Prosthetic groups are a subset of cofactors and differ from coenzymes in that they bind permanently to the enzyme as opposed to temporarily for coenzymes. In enzymes, prosthetic groups are involved in the active site in some way.
The heme group in hemoglobin is a prosthetic group. Further examples of organic prosthetic groups are vitamin derivatives: thiamine (vitamin B1), thiamine pyrophosphate, pyridoxal-phosphate and biotin. Since prosthetic groups are often vitamins or made from vitamins, this is one of the reasons why vitamins are required in the human diet. Inorganic prosthetic groups are usually transition metal ions such as iron (in heme groups, for example in cytochrome c oxidase and hemoglobin), zinc (for example in carbonic anhydrase), magnesium (for example in some kinases), and molybdenum (for example in nitrate reductase).
| Prosthetic group | Function | Distribution |
| Flavin mononucleotide | Redox reactions | Bacteria, archaea and eukaryotes |
| Flavin adenine dinucleotide | Redox reactions | Bacteria, archaea and eukaryotes |
| Pyrroloquinoline quinone | Redox reactions | Bacteria |
| Pyridoxal phosphate | Transamination, decarboxylation and deamination | Bacteria, archaea and eukaryotes |
| Biotin | Carboxylation | Bacteria, archaea and eukaryotes |
| Methylcobalamin | Methylation and isomerisation | Bacteria, archaea and eukaryotes |
| Thiamine pyrophosphate | Decarboxylation | Bacteria, archaea and eukaryotes |
| Heme | Oxygen binding and redox reactions | Bacteria, archaea and eukaryotes |
| Molybdopterin | Oxygenation reactions | Bacteria, archaea and eukaryotes |
| Lipoic acid | Redox reactions | Bacteria, archaea and eukaryotes |