Microsomal cytochromes (cyt) 3 P450, functioning as monooxygenases, catalyze the oxidative biotransformation of numerous pharmaceuticals, carcinogens, pro-carcinogens, and endogenous compounds like fatty acids and steroids. Cyts P450 require two electrons and two protons to carry out catalysis that leads to insertion of a single oxygen atom into the substrate. In the mammalian microsomal cyt P450 system, the two electrons are delivered to cyt P450 by NADPH-dependent cytochrome P450 reductase (CPR). Like cyt P450, CPR is membrane-bound and located in the membrane of the endoplasmic reticulum. CPR contains two flavin molecules, FMN and FAD. The diflavin moiety of CPR is essential for sequential electron transfer to cyt P450 as it permits CPR to accept two electrons from NADPH and transfer one electron at a time to cyt P450. The first electron from CPR reduces ferric cyt P450 to ferrous cyt P450, which rapidly binds oxygen to form oxyferrous cyt P450. The second electron is then delivered to oxyferrous cyt P450. This is followed by protonation of the reduced oxyferrous intermediate leading to heterolytic cleavage of the oxygen bond to form water and an oxyferryl intermediate, the putative, active, oxidizing species of cyt P450. An oxygen atom is inserted into the substrate, and the more hydrophilic product dissociates from the enzyme. Readers are referred to a recent review for further details about the cyt P450 reaction cycle (1).An alternative electron donor to cyt P450 is cyt b 5 , another microsomal hemoprotein also located in the endoplasmic reticulum membrane. Because of its relatively high mid-point redox potential (ϩ25 mV versus NHE), cyt b 5 can deliver only the second electron to oxyferrous cyt P450 but not the first electron to ferric cyt P450. It has been recognized for 3 decades that cyt b 5 may either increase, decrease, or not alter the activity of selected cyts P450 (2, 3). Cyt b 5 has been reported to affect the catalytic activity of more than 20 cyt P450 isoforms, including the majority of the human drug-metabolizing cyt P450 isoforms like cyt P450 3A4, 2B6, 2C9, 2C19, and 2E1 (1, 4 -8). The effect of cyt b 5 has also been shown to depend on the cyt P450 isozyme and substrate (2, 9). In the case of cyt P450 2B4 and 2E1, the electron donating properties of cyt b 5 are required for its stimulatory activity (6, 7, 9 -11), although some studies suggest that apo-cyt b 5 can stimulate the activity of cyt P450 3A4 via an allosteric effect (12). At present, the ability of apo-cyt b 5 to stimulate cyt P450 3A4 is controversial (13). Experiments performed in the reconstituted system with purified proteins have demonstrated that ferrous cyt b 5 can rapidly reduce oxyferrous cyt P450 2B4 (14,15).It is known that cyt P450 2B4 forms a 1:1 complex with CPR and with cyt b 5 in a purified, reconstituted system (16,17). A site-directed mutagenesis study of the interactions of cyt P450 2B4 with CPR and cyt b 5 has identified residues, primarily in the * This work was supported by National Institutes of Health Grant ...