Reactome (version 70—September 2019) has entries for 10 867 human protein-coding genes, 53% of the 20 454 predicted human protein-coding genes (Ensembl release 97—July 2019—http://www.ensembl.org/Homo_sapiens/Info/Annotation), supporting the annotation of 25 849 specific forms of proteins distinguished by co- and post-translational modifications and subcellular localizations. These function with 1856 naturally occurring small molecules as substrates, catalysts and regulators in 11 638 reactions annotated on the basis of data from 30 398 literature references. These reactions are grouped into 1803 pathways (e.g. interleukin-15 signaling, phosphatidylinositol phosphate metabolism and receptor-mediated mitophagy) grouped into 26 superpathways (e.g. immune system, metabolism and autophagy) that describe normal cellular functions. Notable recent additions include extended annotations of SUMOylation and NEDDylation reactions and their regulatory consequences, annotations of NOTCH and RUNX signaling processes, systematic annotation of the processes of autophagy, and annotation of the metabolism of arachidonate-derived proresolvin mediators.