Peptides corresponding to the loop regions of the fourth, fifth, and s
ixth epidermal growth factor (EGF)-like domains of thrombomodulin (TM)
have been synthesized and assayed for thrombin inhibition, as indicat
ed by both inhibition of thrombin-mediated fibrinogen clotting and inh
ibition of the association of thrombin with TM that results in protein
C activation. Peptides from the fifth EGF-like domain showed signific
ant inhibition of fibrinogen clotting and protein C activation, wherea
s peptides from the fourth and sixth EGF-like domains were weak inhibi
tors in both assays. Two structural features were important for inhibi
tory potency of the peptides from the fifth EGF-like domain: cyclizati
on by a disulfide bond and attachment of the ''tail'' amino acids C-te
rminal to the disulfide loop. Linear control peptides did not signific
antly inhibit clotting or protein C activation. The C-terminal loop al
one, the ''tail'' peptide, or a mixture of the two were at least 10-fo
ld less potent inhibitors of clotting or protein C activation. A more
constrained peptide analog was designed by deletion of an isoleucine w
ithin the C5-C6 disulfide loop, TM52-1+5(c). This analog was a better
inhibitor in both assay systems, having a K-i for protein C activation
of 26 mu M.