Crystallographic and mutagenesis studies have unravelled the general features of the allosteric transition mechanism in pyruvate kinase. The enzyme displays a dramatic conformational change in going from the T-to the R-state. All three domains forming each subunit of the tetrameric enzyme undergo simultaneous and concerted rotations, in such a way that all subunit and domain interfaces are modified. This mechanism is unprecedented since in all tetrameric allosteric enzymes, characterised at atomic resolution, at least one of the domain or subunit interfaces remains unchanged on the T-to R-state transition. The molecular mechanism of allosteric regulation here proposed provides a rationale for the effect of single site mutations observed in the human erythrocyte pyruvate kinase associated with a congenital anaemia.Key words." Glycolysis; Metabolism regulation; X-ray crystallography; Pyruvate kinase whereas the L PK is additionally controlled by phosphorylation on a N-terminal Ser residue which causes a decrease in the affinity for the PEP and FBP activators [3]. More unusual is the muscle M1 protein [6] which is the only known PK displaying hyperbolic kinetics and no allosteric control.While the structure of the cat M1 isoenzyme was determined by Muirhead and coworkers several years ago [6], little information was available about the allosteric transition in PK. Substantial progress in this respect has been observed over the last few years with further refinement of the M1 isoenzyme model [7], and with the X-ray structure determination of the FBP-dependent E. coli PK, in the inactive T-state [8]. Furthermore, insight into the enzyme regulatory properties has been provided by mutagenesis studies [9] and by the characterisation of several R PK variants from patients with congenital anaemia [10].