IntroductionAldo-Keto Reductases (AKRs) are a rapidly growing protein superfamily that is highly conserved across prokaryotes and eukaroytes [1,2]. These are generally monomeric NAD(P) H linked oxidoreductases, that are soluble, and consist of approximately 320 amino acids and have mol. wts = 34-37 kDa. These enzymes often convert carbonyl containing substrates to alcohols; aldehydes are converted to primary alcohols and ketones are converted to secondary alcohols. When the carbonyl functionality is found on a natural substrate (steroid hormone or prostaglandin) or a drug or xenobiotic, conversion to the corresponding alcohol functionalizes the product for conjugation and elimination. These enzymes thus play a central role in the metabolism of endogenous substrates, drugs, xenobiotics, and carcinogens and are likely to be as important as the CYP superfamily in dealing with toxic insults.Currently, there are 114 members in the AKR superfamily distributed across 14 families. For a complete listing and nomenclature visit www.med.upenn.edu/akr. Proteins that belong to separate families have less than 40% sequence identity, and proteins that have greater than 60% similarity belong to the same subfamily. Each of the AKRs have common properties. They catalyze an ordered bi-bi reaction in which pyridine nucleotide binds first and leaves last. They are A-face specific dehydrogenases and catalyze the transfer of the 4-pro-R-hydride ion from the nicotinamide cofactor to the acceptor carbonyl [3]. NADP(H) binding is accompanined by the formation of a loose complex that isomerizes to a tight complex [4,5]. The rate of release of NADP + is a slow event and is controlled by the slow isomerization of the tight-complex to the loose-complex prior to release of cofactor.There are 13 crystal structures of AKRs in the PDB. Each crystal structure has a common (α/ β) 8 -barrel motif, in which an α-helix and a β-strand alternate 8-times [6][7][8]. The β-strands coalesce at the core of the structure to comprise the staves of a barrel, Fig. 1. In the available ternary complexes, the cofactor lies across the lip of the barrel and the substrate is orientated perpendicular to the cofactor. Three large loops at the back of the barrel define substrate specificity. At the base of the barrel a catalytic tetrad exists that is almost entirely conserved across the superfamily and consists of Tyr, Lys, His and Asp; where the catalytic tyrosine functions as the general acid-base in the proton relay to the substrate [9].Several AKRs have been implicated in carcinogen metabolism, these include the dihydrodiol dehydrogenases that oxidize polycyclic aromatic hydrocarbon trans-dihydrodiols to reactive and redox-active o-quinones (AKR1C1-AKR1C4 and AKR1A1) [10][11][12][13][14]; the NNK (4-(Nmethyl-N-nitrosamino)-1-(3-pyridyl)-1-butanone) carbonyl reductases that reduce tobaccospecific nitrosamino-ketones (NNK) to the corresponding alcohols (AKR1C1-AKR1C4) [ NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript and the aflatoxin dialde...