Analysis of CNBr fragments and other peptides from human liver cytoplasmic aldehyde dehydrogenase enabled determination of the complete primary structure of this protein. The monomer has an acylated amino terminus and is composed of 500 amino acid residues, including I1 cysteine residues. N o evidence of any microheterogeneity was obtained, supporting the concept that the enzyme is a homotetramer. The disulfiram-sensitive thiol in the protein, earlier identified through its reaction with iodoacetamide, is contributed by a cysteine residue at position 302, while the cysteine which in horse liver mitochondrial aldehyde dehydrogenase is reactive with coenzyme analogs appears to correspond to either Cys-455 or Cys-463. Analysis of glycine distribution and prediction of secondary structures to localize PEP regions typical for coenzyme-binding are not fully unambiguous, but suggest a short region around position 245 as a likely segment for this function. In this region, sequence similarities to parts of a bacterial aspartate-P-semialdehyde dehydrogenase and a mammalian alcohol dehydrogenase were noted. Otherwise, no extensive similarities were detected in comparisons with characterized mammalian enzymes of similar activity or subunit size as aldehyde dehydrogenase (glyceraldehyde-3-phosphate dehydrogenase and glutamate dehydrogenase, respectively).Aldehyde dehydrogenases have a wide substrate specificity and participate in ethanol metabolism through clearance of acetaldehyde. In human liver, two major isoenzymes of aldehyde dehydrogenase are present and have been ascribed to the cytoplasm and mitochondria, as in the livers of other mammalian species [ 1 -51. Structurally, the isoenzymes behave like different proteins in the sense that hybrid molecules are not (but see [6]) usually found [7]. Furthermore, a comparison of short segments from horse cytoplasmic and mitochondrial aldehyde dehydrogenases indicated a high extent of substitutions (about 50%) between the two forms [8]. Immunologically, however, they appear to be homologous [5,9] and the two forms are also similar in many enzymic properties. One notable exception is the much greater sensitivity of the cytoplasmic isoenzyme to inactivation by disulfiram [I, 5, 10, 111. This compound is also used clinically for alcohol aversion therapy, acting through the effects of acetaldehyde accumulation [12].Only recently have detailed molecular aspects of aldehyde dehydrogenase been studied. In the human cytoplasmic isoenzyme, a cysteine-containing segment has been implicated in the reaction with disulfiram because reaction of one of its cysteine residues with iodoacetamide is blocked by disulfiram [I 31. Another segment from horse mitochondrial aldehyde dehydrogenase, also containing a reactive cysteine residue, has been implicated in NAD(H) binding from its reaction with a coenzyme analog [14]. Although not finally proven, the possi- bility of a position close to the active site for one of these cysteine residues appears likely [I 31; this would be compatible with the ...