Two different forms of the monomeric NADP+-ilnked prostaglandin dehydrogenase/carbonyl reductase were purified from human placenta and shown to differ by the m ation of a lysine residue. The modified and the unmodified proteins were reproducibly recovered In a ratio of -1:3, and both were chemically stable. The modifed form was more acidic (pI 7.4 versus pI 7.7) but I i habl from the unmoded form in specificity and activity. Amino acid analysis, sequence analysis, mass spectrometry, and chemical synthesis identified the modified residue as N6-(lcarboxyethyl)lysine with C-2 of propionic acid attached to the side-chain N of Lys-238. This compound can be formed from the lysine residue and pyruvate via a Schiff base and subsequent reduction. The enzyme and Its NAD+-dependent counterpart are distantly related (23% residue identity) and have the same family assiment to short-chain dehydrogenases. Alignments and model-building into the tertiary structure of 3a/20j3-hydroxysteroid dehydrogenase show that carbonyl reductase has an extra loop (positions 149-189) that forms a separate extension and replaces a backbone C-terminal ,3-strand. This change affects the substrate pocket, explaining the different substrate specificities but conserves residues of known functional importance. Carboxyethyllysine at position 238 corresponds to a proteolysis-sensitive position in several short-chain dehydrogenases, less well-defined in the model but close to a surface, and is compatible with the accessibility and enzyme properties observed.The biological inactivation of prostaglandins is mediated by 15-hydroxyprostaglandin dehydrogenase. Two different types of this cytosolic activity, the most active one using NAD+ and the other using NADP+, were detected early in a number of tissues (1-3). We have characterized the NAD+-linked enzyme as a short-chain dehydrogenase (4), with properties typical of that enzyme family (5). A crystallographic structure of the protein 3a/20,B-hydroxysteroid dehydrogenase, which is within this family, has recently become available (6), as has that of another, distantly related member of the family, dihydropteridine reductase, which is strikingly similar, except for some loop and turn regions (7). These and other short-chain dehydrogenases contain a functionally important tyrosine residue (4, 8-10) and a segment sensitive to proteolysis (10).The NADP+ enzyme type also acts on the 9-keto group of prostaglandins in the reverse direction (3, 11, 12), thus constituting a prostaglandin 9-keto reductase and can then convert prostaglandin E2 to prostaglandin F2