Background: The large plasma proteinase inhibitors of the alpha(2)-mac
roglobulin superfamily inhibit proteinases by capturing-them within a
central cavity of the inhibitor molecule. After reaction with the prot
einase, the alpha-macroglobulin-proteinase complex binds to the alpha-
macroglobulin receptor, present in the liver and other tissues, and be
comes endocytosed and rapidly removed from the circulation. The comple
x binds to the receptor via recognition sites located on a separate do
main of approximately 138 residues positioned at the C terminus of the
alpha-macroglobulin subunit. Results: The crystal structure of the re
ceptor-binding domain of bovine alpha(2)-macroglobulin (bRBD) has been
determined at a resolution of 1.9 Angstrom. The domain primarily comp
rises a nine-strand beta structure with a jelly-roll topology, but als
o contains two small alpha helices. Conclusions: The surface patch res
ponsible for receptor recognition is thought to involve residues locat
ed on one of the two alpha helices of the bRBD as well as residues in
two of the beta strands. Located on this alpha helix are two lysine re
sidues that are important for receptor binding. The structure of bRBD
is very similar to the approximately 100-residue C-terminal domain of
factor XIII, a transglutaminase from the blood coagulation system.