We present spectroscopic evidence consistent with the presence of a stable tyrosyl radical in partially reduced human monoamine oxidase (MAO) A. The radical forms following single electron donation to MAO A and exists in equilibrium with the FAD flavosemiquinone. Oxidative formation of the tyrosyl radical in MAO is not reliant on neighboring metal centers and uniquely requires reduction of the active site flavin to facilitate oxidation of a tyrosyl side chain. The identified tyrosyl radical provides the key missing link in support of the single electron transfer mechanism for amine oxidation by MAO enzymes.The mammalian monoamine oxidases (MAO) 1 A and B are flavoproteins localized to the outer mitochondrial membrane. MAO catalyzes the oxidative deamination of neurotransmitters and exogenous alkylamines. The human enzymes are important pharmaceutical targets for antidepressants, and inhibitors of MAO B are used synergistically with L-DOPA in the treatment of Parkinson disease (1). Elevated levels of MAO B induce apoptosis in kidney (2) and neuronal cells (3) and are also associated with plaque astrocytes in the brains of Alzheimer patients (4). The anti-apoptotic action of a MAO B inhibitor is important in novel Alzheimer treatments (5). MAO is also implicated in the onset of Parkinson syndrome through bioactivation of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine, an impurity in many sources of synthetic heroin (6).Despite the recent crystal structures of MAO B (7) and MAO A (8) and extensive literature on substrate and inhibitor specificities, the mechanism of substrate oxidation remains obscure (9). Much of the debate has centered on the possible existence of radical species, direct evidence for which has not been forthcoming. An early proposal invoked a polar nucleophilic mechanism involving attack of the deprotonated amine substrate at the flavin C4a to form a substrate-flavin C4a adduct and proton abstraction from the ␣-carbon of the adduct by an active site base (10). Support for this mechanism came from chemical model studies in reactions of amines with lumiflavins (11,12). Studies of quantitative structure-activity relationships with MAO B have been used to support a second mechanism in which substrate ␣-C-H bond cleavage is via direct hydrogen atom transfer to a protein-based non-flavin radical followed by electron transfer to the flavin (13,14). An organic radical species was originally reported in EPR spectra of resting bovine liver MAO B (15) but later was attributed to an artifact of purification of MAO B from bovine liver following EPR studies of highly purified recombinant sources of MAO A and MAO B (16). Edmondson and Miller (16) have proposed a concerted polar nucleophilic mechanism for MAO A involving a substrate-flavin C4a adduct and proton abstraction by the highly basic N-5 atom of the flavin. This mechanism is consistent with studies of quantitative structure activity relationships and kinetic isotope effects and with the apparent lack of an organic protein-based radical in EPR spectra of t...