The human mitochondrial NAD(P)؉ -dependent malic enzyme (m-NAD-ME) is a malic enzyme isoform with dual cofactor specificity and substrate binding cooperativity. to Lys in human m-NAD-ME changes it to an NADP ؉ -dependent enzyme, which is characteristic because it is non-allosteric, non-cooperative, and NADP ؉ -specific.Malic enzymes are a newly discovered family of oxidative decarboxylases that catalyze the conversion of the substrate L-malate to CO 2 and pyruvate, with concomitant reduction of NAD(P) ϩ to NAD(P)H (1-5). Divalent metal ion (Mn 2ϩ or Mg 2ϩ ) is required for the enzyme-catalyzed reaction. These enzymes exist ubiquitously in nature, with conserved sequences and similar overall structural topology among different species (6 -10). In mammalian cells, according to their cofactor specificity, three isoforms of malic enzyme have been recognized: cytosolic NADP ϩ -dependent (c-NADP-ME) 3 (11, 12), mitochondrial NADP ϩ -dependent (13), and mitochondrial NAD(P) ϩ -dependent (m-NAD-ME) (3, 14). The third isoform, m-NAD-ME, can utilize both NAD ϩ and NADP ϩ as a cofactor, but it prefers NAD ϩ under physiological conditions (3). Via the NADH and pyruvate products, human m-NAD-ME may play an important role in the metabolism of glutamine in fast growing tissues and tumors (3, 14 -21).Distinctive from the other two mammalian isoforms, m-NAD-ME has a complex regulatory system that controls its catalytic activity (22)(23)(24). It displays cooperative behavior with respect to the substrate L-malate, and the enzyme activity can be allosterically activated by fumarate (19,(22)(23)(24)(25)(26)(27)(28). Furthermore, previous studies have suggested that the inhibitory effect of ATP may operate through an allosteric mechanism (19,22,26,29,30), and the allosteric properties of m-NAD-ME imply its specific role in the pathways of malate and glutamine oxidation in tumor mitochondria (18 -22, 25). However, site-directed mutagenesis and kinetic studies have demonstrated that ATP may actually act as an active-site inhibitor rather than an allosteric inhibitor (30,39).The crystal structures of malic enzymes reveal that the enzyme is a homotetramer with a dimer of dimers quaternary structure. These structural data establish malic enzymes as a new class of