N-Acetyltransferase (NAT) is a polymorphic phase II drug-metabolizing enzyme similar to uridine 5Ј-diphosphate (UDP)-glucuronosyltransferase and sulfotransferase. Classified as conjugation enzymes, these enzymes add polar groups to substrates. The addition of polar groups increases the solubility of these compounds in water, allowing drug molecules conjugated with polar groups to be easily excreted. NAT is the enzyme that catalyzes N-acetyl conjugation of allylamine derivatives, and it metabolizes several endogenous and exogenous compounds. There are two isozymes in human NAT-NAT1 and NAT2-but the substrate specificities of each isozyme are different.1) NAT2 metabolizes several drugs such as the anti-tubercular drug isoniazid (INH), and it is an important enzyme in drug design trials due to a unique polymorphism.2-4) This polymorphism causes individual differences in the rate of metabolism of allylamine. An individual with a faster rate is called a rapid acetylator (RA); an individual with a slower rate is called a slow acetylator (SA). Because the rate of SAs is higher in Caucasian than in Japanese populations, NAT2 plays an important role in the consideration of drug metabolisms of Caucasians. In the ligand binding site of NAT, there is an acetyl coenzyme A (CoA) molecule that acts as a cofactor and plays an important role in the acetylation of substrates. The cysteine residue (e.g., Cys68 in NAT2) is also important to drug metabolism. 5) A recently proposed reaction mechanism is as follows.6-9) First, the complex between NAT and acetyl CoA is formed. The acetyl group of acetyl CoA is then transferred to the sulfur atom of the cysteine residue. Second, the acetyl group is transferred from the acetylated cysteine to the substrate.Recently, the three-dimensional (3D) structure of human NAT2, as determined by X-ray crystallography, was reported.10) In the reported structure, instead of acetyl CoA, CoA was described as the cofactor in NAT2. In addition, the atomic distance between the sulfur atom of CoA and that of cysteine residue in the binding site of NAT2 was described as only 2.74 Å in the crystal structure, much shorter in comparison to the standard, non-bonded, sulfur-sulfur distance. (For reference, van der Waals radius of sulfur atom is 1.80 Å.) 11) Because the distance between these sulfurs was longer than the disulfide-bond length (around 2.05 Å in general), the crystal structure around these sulfurs was not reasonable if these sulfurs were covalently bonded. Therefore, the geometrically optimized structure of the NAT2-CoA complex, in which hydrogen atoms are added to thiol sulfur atoms, is expected to be different from the crystal structure. Furthermore, substitution of acetyl CoA for CoA may cause structural changes to NAT2.In this study, the CoA of the NAT2 crystal structure was substituted for acetyl CoA using molecular modeling. Molecular dynamics (MD) simulation of the modeled structure was used to refine the 3D structure of the NAT2-acetyl CoA complex. Furthermore, the ligand binding sites of NAT...