To test whether distances derived from paramagnetic broadening of 15 N heteronuclear single quantum coherence (HSQC) resonances could be used to determine the global fold of a large, perdeuterated protein, we used site-directed spin-labeling of 5 amino acids on the surface of 15 N-labeled eukaryotic translation initiation factor 4E (eIF4E). eIF4E is a 25 kDa translation initiation protein, whose solution structure was previously solved in a 3-[(3-cholamidopropyl)dimethylammonio]-1-propanesulfonate hydrate (CHAPS) micelle of total molecular mass ∼45-50 kDa. Distance-dependent line broadening consistent with the three-dimensional structure of eIF4E was observed for all spin-label substitutions. The paramagnetic broadening effects (PBEs) were converted into distances for modeling by a simple method comparing peak heights in 15 N-HSQC spectra before and after reduction of the nitroxide spin label with ascorbic acid. The PBEs, in combination with HN-HN nuclear Overhauser effects (NOEs) and chemical shift index (CSI) angle restraints, correctly determined the global fold of eIF4E with a backbone precision of 2.3 Å (1.7 Å for secondary structure elements). The global fold was not correctly determined with the HN-HN NOEs and CSI angles alone. The combination of PBEs with simulated restraints from another nuclear magnetic resonance (NMR) method for global fold determination of large proteins (methylprotonated, highly deuterated samples) improved the quality of calculated structures. In addition, the combination of the two methods simulated from a crystal structure of an all R-helical protein (40 kDa farnesyl diphoshphate synthase) correctly determined the global fold where neither method individually was successful. These results show the potential feasibility of obtaining medium-resolution structures for proteins in the 40-100 kDa range via NMR.There has been an increase in research aimed at calculating global folds of proteins with the limited NOE 1 data obtained from deuterated samples (1). The motivation is the molecular weight size gap between what can be sequentially assigned and for what a sufficient number of NOEs can be determined for structure calculations. Backbone resonances in macromolecular systems as large as 65 kDa have been assigned with deuterated samples (2) and recent advances with transverse relaxation-optimized spectroscopy (TROSY) experiments promise to extend the theoretical limit for backbone assignment to beyond 100 kDa (3, 4). However, the high levels of deuteration required to increase the relaxation times of the aliphatic 13 C-carbon resonances remove most of the side-chain protons for NOE analysis. The most simple methodology for global fold determination is to use the remaining NOEs between nitrogen-attached protons (HN) that can be obtained from 3D or 4D 15 N-NOESY-HSQC experiments of a deuterated protein (5). This limited subset of NOEs results in very poor quality structures that in many cases cannot correctly determine the global fold of the protein. Use of HN NOEs is particul...