We describe a new polymorphism upstream of the gene for monoamine oxid
ase A (MAOA), an important enzyme in human physiology and behavior. Th
e polymorphism, which is located 1.2 kb upstream of the MAOA coding se
quences, consists of a 30-bp repeated sequence present in 3, 3.5, 4, o
r 5 copies. The polymorphism is in linkage disequilibrium with other M
AOA and MAOB gene markers and displays significant variations in allel
e frequencies across ethnic groups. The polymorphism has been shown to
affect the transcriptional activity of the MAOA gene promoter by gene
fusion and transfection experiments involving three different cell ty
pes. Alleles with 3.5 or 4 copies of the repeat sequence are transcrib
ed 2-10 times more efficiently than those with 3 or 5 copies of the re
peat, suggesting an optimal length for the regulatory region. This pro
moter region polymorphism may be useful as both a functional and an an
onymous genetic marker for MAOA.