Human liver alcohol dehydrogenase (ADH) exists in multiple molecular forms
which arise from the association of eight different types of subunits, a, ß(1), ß(2), ß(3), y(1), y(2), π, and
X, into active dimeric molecules. A genetic model accounts for this multiplicity as products of
five gene loci, ADH(1) through ADH(5). Polymorphism occurs at two loci, ADH(2) and ADH(3),
which encode the ß and y subunits. All of the known homodimeric and heterodimeric isoenzymes
have been isolated and purified to homogeneity. Analysis of the steady-state kinetic
properties and substrate and inhibitor specificities has shown substantial differences in the
catalytic properties of the isoenzymes. For example, the Km values for NAD+ and ethanol
vary as much as 1,000-fold among the isoenzymes. Some of the differences in catalytic
properties can be related to specific amino acid substitutions in the ADH isoenzymes.