The three-dimensional structure of the human  3  3 dimeric alcohol dehydrogenase ( 3 ) was determined to 2.4-Å resolution.  3 was crystallized as a ternary complex with the coenzyme NAD ؉ and the competitive inhibitor 4-iodopyrazole.  3 is a polymorphic variant at ADH2 that differs from  1 by a single amino acid substitution of Arg-369 3 Cys. The available x-ray structures of mammalian alcohol dehydrogenases show that the side chain of Arg-369 forms an ion pair with the NAD(H) pyrophosphate to stabilize the E⅐NAD(H) complex. The Cys-369 side chain of  3 cannot form this interaction. The three-dimensional structures of  3 and  1 are virtually identical, with the exception that Cys-369 and two water molecules in  3 occupy the position of Arg-369 in  1 . The two waters occupy the same positions as two guanidino nitrogens of Arg-369. Hence, the number of hydrogen bonding interactions between the enzyme and NAD(H) are the same for both isoenzymes. However,  3 differs from  1 by the loss of the electrostatic interaction between the NAD(H) pyrophosphate and the Arg-369 side chain. The equilibrium dissociation constants of  3 for NAD ؉ and NADH are 350-fold and 4000-fold higher, respectively, than those for  1 . These changes correspond to binding free energy differences of 3.5 kcal/mol for NAD ؉ and 4.9 kcal/mol for NADH. Thus, the Arg-369 3 Cys substitution of  3 isoenzyme destabilizes the interaction between coenzyme and  3 alcohol dehydrogenase.Alcohol dehydrogenase (ADH, EC 1.1.1.1) 1 catalyzes the rate-limiting step in the oxidation of ethanol (1, 2). Human ADH isoenzymes are dimeric enzymes that contain one structural and one catalytic zinc per subunit. Human ADH isoenzyme subunits have between 373 and 379 amino acids and are encoded by the ADH1 (␣), ADH2 (), ADH3 (␥), ADH4 (), ADH5 (␥), ADH6, and ADH7 () genes (3, 4). The ␣, , and ␥ ADH subunits share greater than 93% sequence identity and form a complex group of homodimeric and heterodimeric isoenzymes.2 These isoenzymes have relatively high catalytic efficiency for ethanol oxidation and account for the majority of ethanol oxidation by the liver (3,5,6).Polymorphism at the ADH2 gene gives rise to the  1 ,  2 , and  3 subunits (3, 4). These polymorphic variants are the result of single amino acid substitutions. Arg-47 is substituted by His in  2 , and Arg-369 is substituted by Cys in  3 (7, 8). The  2 (ADH2*2) and  3 (ADH2*3) alleles are observed in about 65% of Japanese and Chinese, and 25% of African-Americans, respectively (5, 9). The three human  isoforms have considerably different steady-state kinetic properties (10). The  3 isoenzyme exhibits a 50-fold greater K m for NAD ϩ , an 100-fold greater V max for ethanol oxidation, and a decreased pH optimum for ethanol oxidation, relative to  1 (Table I) (11).Three-dimensional structures have been determined for horse liver EE ADH as an apoenzyme and complexed with a variety of substrates or inhibitors (12, 13). Structures of  1 complexed with NAD(H) and cyclohexanol,  2 complexed ...