Mycophenolic acid (MPA) is a potent and specific inhibitor of mammalian inosine-monophosphate dehydrogenases (IMPDH); most microbial IMPDHs are not sensitive to MPA. MPA-resistant mutants of human IMPDH type II were isolated in order to identify the structural features that determine the species selectivity of MPA, Three mutant IMPDHs were identified with decreased affinity for MPA. The mutation of Gln(277) --> Arg causes a 9-fold increase in the K-i of MPA, a 5-6 fold increase in the K-m values for IMP and NAD, and a 3-fold decrease in k(cat) relative to wild type, The mutation of Ala(462) --> Thr causes a 3-fold increase in the K-i for MPA, a 2.5-fold increase in the K-m for NAD, and a 1.5 fold increase in k(cat). The combination of these two mutations does not increase the K-i for MPA, but does increase the K-m for NAD 3-fold relative to Q277R and restores k(cat) to wild type levels, Q277R/A462T is the first human IMPDH mutant with increased K-i for MPA and wild type activity. The third mutant IMPDH contains two mutations, Phe(465) --> Ser and Asp(470) --> Gly. K-i for MPA is increased 3-fold in this mutant enzyme, and K-m for IMP is also increased 3-fold, while the K-m for NAD and k(cat) are unchanged, Thus increases in the K-i for MPA do not correlate with changes in K-m for either IMP or NAD, nor to changes in k(cat). All four of these mutations are in regions of the IMPDH that differ in mammalian and microbial enzymes, and thus can be structural determinants of MPA selectivity.