and spacer domains sequentially to the metalloprotease domain progressively increases its proteolytic activity, 8 suggesting that each of these amino-terminal domains is critical for substrate recognition. Binding experiments have demonstrated that each individual amino-terminal domain (except the metalloprotease domain) appears to bind VWF73 with appreciable affinities (K D , ;100-500 mM), but the MDTCS domains together bind VWF73 with much higher affinity (K D , ;7 nM). 8 Furthermore, a large 8 or small 9 deletion or even a point mutation 9,10 in any of these noncatalytic domains results in significant impairment of ADAMTS13 activity. Together, these findings suggest that the MDTCS domains work in concert for substrate recognition and proteolysis.de Groot et al elegantly demonstrate a hydrophobic pocket in the Cys-rich domain of ADAMTS13 that appears to directly interact with a hydrophobic pocket in the central A2 domain as being 2 complementary binding sites critical for ADAMTS13 and VWF interaction. First, by modification of several potential glycan attaching sites, de Groot et al observe that when a glycan is attached to position 476 in the Cys-rich domain, binding of the ADAMTS13 variant to VWF and its proteolytic activity are significantly reduced (see panel B), suggesting the importance of this glycan attaching site and perhaps its vicinity for ADAMTS13 function. Second, by swapping the Cys-rich domain between ADAMTS13 and ADAMTS1, a closely related member of the ADAMTS family, they are able to identify a hydrophobic pocket in the Cys-rich domain involving residues Gly471-Val474 that is critical for VWF binding and proteolysis (see figure panel B). Third, in a reversed experiment, de Groot et al further identify a hydrophobic pocket comprising residues Ile1642, Trp1644, Ile1649, Leu1650, and Ile1651 in the central A2 domain of VWF as being part of the complementary site for interaction with the hydrophobic pocket involved in residues Gly471-Val474 in the Cysrich domain of ADAMTS13. The findings in this study provide novel insight into the role of the Cys-rich domain and bridge a major gap in our understanding of the structural and functional relationship of ADAMTS13. However, the confirmation of such an interaction between ADAMTS13 and VWF relies on cocrystallization of the VWF peptide-ADAMTS13 enzyme complex or other more sophisticated biochemical/ biophysical techniques. Whether anti-ADAMTS13 immunoglobulin G autoantibodies in acquired TTP patients bind to this hydrophobic pocket in the Cys-rich domain to inhibit ADAMTS13 proteolytic function remains to be determined.Conflict-of-interest disclosure: The author declares no competing financial interests. n REFERENCES 1. de Groot R, Lane DA, Crawley JTB. The role of the ADAMTS13 cysteine-rich domain in VWF binding and proteolysis. Blood. 2015;125(12):1968-1975 PARtitioning protease signalingIn this issue of Blood, Aisiku et al describe a novel class of protease-activated receptor-1 (PAR1) inhibitors that block proinflammatory pathways but spare cytopr...