Much attention is currently focused on inhibitors of thrombin as poten
tial anticoagulants. We have previously reported thrombin inhibitors b
ased on fragments of fibrinogen containing a ketomethylene isostere at
P-1 - P'(1). We now expand on these early findings by reporting on tr
ipeptide based inhibitors of thrombin containing arginine or lysine ke
tones at the C-terminus. A large variety of such ketones have been stu
died and compared in their ability to increase the thrombin lime in hu
man plasma. In the case of arginine or lysine ketones the order of act
ivity (i.e. decreasing IC50 TT) was: alkylketones < beta-ketoesters <
difluoro beta-ketoamides < alkyloxymethyl ketones < fluoroketones. Lys
ine analogues were generally found to be ca. ten-fold less active than
their arginine counterparts. However, in the case of alpha-ketoesters
the lysine derivatives were superior to all the types of arginine ket
ones studied (including the arginine alpha-keto ester derived thrombin
inhibitor). A mechanistic explanation of the relative inactivity of t
he arginine alpha-keto ester derivative is proposed. All the highly el
ectrophilic ketones were found to be slow-binding wih thrombin.