Annexins are a family of calcium- and phospholipid-binding proteins im
plicated in mediating membrane-related processes such as secretion, si
gnal transduction, and ion channel activity. The crystal structure of
rat annexin V was solved to 1.9 angstrom resolution by multiple isomor
phous replacement. Unlike previously solved annexin V structures, all
four domains bound calcium in this structure. Calcium binding in the t
hird domain induced a large relocation of the calcium-binding loop reg
ions, exposing the single tryptophan residue to the solvent. These alt
erations in annexin V suggest a role for domain 3 in calcium-triggered
interaction with phospholipid membranes.