Human extracellular superoxide dismutase (EC-SOD; EC 1.15.1.1) is a scavenger of superoxide anions in the extracellular space. The amino acid sequence is homologous to the intracellular counterpart, Cu͞Zn superoxide dismutase (Cu͞Zn-SOD), apart from N-and C-terminal extensions. Cu͞Zn-SOD is a homodimer containing four cysteine residues within each subunit, and EC-SOD is a tetramer composed of two disulfide-bonded dimers in which each subunit contains six cysteines. The amino acid sequences of all EC-SOD subunits are identical. It is known that Cys-219 is involved in an interchain disulfide. To account for the remaining five cysteine residues we purified human EC-SOD and determined the disulfide bridge pattern. The results show that human EC-SOD exists in two forms, each with a unique disulfide bridge pattern. One form (active EC-SOD) is enzymatically active and contains a disulfide bridge pattern similar to Cu͞Zn-SOD. The other form (inactive EC-SOD) has a different disulfide bridge pattern and is enzymatically inactive. The EC-SOD polypeptide chain apparently folds in two different ways, most likely resulting in different three-dimensional structures. Our study shows that one gene may produce proteins with different disulfide bridge arrangements and, thus, by definition, different primary structures. This observation adds another dimension to the functional annotation of the proteome. T wo isoforms of Cu͞Zn-containing superoxide dismutase (SOD) enzymes exist in mammals (1, 2). Cu͞Zn-SOD is found in the intracellular space, and extracellular SOD (EC-SOD) predominantly is found in the extracellular matrix of most tissues (3). Both enzymes dismutate the superoxide anion into hydrogen peroxide and oxygen with diffusion-limited rate constants (Ͼ10 9 M Ϫ1 sec Ϫ1 ), and both are inhibited by cyanide and azide (4, 5). Human Cu͞Zn-SOD is a homodimer with a molecular mass of 32 kDa, and human EC-SOD is a tetramer of Ϸ135 kDa (4). The subunit of each isoform contains one Cu(II) and one Zn(II) atom. The central region of EC-SOD (His-96 to ) is homologous to human Cu͞Zn-SOD and contains all of the ligands essential for the coordination of the active site Cu(II) and Zn(II) ions (6, 7). The N-terminal region of EC-SOD is important for the formation of tetramers (8-10), and the C-terminal region ) encompasses a heparinbinding region, which is responsible for the immobilization of EC-SOD in the extracellular matrix (11, 12). The heparinbinding region of EC-SOD can be removed by an intracellular proteolytic event before secretion (13,14). Consequently, EC-SOD tetramers with no (type A), intermediate (type B), or high (type C) affinity for the extracellular matrix are produced (11,12). These tetramers are composed of cleaved polypeptides (type A), intact polypeptides (type C), or a mixture (type B). In addition, the C-terminal region supports the formation of disulfide-linked dimers via 16).The x-ray structure of Cu͞Zn-SOD shows that the active-site channel is maintained by an intrapolypeptide disulfide bond between two highly co...