The molecular interactions driving reactive center loop (RCL) insertion are of considerable interest in gaining a better understanding of the serpin inhibitory mechanism. Previous studies have suggested that interactions in the proximal hinge/breach region may be critical determinants of RCL insertion in serpins. In this study, conformational and functional changes in plasminogen activator inhibitor-2 (PAI-2) following incubation with a panel of synthetic RCL peptides indicated that the P14 residue is critical for RCL insertion, and hence inhibitory activity, in PAI-2. Only RCL peptides with a P14 threonine were able to induce the stressed to relaxed transition and abolish inhibitory activity in PAI-2, indicating that RCL insertion into -sheet A of PAI-2 is dependent upon this residue. The recently solved crystal structure of relaxed PAI-2 (PAI-2⅐RCL peptide complex) allowed detailed analysis of molecular interactions involving P14 related to RCL insertion. Of most interest is the rearrangement of hydrogen bonding around the breach region that accompanies the stressed to relaxed transition, in particular the formation of a side chain hydrogen bond between the threonine at P14 and an adjacent tyrosine on strand 2 of -sheet B in relaxed PAI-2. Structural alignment of known serpin sequences showed that this pairing (or the equivalent serine/threonine pairing) is highly conserved (ϳ87%) in inhibitory serpins and may represent a general structural basis for serpin inhibitory activity.The recent discovery of the crystallographic structure of the serpin-protease complex (1) confirms that the serpin inhibitory mechanism is dependent upon insertion of RCL 1 into -sheet A and the conformational changes associated with the stressed to relaxed (S 3 R) transition. By hyperstabilizing the serpin structure and translocating the protease to the opposite end of the serpin molecule, RCL insertion effectively crushes the protease against the body of the serpin. This in turn causes a striking loss of structure in the protease, making it susceptible to proteolytic degradation and preventing deacylation by distortion of the catalytic site (1).Relative rates of RCL insertion and deacylation determine partitioning between the substrate and inhibitory pathways of the reaction mechanism proposed by Wright and Scarsdale (2). If RCL insertion and distortion of the protease active site can occur more rapidly than deacylation, the protease is kinetically trapped in a stable covalent complex and inhibited. However, if the rate of RCL insertion is decreased, or insertion is blocked completely, the substrate reaction predominates (2). Hence, the molecular interactions driving RCL insertion are of considerable interest to gain a better understanding of the serpin inhibitory mechanism. We have shown previously that incubation with synthetic RCL analogues could induce the relaxed conformation of plasminogen activator inhibitor type-2 (PAI-2). However, RCL peptides lacking both the P13 and P14 residues (i.e. 12-mer and shorter) were not able to ...