Glyoxalase I (GLOI, EC 4.4.1.5) is the first and rate-limiting zinc metalloenzyme in the glyoxalase system. GLOI catalyzes the conversion of an a-oxoaldehyde and glutathione (GSH) to an S-2-hydroxyacylglutathione, which is subsequently catalyzed to nontoxic d-lactate and GSH by glyoxalase II (GLOII, EC 3.1.2.6). As a ubiquitous cellular detoxification pathway, the glyoxalase system prevents toxic reactive dicarbonyl species from producing carbonyl stress and forming advanced glycation end products (AGEs) on proteins, lipids, or nucleic acids.[1]The potential of GLOI as an antitumor target dates back to 1969, when Vince and Wadd [2] showed that inhibitors can induce elevated concentrations of methylglyoxal in cancer cells, which ultimately leads to apoptosis. Since that time, highly active GLOI inhibitors based on GSH have been synthesized and have shown promise for inhibiting carcinogenesis and overcoming drug resistance both in vitro and in vivo. [3] However, the inherent structural similarity of these inhibitors to GSH makes them unattractive for drug development.[4] Non-GSH analogue GLOI inhibitors, such as curcumin, [5] methyl-gerfelin, [6] and some natural flavonoid compounds, are far from approval as clinical agents.The discovery by Sato et al. [7] in 2007 that indomethacin, a widely used nonsteroidal anti-inflammatory drug, is a moderate human GLOI inhibitor (K i = 18 mm) provided an interesting case of a non-GSH analogue GLOI inhibitor via drug repositioning. Inspired by that discovery, here, we report that zopolrestat, a powerful aldose reductase inhibitor developed by Pfizer in the 1990s for treatment of diabetic complications, is a potent competitive human GLOI inhibitor with an in vitro K i value of 1.2 mm (Figure 1). Since zopolrestat is structurally dissimilar to GSH and has been evaluated in phase III clinical trials, it will likely have better pharmacokinetic and metabolic prosperities than other known GLOI inhibitors.[8] As such, zopolrestat can serve as a useful template molecule for the design and synthesis of novel GLOI inhibitors.To develop binding models for new inhibitor design, we determined crystal structures of indomethacin and zopolrestat in complex with mouse GLOI (mGLOI) at resolutions of 2.0 and 2.5 , respectively (Figure 2).Mammalian GLOI is a homodimeric enzyme. For both crystal structures, only one of the two active sites (I and II) located at the interface of the two peptide chains (A and B), shows a well-defined inhibitor molecule by a 2Fo-Fc electron density map ( Figure S1 in the Supporting Information). The electron densities in the other active site are too diffuse to confidently locate the inhibitor molecule. To the best of our knowledge, such a difference in the interactions between a ligand and the two active sites of mammalian GLOI has not previously been reported in the literature. It is interesting to note that in a previous study of Plasmodium falciparum monomeric GLOI, [9] two different K i values were observed for curcumin and glutathione-derived transition-state...