The oxy-ferrous complex is the first of three branching intermediates in the catalytic cycle of cytochrome P450, in which the total efficiency of substrate turnover is curtailed by the side reaction of autoxidation. For human membrane-bound cytochromes P450, the oxy complex is believed to be the primary source of cytotoxic superoxide and peroxide, although information on the properties and stability of this intermediate is lacking. Here we document stopped-flow spectroscopic studies of the formation and decay of the oxy-ferrous complex in the most abundant human cytochrome P450 (CYP3A4) as a function of temperature in the substrate-free and substrate-bound form. CYP3A4 solubilized in purified monomeric form in nanoscale POPC bilayers is functionally and kinetically homogeneous. In substrate-free CYP3A4, the oxy complex is extremely unstable with a half-life of ϳ30 ms at 5°C. Saturation with testosterone or bromocriptine stabilizes the oxy-ferrous intermediate. Comparison of the autoxidation rates with the available data on CYP3A4 turnover kinetics suggests that the oxy complex may be an important route for uncoupling.Cytochrome P450 CYP3A4 is the most prevalent P450 monooxygenase in human liver and is responsible for the metabolism of almost half of xenobiotics encountered by man (1). This isozyme has a large and flexible active site and is able to bind and catalytically convert multiple substrates, often displaying homotropic and heterotropic cooperativity in substrate binding and product formation. As a central player in human drug metabolism, CYP3A4 is one of the most intensely studied P450s, either in isolated human liver microsomes (2-5), detergent-solubilized form (6), or purified soluble aggregates (7,8). Recently, two groups have reported the crystal structure of a truncated CYP3A4 (9, 10). Despite this structural information, precise chemical and biophysical characterization of the human P450s has lagged that of the monomeric, soluble P450 isozymes isolated from bacteria. In particular, the critical intermediates in the reaction cycle of human P450s have not been precisely documented, due in part to the inability to form a robust, monomeric, and soluble entity that is amenable to the rapid reaction and spectroscopic methodologies successfully applied to the bacterial P450s. This lacuna is significant, as CYP3A4 and other human P450s display complex aspects of substrate recognition and catalytic mechanism that are not present in the simpler P450s such as CYP101 from Pseudomonas.The current version of the catalytic reaction cycle of cytochrome P450 monooxygenases involves intermediate reduction states of heme iron and atmospheric dioxygen and represents the result of over 30 years of intensive research (11,12). Traditionally, the cyclic process begins with the ferric low spin species and a water molecule occupying the sixth coordination site of the heme. In many cases the complementary fit of the native substrate into the pocket displaces this water ligand allowing the system to assume a predominantly hig...