Chloramphenicol acetyltransferase [acetyl-CoA:chloramphenicol 03-acetyltransferase; EC 2.3.1.28] is the enzyme responsible for high-level bacterial resistance to the antibiotic chloramphenicol. It catalyzes the transfer of an acetyl group from acetyl CoA to the primary hydroxyl of chloramphenicol. The x-ray crystallographic structure of the type m variant enzyme from Escherichia cofl has been determined and refined at 1.75-resolution. The enzyme is a trimer of identical subunits with a distinctive protein fold. Structure of the trimer is stabilized by a 13-pleated sheet that extends from one subunit to the next. The active site is located at the subunit interface, and the binding sites for both chloramphenicol and CoA have been characterized. Substrate binding is unusual in that the two substrates approach the active site via clefts on opposite molecular "sides." A histidine residue previously implicated in catalysis is appropriately positioned to act as a general base catalyst in the reaction.Resistance to antibiotics in pathogenic bacteria is an increasingly common phenomenon, which has serious implications for clinical medicine. The resistance is frequently achieved by enzymatically catalyzed covalent modification of the drug. For chloramphenicol, inactivation is achieved by 0-acetylation. Because the modified drug no longer binds to a bacterial ribosome, which is its normal site of action, the drug loses its effect as an antibiotic (1). The enzyme responsible for this acetylation is chloramphenicol acetyltransferase (CAT) (acetyl-CoA:chloramphenicol acetyltransferase; EC 2.3.1.28), which catalyzes transfer of an acetyl group from acetyl CoA to the primary hydroxyl (C-3) of chloramphenicol (Cm) (2-4).The CAT gene is commonly, but not exclusively, plasmidborne in natural isolates and has been found to be a component of plasmids conferring multiple drug resistance, especially in Gram-negative bacteria and the Enterobacteriaceae, in particular (5). Amino acid sequences of several variants of CAT from both Gram-positive and Gram-negative bacteria have been determined (6-11). All known variants have similar subunit molecular weights (Mr 25,000) and are highly homologous, indicating similar tertiary structure. This conclusion had been inferred from earlier studies of hybrids formed in vivo and in vitro between naturally occurring variants (12, 13 (15), and the type III variant, which has been studied by kinetic and chemical methods (16,17) and which is currently the only variant to yield crystals suitable for x-ray diffraction studies (18).We report here the three-dimensional structures of two binary complexes of CAT, one with the substrate chloramphenicol bound and the second with bound CoA (a product of the forward reaction and substrate for the reverse reaction). Structure Determination Crystals of the binary complex of the enzyme with bound chloramphenicol were obtained by microdialysis ofprotein (5 mg/ml) in 10 mM Mes, pH 6.3, against 2% (vol/vol) 2-methyl-2,4-pentandiol/10 mM Mes, pH 6.3/1 mM chloram...