The essential roles of proteins of the serpin family in many physiolog
ical processes, along with new discoveries of their unique folding pro
perties, have attracted intense interest in recent years. Many serpins
display unusual mobile behavior attributed to rearrangements of alpha
-helical or beta-sheet domains, whereby large scale transitions accomp
any a Variety of functions, including inactivation. This unusual behav
ior was first recognized with the X-ray structure of modified al-prote
inase inhibitor. Subsequent experiments, including new X-ray structure
s, have revealed a surprising Variety of conformations which are funct
ionally important but only partially understood. We review here experi
mental evidence for conformations relevant to the serpin inhibitory me
chanism.