The native forms of common globular proteins are in their most stable state but the native forms of plasma serpins (serine protease inhibitors) show high energy state interactions. The high energy state strain of ␣ 1 -antitrypsin, a prototype serpin, is distributed throughout the whole molecule, but the strain that regulates the function directly appears to be localized in the region where the reactive site loop is inserted during complex formation with a target protease. To examine the functional role of the strain at other regions of ␣ 1 -antitrypsin, we increased the stability of the molecule greatly via combining various stabilizing single amino acid substitutions that did not affect the activity individually. The results showed that a substantial increase of stability, over 13 kcal mol ؊1 , affected the inhibitory activity with a correlation of 11% activity loss per kcal mol ؊1 . Addition of an activity affecting single residue substitution in the loop insertion region to these very stable substitutions caused a further activity decrease. The results suggest that the native strain of ␣ 1 -antitrypsin distributed throughout the molecule regulates the inhibitory function in a concerted manner.The native forms of common globular proteins are in their most stable state and protein folding is a spontaneous process (1). However, the native forms of some proteins are not in their most stable state: typical examples are the strained native structure of plasma serpins 1 (serine protease inhibitors) (2), the spring-loaded structure of the fusion protein of some viruses (3, 4), and heat shock transcription factors (5). The high energy state of the native structure of serpins is considered to be crucial to their physiological functions, such as plasma protease inhibition (1, 6), hormone delivery (7), Alzheimer filament assembly (8, 9), and extracellular matrix remodeling (10). The inhibition process of serpins can be described as a suicide substrate mechanism (11, 12), in which serpins, upon binding with proteases, partition between cleaved serpins (substrate pathway) and stable serpin-enzyme complexes (inhibitory pathway) as described in Scheme 1.In this scheme, I denotes the serpin; E, protease; EI, noncovalent Michaelis complex; E-I, a proposed intermediate prior to partitioning; E-I*, stable enzyme-inhibitor complex; and I*, cleaved serpin. The stoichiometry of inhibition (SI, the number of moles of inhibitors required to completely inhibit 1 mol of a target protease) is given by 1 ϩ k substrate /k inhibition , in which k substrate and k inhibition are the rate constants for the substrate and inhibitory pathways, respectively. The crystal structure of a serpin-protease complex revealed that the reactive site loop of the serpin is cleaved and inserted into the major -sheet, sheet A, in the complex, whereas the target protease is attached to the cleaved loop of the serpin as an acyl intermediate (13). The conformational conversion during complex formation accompanies the distortion of the protease active site (13), ...