(Fig. 1A). Several natural fusion proteins are known that contain a cytochrome b 5 domain and a second redox-active domain. Examples include sulfite oxidase (2-4) and ⌬5 and ⌬6 fatty acid desaturases (5, 6) in animals, nitrate reductase in algae (7) and plants (8, 9), and flavocytochrome b 2 or lactate dehydrogenase (10) and ⌬9 fatty acid desaturase (11) in bakers' yeast. However, Ncb5or is the only member of the cytochrome b 5 superfamily known to contain three distinct domains. The function of the non-redox-active CS domain is presently unknown, although its primary sequence is distantly homologous to those in human heat shock protein 20 (HSP20, a co-chaperone of HSP90) and other CS family members (12).The cytochrome b 5 family includes two isoforms in vertebrates, one anchored to the membrane of the endoplasmic reticulum (Cyb5A) and the other anchored to the outer mitochondrial membrane (Cyb5B) (13). Membrane anchoring in Cyb5A and Cyb5B is accomplished by a hydrophobic C-terminal domain. The polar heme-binding domains of Cyb5A and Cyb5B have virtually identical folds with secondary structure elements occurring in the order 1-␣1-4-3-␣2-␣3-5-␣4-* This work was supported, in whole or in part, by National Institutes of Health Grant RO1 DK067355 (to H. Franklin Bunn and H. Z.) and by National Institutes of Health Centers of Biomedical Research Excellence-Protein Structure and Function award 5P20 RR17708 (to the University of Kansas, R. P. Hanzlik, P. I.). This work was also supported by American Heart Association Grant-in-Aid 0755879T (to B. R. G.