Previous studies showed that natural human liver alcohol dehydrogenase ␥ exhibits negative cooperativity (substrate activation) with ethanol. Studies with the recombinant ␥ 2 isoenzyme now confirm that observation and show that the saturation kinetics with other alcohols are also nonhyperbolic, whereas the kinetics for reactions with NAD ؉ , NADH, and acetaldehyde are hyperbolic. The substrate activation with ethanol and 1-butanol are explained by an ordered mechanism with an abortive enzyme-NADH-alcohol complex that releases NADH more rapidly than does the enzyme-NADH complex. In contrast, high concentrations of cyclohexanol produce noncompetitive substrate inhibition against varied concentrations of NAD ؉ and decrease the maximum velocity to 25% of the value that is observed at optimal concentrations of cyclohexanol. Transient kinetics experiments show that cyclohexanol inhibition is due to a slower rate of dissociation of NADH from the abortive enzyme-NADH-cyclohexanol complex than from the enzyme-NADH complex. Fluorescence quenching experiments confirm that the alcohols bind to the enzyme-NADH complex. The nonhyperbolic saturation kinetics for oxidation of ethanol, cyclohexanol, and 1-butanol are quantitatively explained with the abortive complex mechanism. Physiologically relevant concentrations of ethanol would be oxidized predominantly by the abortive complex pathway.Liver alcohol dehydrogenases (E.C. 1.1.1.1) catalyze the reversible oxidation of alcohols using NAD ϩ as a cofactor. Class I alcohol dehydrogenases from human liver are homo-and heterodimers comprised of ␣, , and ␥ subunits (1). HsADH 1 and HsADH␥ have high catalytic efficiencies on ethanol and contribute significantly to its metabolism (1). Polymorphisms in the ADH3 gene lead to the isoenzymes HsADH␥ 1 , which has Gln-271 and Val-349, and HsADH␥ 2 , with Arg-271 and Ile-349 (3). Genotyping indicates the allele frequency for HsADH␥ 2 is about 10% in East Asians and 43% in Europeans (4, 5). The V max for ethanol oxidation by HsADH␥ 1 is 2.5 times higher than that for HsADH␥ 2 (1, 6), and it was suggested that susceptibility to alcoholism and cirrhosis may be associated with the presence of HsADH␥ 2 (1, 7). However, extensive studies have not established a correlation (4,5,8). Further insights into the possible roles of alcohol dehydrogenases in alcoholism require quantitative descriptions of the kinetics of the various enzymes involved, but the properties of HsADH␥ are a challenge because both isoenzymes exhibit negative cooperativity for ethanol oxidation (6), and the mechanism has not yet been described.The negative cooperativity could arise from different mechanisms (9). Subunit interactions or "half-of-the-sites" reactivity (an extreme case of negative cooperativity) were reported for the horse liver E (ethanol active) enzyme (10, 11) but were later disputed (12)(13)(14). Other studies have found nonadditivity in the heterodimers of horse liver enzymes (15) and human liver enzymes (16), suggesting that the constituent subunits do not act...