dependent protein kinase. J Biol Chem 260(5):2633–2635
Osaka H, Sabban EL (1997) Requirement for cAMP/calcium response
element but not AP-1 site in fibroblast growth factor-2-elicited
activation of tyrosine hydroxylase gene expression in PC12 cells.
Brain Res Mol Brain Res 49(1–2):222–228
Ota A, Yoshida S, Nagatsu T (1995) Deletion mutagenesis of human
tyrosine hydroxylase type 1 regulatory domain. Biochem Biophys
Res Commun 213(3):1099–1106. doi:10.1006/bbrc.1995.2240
Ota A, Nakashima A, Mori K, Nagatsu T (1997) Effects of dopamine
on N-terminus-deleted human tyrosine hydroxylase type 1
expressed in Escherichia coli. Neurosci Lett 229(1):57–60
Papanikolaou NA, Sabban EL (1999) Sp1/Egr1 motif: a new
candidate in the regulation of rat tyrosine hydroxylase gene
transcription by immobilization stress. J Neurochem
73(1):433–436
Papanikolaou NA, Sabban EL (2000) Ability of Egr1 to activate
tyrosine hydroxylase transcription in PC12 cells. Cross-talk with
Regulation of tyrosine hydroxylase activity
123
AP-1 factors. J Biol Chem 275(35):26683–26689. doi:10.1074/
jbc.M000049200
Parareda A, Villaescusa JC, Sanchez de Toledo J, Gallego S (2003)
New splicing variants for human Tyrosine Hydroxylase gene
with possible implications for the detection of minimal residual
disease in patients with neuroblastoma. Neurosci Lett
336(1):29–32
Patankar S, Lazaroff M, Yoon SO, Chikaraishi DM (1997) A novel
basal promoter element is required for expression of the rat
tyrosine hydroxylase gene. J Neurosci 17(11):4076–4086
Paulding WR, Czyzyk-Krzeska MF (1999) Regulation of tyrosine
hydroxylase mRNA stability by protein-binding, pyrimidine-rich
sequence in the 30-untranslated region. J Biol Chem
274(4):2532–2538
Peng X, Tehranian R, Dietrich P, Stefanis L, Perez RG (2005) a-
Synuclein activation of protein phosphatase 2A reduces tyrosine
hydroxylase phosphorylation in dopaminergic cells. J Cell Sci
118(Pt 15):3523–3530. doi:10.1242/jcs.02481
Perez RG, Waymire JC, Lin E, Liu JJ, Guo F, Zigmond MJ (2002) A
role for a-synuclein in the regulation of dopamine biosynthesis.
J Neurosci 22(8):3090–3099
Piech-Dumas KM, Best JA, Chen Y, Nagamoto-Combs K, Osterhout
CA, Tank AW (2001) The cAMP responsive element and CREB
partially mediate the response of the tyrosine hydroxylase gene
to phorbol ester. J Neurochem 76(5):1376–1385
Que L Jr (2000) One motif—many different reactions. Nat Struct Biol
7(3):182–184. doi:10.1038/73270
Quinsey NS, Lenaghan CM, Dickson PW (1996) Identification of
Gln313 and Pro327 as residues critical for substrate inhibition in
tyrosine hydroxylase. J Neurochem 66(3):908–914
Raghuraman G, Rai V, Peng YJ, Prabhakar NR, Kumar GK (2009)
Pattern-specific sustained activation of tyrosine hydroxylase by
intermittent hypoxia: role of reactive oxygen species-dependent
downregulation of protein phosphatase 2A and upregulation of
protein kinases. Antioxid Redox Signal 11(8):1777–1789.
doi:10.1089/ARS.2008.2368
Ramsey AJ, Fitzpatrick PF (1998) Effects of phosphorylation of
serine 40 of tyrosine hydroxylase on binding of catecholamines:
evidence for a novel regulatory mechanism. Biochemistry
37(25):8980–8986. doi:10.1021/bi980582l
Ramsey AJ, Fitzpatrick PF (2000) Effects of phosphorylation on
binding of catecholamines to tyrosine hydroxylase: specificity
and thermodynamics. Biochemistry 39(4):773–778
Ramsey AJ, Daubner SC, Ehrlich JI, Fitzpatrick PF (1995) Identi-
fication of iron ligands in tyrosine hydroxylase by mutagenesis
of conserved histidinyl residues. Protein Sci 4(10):2082–2086.
doi:10.1002/pro.5560041013
Rani CS, Elango N, Wang SS, Kobayashi K, Strong R (2009)
Identification of an activator protein-1-like sequence as the
glucocorticoid response element in the rat tyrosine hydroxylase
gene. Mol Pharmacol 75(3):589–598. doi:10.1124/mol.108.
051219
Rao F, Zhang L, Wessel J, Zhang K, Wen G, Kennedy BP, Rana BK,
Das M, Rodriguez-Flores JL, Smith DW, Cadman PE, Salem
RM, Mahata SK, Schork NJ, Taupenot L, Ziegler MG, O’Connor
DT (2007) Tyrosine hydroxylase, the rate-limiting enzyme in
catecholamine biosynthesis: discovery of common human
genetic variants governing transcription, autonomic activity,
and blood pressure in vivo. Circulation 116(9):993–1006. doi:10.
1161/CIRCULATIONAHA.106.682302
Ribeiro P, Kaufman S (1994) The effect of tetrahydrobiopterin on the
in situ phosphorylation of tyrosine hydroxylase in rat striatal
synaptosomes. Neurochem Res 19(5):541–548
Ribeiro P, Wang Y, Citron BA, Kaufman S (1992) Regulation of
recombinant rat tyrosine hydroxylase by dopamine. Proc Natl
Acad Sci USA 89(20):9593–9597
Ribeiro P, Wang Y, Citron BA, Kaufman S (1993) Deletion
mutagenesis of rat PC12 tyrosine hydroxylase regulatory and
catalytic domains. J Mol Neurosci 4(2):125–139. doi:10.1007/
BF02782125
Roberts KM, Fitzpatrick PF (2013) Mechanisms of tryptophan and
tyrosine hydroxylase. IUBMB Life 65(4):350–357. doi:10.1002/
iub.1144
Rodriguez-Pascual F, Ferrero R, Miras-Portugal MT, Torres M (1999)
Phosphorylation of tyrosine hydroxylase by cGMP-dependent
protein kinase in intact bovine chromaffin cells. Arch Biochem
Biophys 366(2):207–214. doi:10.1006/abbi.1999.1199
Roe DF, Craviso GL, Waymire JC (2004) Nicotinic stimulation
modulates tyrosine hydroxylase mRNA half-life and protein
binding to the 30UTR in a manner that requires transcription.
Brain Res Mol Brain Res 120(2):91–102
Roma J, Saus E, Cuadros M, Reventos J, Sanchez de Toledo J,
Gallego S (2007) Characterisation of novel splicing variants of
the tyrosine hydroxylase C-terminal domain in human neurob-
lastic tumours. Biol Chem 388(4):419–426. doi:10.1515/BC.
2007.041
Romano G, Suon S, Jin H, Donaldson AE, Iacovitti L (2005)
Characterization of five evolutionary conserved regions of the
human tyrosine hydroxylase (TH) promoter: implications for the
engineering of a human TH minimal promoter assembled in a
self-inactivating lentiviral vector system. J Cell Physiol
204(2):666–677. doi:10.1002/jcp.20319
Romano G, Macaluso M, Lucchetti C, Iacovitti L (2007) Transcrip-
tion and epigenetic profile of the promoter, first exon and first
intron of the human tyrosine hydroxylase gene. J Cell Physiol
211(2):431–438. doi:10.1002/jcp.20949
Roskoski R Jr (2012) ERK1/2 MAP kinases: structure, function, and
regulation. Pharmacol Res 66(2):105–143. doi:10.1016/j.phrs.
2012.04.005
Roskoski R Jr, Ritchie P (1991) Phosphorylation of rat tyrosine
hydroxylase and its model peptides in vitro by cyclic AMP-
dependent protein kinase. J Neurochem 56(3):1019–1023
Roskoski R Jr, Roskoski LM (1987) Activation of tyrosine hydrox-
ylase in PC12 cells by the cyclic GMP and cyclic AMP second
messenger systems. J Neurochem 48(1):236–242
Roskoski R Jr, Vulliet PR, Glass DB (1987) Phosphorylation of
tyrosine hydroxylase by cyclic GMP-dependent protein kinase.
J Neurochem 48(3):840–845
Roskoski R Jr, Wilgus H, Vrana KE (1990) Inactivation of tyrosine
hydroxylase by pterin substrates following phosphorylation by
cyclic AMP-dependent protein kinase. Mol Pharmacol
38(4):541–546
Roskoski R Jr, Gahn LG, Roskoski LM (1993) Inactivation of
phosphorylated rat tyrosine hydroxylase by ascorbate in vitro.
Eur J Biochem 218(2):363–370
Royo M, Colette Daubner S (2006) Kinetics of regulatory serine
variants of tyrosine hydroxylase with cyclic AMP-dependent
protein kinase and extracellular signal-regulated protein kinase
2. Biochim Biophys Acta 1764(4):786–792. doi:10.1016/j.
bbapap.2006.01.019
Royo M, Fitzpatrick PF, Daubner SC (2005) Mutation of regulatory
serines of rat tyrosine hydroxylase to glutamate: effects on
enzyme stability and activity. Arch Biochem Biophys
434(2):266–274. doi:10.1016/j.abb.2004.11.007
Sabban EL, Hebert MA, Liu X, Nankova B, Serova L (2004)
Differential effects of stress on gene transcription factors in
catecholaminergic systems. Ann N Y Acad Sci 1032:130–140.
doi:10.1196/annals.1314.010
Sachs NA, Vaillancourt RR (2004) Cyclin-dependent kinase
11p110 and casein kinase 2 (CK2) inhibit the interaction
between tyrosine hydroxylase and 14-3-3. J Neurochem
88(1):51–62
I. Tekin et al.
123
Sakurada K, Ohshima-Sakurada M, Palmer TD, Gage FH (1999)
Nurr1, an orphan nuclear receptor, is a transcriptional activator
of endogenous tyrosine hydroxylase in neural progenitor cells
derived from the adult brain. Development 126(18):4017–4026
Salvatore MF, Garcia-Espana A, Goldstein M, Deutch AY, Haycock
JW (2000) Stoichiometry of tyrosine hydroxylase phosphoryla-
tion in the nigrostriatal and mesolimbic systems in vivo: effects
of acute haloperidol and related compounds. J Neurochem
75(1):225–232
Salvatore MF, Waymire JC, Haycock JW (2001) Depolarization-
stimulated catecholamine biosynthesis: involvement of protein
kinases and tyrosine hydroxylase phosphorylation sites in situ.
J Neurochem 79(2):349–360
Saraf A, Virshup DM, Strack S (2007) Differential expression of the
B’beta regulatory subunit of protein phosphatase 2A modulates
tyrosine hydroxylase phosphorylation and catecholamine syn-
thesis. J Biol Chem 282(1):573–580. doi:10.1074/jbc.
M607407200
Saraf A, Oberg EA, Strack S (2010) Molecular determinants for PP2A
substrate specificity: charged residues mediate dephosphoryla-
tion of tyrosine hydroxylase by the PP2A/B’ regulatory subunit.
Biochemistry 49(5):986–995. doi:10.1021/bi902160t
Satoh J, Kuroda Y (2002) The constitutive and inducible expression
of Nurr1, a key regulator of dopaminergic neuronal differenti-
ation, in human neural and non-neural cell lines. Neuropathology
22(4):219–232
Schimmel JJ, Crews L, Roffler-Tarlov S, Chikaraishi DM (1999)
4.5 kb of the rat tyrosine hydroxylase 50 flanking sequence
directs tissue specific expression during development and
contains consensus sites for multiple transcription factors. Brain
Res Mol Brain Res 74(1–2):1–14
Schnell PO, Ignacak ML, Bauer AL, Striet JB, Paulding WR, Czyzyk-
Krzeska MF (2003) Regulation of tyrosine hydroxylase promoter
activity by the von Hippel–Lindau tumor suppressor protein and
hypoxia-inducible transcription factors. J Neurochem 85(2):483–491
Schworer CM, Soderling TR (1983) Substrate specificity of liver
calmodulin-dependent glycogen synthase kinase. Biochem Bio-
phys Res Commun 116(2):412–416
Segawa M (2011) Hereditary progressive dystonia with marked
diurnal fluctuation. Brain Dev 33(3):195–201. doi:10.1016/j.
braindev.2010.10.015
Segawa M, Nomura Y, Nishiyama N (2003) Autosomal dominant
guanosine triphosphate cyclohydrolase I deficiency (Segawa
disease). Ann Neurol 54(Suppl 6):S32–S45. doi:10.1002/ana.
10630
Seta KA, Millhorn DE (2004) Functional genomics approach to
hypoxia signaling. J Appl Physiol 96(2):765–773. doi:10.1152/
japplphysiol.00836.2003
Shi X, Habecker BA (2012) gp130 cytokines stimulate proteasomal
degradation of tyrosine hydroxylase via extracellular signal
regulated kinases 1 and 2. J Neurochem 120(2):239–247. doi:10.
1111/j.1471-4159.2011.07539.x
Skjevik AA, Mileni M, Baumann A, Halskau O, Teigen K, Stevens
RC, Martinez A (2014) The N-terminal sequence of tyrosine
hydroxylase is a conformationally versatile motif that binds
14-3-3 proteins and membranes. J Mol Biol 426(1):150–168.
doi:10.1016/j.jmb.2013.09.012
Spillantini MG, Crowther RA, Jakes R, Hasegawa M, Goedert M
(1998) a-Synuclein in filamentous inclusions of Lewy bodies
from Parkinson’s disease and dementia with Lewy bodies. Proc
Natl Acad Sci USA 95(11):6469–6473
Stefano L, Al Sarraj J, Rossler OG, Vinson C, Thiel G (2006) Up-
regulation of tyrosine hydroxylase gene transcription by tetra-
decanoylphorbol acetate is mediated by the transcription factors
Ets-like protein-1 (Elk-1) and Egr-1. J Neurochem 97(1):92–104.
doi:10.1111/j.1471-4159.2006.03749.x
Stokes AH, Hastings TG, Vrana KE (1999) Cytotoxic and genotoxic
potential of dopamine. J Neurosci Res 55(6):659–665
Stott SR, Metzakopian E, Lin W, Kaestner KH, Hen R, Ang SL
(2013) Foxa1 and foxa2 are required for the maintenance of
dopaminergic properties in ventral midbrain neurons at late
embryonic stages. J Neurosci 33(18):8022–8034. doi:10.1523/
JNEUROSCI.4774-12.2013
Sumi M, Kiuchi K, Ishikawa T, Ishii A, Hagiwara M, Nagatsu T,
Hidaka H (1991) The newly synthesized selective Ca2?/
calmodulin dependent protein kinase II inhibitor KN-93 reduces
dopamine contents in PC12h cells. Biochem Biophys Res
Commun 181(3):968–975
Sumi-Ichinose C, Ichinose H, Ikemoto K, Nomura T, Kondo K (2010)
Advanced research on dopamine signaling to develop drugs for
the treatment of mental disorders: regulation of dopaminergic
neural transmission by tyrosine hydroxylase protein at nerve
terminals. J Pharmacol Sci 114(1):17–24
Sun B, Tank AW (2003) c-Fos is essential for the response of the
tyrosine hydroxylase gene to depolarization or phorbol ester.
J Neurochem 85(6):1421–1430
Sun B, Sterling CR, Tank AW (2003) Chronic nicotine treatment
leads to sustained stimulation of tyrosine hydroxylase gene
transcription rate in rat adrenal medulla. J Pharmacol Exp Ther
304(2):575–588. doi:10.1124/jpet.102.043596
Sun B, Chen X, Xu L, Sterling C, Tank AW (2004) Chronic nicotine
treatment leads to induction of tyrosine hydroxylase in locus
ceruleus neurons: the role of transcriptional activation. Mol
Pharmacol 66(4):1011–1021. doi:10.1124/mol.104.001974
Sura GR, Daubner SC, Fitzpatrick PF (2004) Effects of phosphor-
ylation by protein kinase A on binding of catecholamines to the
human tyrosine hydroxylase isoforms. J Neurochem
90(4):970–978. doi:10.1111/j.1471-4159.2004.02566.x
Sura GR, Lasagna M, Gawandi V, Reinhart GD, Fitzpatrick PF
(2006) Effects of ligands on the mobility of an active-site loop in
tyrosine hydroxylase as monitored by fluorescence anisotropy.
Biochemistry 45(31):9632–9638. doi:10.1021/bi060754b
Sutherland C, Alterio J, Campbell DG, Le Bourdelles B, Mallet J,
Haavik J, Cohen P (1993) Phosphorylation and activation of
human tyrosine hydroxylase in vitro by mitogen-activated
protein (MAP) kinase and MAP-kinase-activated kinases 1 and
2. Eur J Biochem 217(2):715–722
Suzuki T, Yamakuni T, Hagiwara M, Ichinose H (2002) Identification
of ATF-2 as a transcriptional regulator for the tyrosine hydrox-
ylase gene. J Biol Chem 277(43):40768–40774. doi:10.1074/jbc.
M206043200
Suzuki T, Kurahashi H, Ichinose H (2004) Ras/MEK pathway is
required for NGF-induced expression of tyrosine hydroxylase
gene. Biochem Biophys Res Commun 315(2):389–396. doi:10.
1016/j.bbrc.2004.01.068
Tachikawa E, Tank AW, Weiner DH, Mosimann WF, Yanagihara N,
Weiner N (1987) Tyrosine hydroxylase is activated and phosphor-
ylated on different sites in rat pheochromocytoma PC12 cells treated
with phorbol ester and forskolin. J Neurochem 48(5):1366–1376
Tan XF, Jin GH, Tian ML, Qin JB, Zhang L, Zhu HX, Li HM (2011)
The co-transduction of Nurr1 and Brn4 genes induces the
differentiation of neural stem cells into dopaminergic neurons.
Cell Biol Int 35(12):1217–1223. doi:10.1042/CBI20110028
Tank AW, Xu L, Chen X, Radcliffe P, Sterling CR (2008) Post-
transcriptional regulation of tyrosine hydroxylase expression in
adrenal medulla and brain. Ann N Y Acad Sci 1148:238–248.
doi:10.1196/annals.1410.054
Tekin I, Vrana KE (2013) Caveat emptor: single nucleotide
polymorphism reporting in pharmacogenomics. Pharmacology
92(5–6):319–323. doi:10.1159/000356324
Thomas G, Haavik J, Cohen P (1997) Participation of a stress-
activated protein kinase cascade in the activation of tyrosine
Regulation of tyrosine hydroxylase activity
123
hydroxylase in chromaffin cells. Eur J Biochem
247(3):1180–1189
Thorolfsson M, Doskeland AP, Muga A, Martinez A (2002) The
binding of tyrosine hydroxylase to negatively charged lipid
bilayers involves the N-terminal region of the enzyme. FEBS
Lett 519(1–3):221–226
Tinti C, Conti B, Cubells JF, Kim KS, Baker H, Joh TH (1996)
Inducible cAMP early repressor can modulate tyrosine hydrox-
ylase gene expression after stimulation of cAMP synthesis.
J Biol Chem 271(41):25375–25381
Tinti C, Yang C, Seo H, Conti B, Kim C, Joh TH, Kim KS (1997)
Structure/function relationship of the cAMP response element in
tyrosine hydroxylase gene transcription. J Biol Chem
272(31):19158–19164
Toska K, Kleppe R, Armstrong CG, Morrice NA, Cohen P, Haavik J
(2002a) Regulation of tyrosine hydroxylase by stress-activated
protein kinases. J Neurochem 83(4):775–783
Toska K, Kleppe R, Cohen P, Haavik J (2002b) Phosphorylation of
tyrosine hydroxylase in isolated mice adrenal glands. Ann N Y
Acad Sci 971:66–68
Vrana KE, Roskoski R Jr (1983) Tyrosine hydroxylase inactivation
following cAMP-dependent phosphorylation activation. J Neuro-
chem 40(6):1692–1700
Vrana KE, Allhiser CL, Roskoski R Jr (1981) Tyrosine hydroxylase
activation and inactivation by protein phosphorylation condi-
tions. J Neurochem 36(1):92–100
Vrana KE, Walker SJ, Rucker P, Liu X (1994) A carboxyl terminal
leucine zipper is required for tyrosine hydroxylase tetramer
formation. J Neurochem 63(6):2014–2020
Vulliet PR, Langan TA, Weiner N (1980) Tyrosine hydroxylase: a
substrate of cyclic AMP-dependent protein kinase. Proc Natl
Acad Sci USA 77(1):92–96
Vulliet PR, Woodgett JR, Cohen P (1984) Phosphorylation of tyrosine
hydroxylase by calmodulin-dependent multiprotein kinase.
J Biol Chem 259(22):13680–13683
Vulliet PR, Woodgett JR, Ferrari S, Hardie DG (1985) Characteriza-
tion of the sites phosphorylated on tyrosine hydroxylase by Ca2?
and phospholipid-dependent protein kinase, calmodulin-depen-
dent multiprotein kinase and cyclic AMP-dependent protein
kinase. FEBS Lett 182(2):335–339
Walker SJ, Liu X, Roskoski R, Vrana KE (1994) Catalytic core of rat
tyrosine hydroxylase: terminal deletion analysis of bacterially
expressed enzyme. Biochim Biophys Acta 1206(1):113–119
Wang J, Lou H, Pedersen CJ, Smith AD, Perez RG (2009) 14-3-3zeta
contributes to tyrosine hydroxylase activity in MN9D cells:
localization of dopamine regulatory proteins to mitochondria.
J Biol Chem 284(21):14011–14019. doi:10.1074/jbc.
M901310200
Wang S, Lasagna M, Daubner SC, Reinhart GD, Fitzpatrick PF
(2011) Fluorescence spectroscopy as a probe of the effect of
phosphorylation at serine 40 of tyrosine hydroxylase on the
conformation of its regulatory domain. Biochemistry
50(12):2364–2370. doi:10.1021/bi101844p
Waymire JC, Johnston JP, Hummer-Lickteig K, Lloyd A, Vigny A,
Craviso GL (1988) Phosphorylation of bovine adrenal chromaf-
fin cell tyrosine hydroxylase. Temporal correlation of acetyl-
choline’s effect on site phosphorylation, enzyme activation, and
catecholamine synthesis. J Biol Chem 263(25):12439–12447
Wilgus H, Roskoski R Jr (1988) Inactivation of tyrosine hydroxylase
activity by ascorbate in vitro and in rat PC12 cells. J Neurochem
51(4):1232–1239
Willemsen MA, Verbeek MM, Kamsteeg EJ, de Rijk-van Andel JF,
Aeby A, Blau N, Burlina A, Donati MA, Geurtz B, Grattan-
Smith PJ, Haeussler M, Hoffmann GF, Jung H, de Klerk JB, van
der Knaap MS, Kok F, Leuzzi V, de Lonlay P, Megarbane A,
Monaghan H, Renier WO, Rondot P, Ryan MM, Seeger J,
Smeitink JA, Steenbergen-Spanjers GC, Wassmer E, Weschke
B, Wijburg FA, Wilcken B, Zafeiriou DI, Wevers RA (2010)
Tyrosine hydroxylase deficiency: a treatable disorder of brain
catecholamine biosynthesis. Brain 133(Pt 6):1810–1822. doi:10.
1093/brain/awq087
Witkovsky P, Veisenberger E, Haycock JW, Akopian A, Garcia-
Espana A, Meller E (2004) Activity-dependent phosphorylation
of tyrosine hydroxylase in dopaminergic neurons of the rat
retina. J Neurosci 24(17):4242–4249. doi:10.1523/JNEUROSCI.
5436-03.2004
Xu Y, Stokes AH, Roskoski R Jr, Vrana KE (1998a) Dopamine, in the
presence of tyrosinase, covalently modifies and inactivates
tyrosine hydroxylase. J Neurosci Res 54(5):691–697
Xu ZQ, Lew JY, Harada K, Aman K, Goldstein M, Deutch A,
Haycock JW, Hokfelt T (1998b) Immunohistochemical studies
on phosphorylation of tyrosine hydroxylase in central catechol-
amine neurons using site- and phosphorylation state-specific
antibodies. Neuroscience 82(3):727–738
Xu L, Sterling CR, Tank AW (2009) cAMP-mediated stimulation of
tyrosine hydroxylase mRNA translation is mediated by polypy-
rimidine-rich sequences within its 30-untranslated region and
poly(C)-binding protein 2. Mol Pharmacol 76(4):872–883.
doi:10.1124/mol.109.057596
Yamauchi T, Fujisawa H (1979) In vitro phosphorylation of bovine
adrenal tyrosine hydroxylase by adenosine 30:50-monophosphate-
dependent protein kinase. J Biol Chem 254(2):503–507
Yamauchi T, Fujisawa H (1981) Tyrosine 3-monoxygenase is
phosphorylated by Ca2?-, calmodulin-dependent protein kinase,
followed by activation by activator protein. Biochem Biophys
Res Commun 100(2):807–813
Yamauchi T, Nakata H, Fujisawa H (1981) A new activator protein
that activates tryptophan 5-monooxygenase and tyrosine
3-monooxygenase in the presence of Ca2?-, calmodulin-depen-
dent protein kinase. Purification and characterization. J Biol
Chem 256(11):5404–5409
Yang C, Kim HS, Seo H, Kim KS (1998) Identification and
characterization of potential cis-regulatory elements governing
transcriptional activation of the rat tyrosine hydroxylase gene.
J Neurochem 71(4):1358–1368
Yohrling GJ IV, Jiang GC, Mockus SM, Vrana KE (2000) Intersub-
unit binding domains within tyrosine hydroxylase and trypto-
phan hydroxylase. J Neurosci Res 61(3):313–320
Yu HS, Kim SH, Park HG, Kim YS, Ahn YM (2011) Intracerebro-
ventricular administration of ouabain, a Na/K-ATPase inhibitor,
activates tyrosine hydroxylase through extracellular signal-
regulated kinase in rat striatum. Neurochem Int 59(6):779–786.
doi:10.1016/j.neuint.2011.08.011
Zetterstrom RH, Solomin L, Jansson L, Hoffer BJ, Olson L, Perlmann
T (1997) Dopamine neuron agenesis in Nurr1-deficient mice.
Science 276(5310):248–250
Zhang D, Kanthasamy A, Yang Y, Anantharam V, Kanthasamy A
(2007) Protein kinase C delta negatively regulates tyrosine
hydroxylase activity and dopamine synthesis by enhancing
protein phosphatase-2A activity in dopaminergic neurons.
J Neurosci 27(20):5349–5362. doi:10.1523/JNEUROSCI.4107-
06.2007
Zhang S, Huang T, Ilangovan U, Hinck AP, Fitzpatrick PF (2014) The
solution structure of the regulatory domain of tyrosine hydrox-
ylase. J Mol Biol 426(7):1483–1497. doi:10.1016/j.jmb.2013.12.
015
Zhou QY, Quaife CJ, Palmiter RD (1995) Targeted disruption of the
tyrosine hydroxylase gene reveals that catecholamines are
I. Tekin et al.
123
required for mouse fetal development. Nature
374(6523):640–643. doi:10.1038/374640a0
Zhu Y, Zhang J, Zeng Y (2012) Overview of tyrosine hydroxylase in
Parkinson’s disease. CNS Neurol Disord Drug Targets
11(4):350–358
Zigmond RE (1998) Regulation of tyrosine hydroxylase by neuro-
peptides. Adv Pharmacol 42:21–25
Zigmond RE, Schwarzschild MA, Rittenhouse AR (1989) Acute
regulation of tyrosine hydroxylase by nerve activity and by
neurotransmitters via phosphorylation. Annu Rev Neurosci
12:415–461. doi:10.1146/annurev.ne.12.030189.002215
Regulation of tyrosine hydroxylase activity
123