“…Autoactivation is found in other zymogens such as proprotein convertases furin and kexin type 9 (31-33), plasma hyaluronan-binding protein (26), recombinant factor VII (34), and the membrane-bound matriptases (35,36). The pre-existing equilibrium of the trypsin fold between the E* (inactive) and E (active) forms (7,37) explains autoactivation in terms of the small intrinsic activity of the zymogen (6). However, in the case of prothrombin, the question remains as to the physiological relevance of autoactivation given that Arg-320 (Arg-15) is not accessible to proteolytic attack in the wild-type (5).…”