In this article, we pharmacologically characterized two naturally occurring human histamine H 3 receptor (hH 3 R) isoforms, hH 3 R(445) and hH 3 R(365). These abundantly expressed splice variants differ by a deletion of 80 amino acids in the intracellular loop 3. In this report, we show that the hH 3 R(365) is differentially expressed compared with the hH 3 R(445) and has a higher affinity and potency for H 3 R agonists and conversely a lower potency and affinity for H 3 R inverse agonists. Furthermore, we show a higher constitutive signaling of the hH 3 R(365) compared with the hH 3 R(445) in both guanosine-5Ј-O-(3-[35 S]thio)triphosphate binding and cAMP assays, likely explaining the observed differences in hH 3 R pharmacology of the two isoforms. Because H 3 R ligands are beneficial in animal models of obesity, epilepsy, and cognitive diseases such as Alzheimer's disease and attention deficit hyperactivity disorder and currently entered clinical trails, these differences in H 3 R pharmacology of these two isoforms are of great importance for a detailed understanding of the action of H 3 R ligands.The histamine H 3 receptor (H 3 R) was originally discovered in the brain on histaminergic neurons as a presynaptic autoreceptor regulating the release of histamine (Arrang et al., 1983). Subsequently, the H 3 R was found to regulate the release of other neurotransmitters, such as acetylcholine, dopamine, glutamate, noradrenalin, and serotonin (Schlicker et al., 1988(Schlicker et al., , 1989(Schlicker et al., , 1993Clapham and Kilpatrick, 1992;Brown and Reymann, 1996). The histamine-containing cell bodies, located in the tuberomammillary nucleus of the posterior hypothalamus, project to most cerebral areas in rodent and human brain (Panula et al., 1984;Watanabe et al., 1984). Brain histamine is involved in the regulation of numerous functions of the central nervous system (CNS), including arousal, cognition, locomotor activity, autonomic and vestibular functions, feeding and drinking, sexual behavior, and analgesia (Hough, 1988;Schwartz et al., 1991;Wada et al., 1991). Moreover, H 3 R-specific ligands show beneficial effects in animal models of obesity, epilepsy, and cognitive diseases such as Alzheimer's disease and attention deficit hyperactivity disorder (Hancock, 2003;Passani et al., 2004;Leurs et al., 2005). Consequently, H 3 R antagonists are con-1