Sulfonation catalyzed by sulfotransferase enzymes plays an important role in chemical defense mechanisms against various xenobiotics but also bioactivates carcinogens. A major human sulfotransferase, SULT1A1, metabolizes and/or bioactivates many endogenous compounds and is implicated in a range of cancers because of its ability to modify diverse promutagen and procarcinogen xenobiotics. The crystal structure of human SULT1A1 reported here is the first sulfotransferase structure complexed with a xenobiotic substrate. An unexpected finding is that the enzyme accommodates not one but two molecules of the xenobiotic model substrate p-nitrophenol in the active site. This result is supported by kinetic data for SULT1A1 that show substrate inhibition for this small xenobiotic. The extended active site of SULT1A1 is consistent with binding of diiodothyronine but cannot easily accommodate -estradiol, although both are known substrates. This observation, together with evidence for a disorder-order transition in SULT1A1, suggests that the active site is flexible and can adapt its architecture to accept diverse hydrophobic substrates with varying sizes, shapes and flexibility. Thus the crystal structure of SULT1A1 provides the molecular basis for substrate inhibition and reveals the first clues as to how the enzyme sulfonates a wide variety of lipophilic compounds.Sulfonation is a widely distributed biological reaction catalyzed by members of the supergene family of enzymes called sulfotransferases (SULTs).1 SULTs utilize the sulfonate donor 3Ј-phosphoadenosine 5Ј-phosphosulfate (PAPS) to catalyze sulfonation, yielding PAP as the desulfonated product of the reaction. These enzymes modify the biological activities of a diverse range of compounds including neurotransmitters, hormones, and drugs. The reaction aids excretion of foreign chemicals but, in some cases, causes bioactivation of carcinogens and mutagens (1-3). SULTs are the focus of intense research in the fields of cancer, drug metabolism, and pharmacogenetics because genetic variation, particularly in isoenzyme SULT1A1, may predispose to lung cancers (4), protect against colorectal cancers (5), and affect the age of onset in breast cancer (6).To date, five distinct mammalian gene families for cytosolic SULTs (SULTs 1-5) have been identified (7), although SULT3 and SULT5 have not been found in humans (8). The most extensive group of the human cytosolic SULTs is the SULT1 family, which includes SULTs 1A1, 1A2, 1A3, 1B1, 1C1, 1C2, and 1E1. Each SULT has distinct substrate preferences but may also exhibit broad and overlapping substrate specificity to span the diversity of chemicals requiring sulfonation. For example, SULT1A3 catalyzes dopamine sulfonation but also accepts p-nitrophenol (pNP) with lower affinity (9, 10). SULT1A1, which shares 93% identity with SULT1A3, also sulfonates dopamine and pNP but with the reverse preference, and in addition it can sulfonate a wide range of hydrophobic molecules (Fig. 1) including xenobiotics and endogenous substrates 3,3Ј-diio...