Galactose-1-phosphate uridylyltransferase (GALT) acts by a double displacement mechanism, catalyzing the second step in the Leloir pathway of galactose metabolism. Impairment of this enzyme results in the potentially lethal disorder, galactosemia. Although the microheterogeneity of native human GALT has long been recognized, the biochemical basis for this heterogeneity has remained obscure. We have explored the possibility of covalent GALT heterogeneity using denaturing twodimensional gel electrophoresis and Western blot analysis to fractionate and visualize hemolysate hGALT, as well as the human enzyme expressed in yeast. In both contexts, two predominant GALT species were observed. To define the contribution of uridylylated enzyme intermediate to the two-spot pattern, we exploited the null allele, H186G-hGALT. The Escherichia coli counterpart of this mutant protein (H166G-eGALT) has previously been demonstrated to fold properly, although it cannot form covalent intermediate. Analysis of the H186G-hGALT protein demonstrated a single predominant species, implicating covalent intermediate as the basis for the second spot in the wild-type pattern. In contrast, three naturally occurring mutations, N314D, Q188R, and S135L-hGALT, all demonstrated the twospot pattern. Together, these data suggest that uridylylated hGALT comprises a significant fraction of the total GALT enzyme pool in normal human cells and that three of the most common patient mutations do not disrupt this distribution.Galactose-1-phosphate uridylyltransferase (GALT) 1 catalyzes the second step of the Leloir pathway of galactose metabolism, converting UDP-glucose (UDP-Glc) and galactose-1-phosphate (Gal-1-P) into glucose-1-phosphate (Glc-1-P) and UDP-galactose (UDP-Gal) (Fig. 1). Impairment of human GALT results in the potentially lethal disorder galactosemia. Both the bacterial and human GALT enzymes function as homodimers (1, 2) and display ping-pong kinetics with catalysis that proceeds via a covalent intermediate (3,4). In the first-half reaction, a histidine residue at the active site (His-166 in Escherichia coli GALT and His-186 in the human enzyme) serves as a nucleophile, attacking the ␣-phosphorus of UDP-Glc. Glc-1-P is released, leaving behind a uridylylated enzyme intermediate (5,6). In the second-half reaction, Gal-1-P enters the active site cleft and attacks the uridylylated nitrogen on the imidazole ring of the active site histidine, forming UDP-Gal. This second product then dissociates, regenerating free enzyme (2, 7).It has been known for more than 30 years that human GALT derived from red blood cells or other tissues is heterogeneous when fractionated under native conditions and visualized with an activity overlay stain (8). Studies using starch, agarose, or acrylamide isoelectric focusing gels have revealed a complex pattern of up to six bands (9 -12). Additionally, specific variants of human GALT, such as the Duarte and Los Angeles alleles, have been characterized in part by their shifted banding patterns (8). Despite its common ob...