Cytochromes P450 play key roles in drug metabolism and disease by oxidizing
a wide variety of natural and xenobiotic compounds. High-resolution crysta
l structures of P450cam bound to ruthenium sensitizer-linked substrates rev
eal an open conformation of the enzyme that allows substrates to access the
active center via a 22-Angstrom deep channel. Interactions of alkyl and fl
uorinated biphenyl linkers with the channel demonstrate the importance of e
xploiting protein dynamics for specific inhibitor design. Large changes in
peripheral enzyme structure (F and G helices) couple to conformational chan
ges in active center residues (I helix) implicated in proton pumping and di
oxygen activation. Common conformational states among P450cam and homologou
s enzymes indicate that static and dynamic variability in the F/G helix reg
ion allows the 54 human P450s to oxidize thousands of substrates.