Activation of prothrombin by factor Xa is accompanied by expression of regu
latory exosites I and II on the blood coagulation proteinase, thrombin, Qua
ntitative affinity chromatography and equilibrium binding studies with a fl
uorescein-labeled derivative of the exosite I-specific peptide ligand, hiru
din(54-65) ([5F]Hir(54-65) (SO3-), were employed to identify and characteri
ze this site on human and bovine prothrombin and its expression on thrombin
. [5F]Hir(54-65)(SO3-) showed distinctive fluorescence excitation spectral
differences in complexes with prothrombin and thrombin and bound to human p
rothrombin and thrombin with dissociation constants of 3.2 +/- 0.3 mu M and
25 +/- 2 nM, respectively, demonstrating a 130-fold increase in affinity f
or the active proteinase. The bovine proteins similarly showed a 150-fold h
igher affinity of [5F]Hir(54-65)(SO3-) for thrombin compared with prothromb
in, despite a 2-5-fold lower affinity of the peptides for the bovine protei
ns. Unlabeled, Tyr(63)-sulfated and nonsulfated hirudin peptides bound comp
etitively with [5F]Hir(54-65)(SO3-) to human and bovine prothrombin and thr
ombin, exhibiting similar, 40-70-fold higher affinities for the proteinases
, although nonsulfated Hir(54-65) bound with 7-17-fold lower affinity than
the sulfated analog. These studies characterize proexosite I for the first
time as a specific binding site for hirudin peptides on both human and bovi
ne prothrombin that is present in a conformationally distinct, low affinity
state and is activated with a similar to 100-fold increase in affinity whe
n thrombin is formed.