Macrophage migration inhibitory factor (MIF) is a proinflammatory cytokine. In addition to its known receptor-mediated biological activities, MIF possesses a catalytic site of unknown function between subunits of a homotrimer. Each subunit contributes three β-strands to adjacent subunits to form a core seven-stranded β-sheet for each monomer. MIF monomers, dimers, or trimers have been reported, but the active form that binds and activates the MIF receptor (CD74) is still a matter of debate. A cysteine mutant (N110C) that covalently locks MIF into a trimer by forming a disulfide with Cys-80 of an adjacent subunit is used to study this issue. Partial catalytic activity and receptor binding to CD74 are retained by N110C (locked trimer), but there is no cellular signaling. Wild-type MIF-induced cellular signaling, in vivo lung neutrophil accumulation, and alveolar permeability are inhibited with a fivefold excess of N110C. NMR and size-exclusion chromatography with light scattering reveal that N110C can form a higher-order oligomer in equilibrium with a single locked trimer. The X-ray structure confirms a local conformational change that disrupts the subunit interface and results in global changes responsible for the oligomeric form. The structure also confirms these changes are consistent for the partial catalytic and receptor binding activities. The absence of any potential monomer and the retention of partial catalytic and receptor binding activities despite changes in conformation (and dynamics) in the mutant support an endogenous MIF trimer that binds and activates CD74 at nanomolar concentrations. This conclusion has implications for therapeutic development.mechanism | thermostable variant | ERK-1/2 activation M acrophage migration inhibitory factor (MIF) is a proinflammatory protein and an important regulator of innate and adaptive immunity (1). It localizes to the cytosol of all human nucleated cells and is released upon cellular stress to activate the receptor CD74 in complex with its signaling component CD44, or the chemokine receptors CXCR2 and CXCR4 to induce extracellular signal-regulated kinase 1/2 (ERK-1/2) activation (1-3). MIF promotes the cellular secretion of CXCL8, prostaglandin E2 (PGE 2 ), and other proinflammatory mediators, and it inhibits the anti-inflammatory activities of glucocorticoids (4). In addition to inflammation, MIF plays important roles in other diseases and is a drug target in phase I clinical trials for solid tumors (5, 6). MIF is a trimer with extensive subunit-subunit interactions, including a seven-stranded β-sheet for each monomer with β-strands contributed by adjacent subunits (7-9). An enzymatic site with an unknown substrate and a presumed tautomerase/isomerase activity exists between subunits similar to other proteins in the MIF superfamily (10). A key feature of these proteins is an invariant N-terminal residue, Pro-1, that functions as a catalytic base (11).Oligomerization plays an important role in the activity and regulation of a wide variety of proteins (12). Altho...