Fibrinolysis is regulated in part by the interaction of tissue-type plasminogen activator (t-PA) and plasminogen activator inhibitor type 1 (PAI-1). Previous investigations suggest that three specific arginine residues, Arg-298, Arg-299, and Arg-304 of t-PA, play a critical role in this important regulatory interaction. Our earlier studies have demonstrated that conversion of any of these three residues to a glutamic acid residue reduced the rate of inhibition of t-PA by PAI-1 by factors varying from 58 -64. In addition, we have reported that the second order rate constant for inhibition by PAI-1 of the variant t-PA/K296E,R298E,R299E is reduced by a factor of approximately 2800 compared with that of wild type t-PA. In this study, we have significantly extended our earlier observations by identifying t-PA variants that are substantially more resistant to inhibition by PAI-1 than any previously reported variants of t-PA or urokinase-type plasminogen activator. Single-chain t-PA/ R275E,R298E,R299E,R304E, for example, is inhibited by PAI-1 approximately 120,000 times less rapidly than single-chain, wild type t-PA. We also report the first direct comparison of the effects of charge reversal mutations of Arg-298, Arg-299, and/or Arg-304 on the properties of the single-and two-chain forms of t-PA. While these mutations confer extraordinary resistance to inhibition by PAI-1 to both forms of the enzyme, our observations reveal that the single-chain enzyme is affected to a greater extent than the two-chain enzyme. Two-chain, wild type t-PA is inhibited by PAI-1 approximately 1.4 times more rapidly than single-chain t-PA. The corresponding ratio increases to 7.6 or 6.7, respectively, for variants of t-PA containing the R298E,R299E or R298E,R299E,R304E mutations.Tissue-type plasminogen activator (t-PA), 1 a 68-kDa member of the (chymo)trypsin family of serine proteases, catalyzes the rate-limiting step in the endogenous fibrinolytic cascade, activation of the circulating zymogen plasminogen into the active enzyme plasmin (1-3). This fibrinolytic activity of t-PA led investigators to examine use of the enzyme as a potential therapeutic agent for the treatment of thrombotic disorders (4 -7), and administration of wild type human t-PA has now became a standard therapy for the treatment of acute myocardial infarction (3, 8 -10). Use of the wild type enzyme as a therapeutic agent, however, is constrained by two mechanisms that normally serve to regulate the activity of endogenous t-PA (3,11,12). First, the activity of t-PA is rapidly inhibited by the serpin plasminogen activator inhibitor type 1 (PAI-1), and, second, the enzyme is rapidly cleared from the liver by at least two hepatic receptor systems (13,14). The impact of these constraints is reduced in current thrombolytic regimens by using very high doses of the wild type enzyme (approximately 100 mg) and by administering the enzyme as a bolus followed by an infusion that lasts between 1.5 and 3 h (3, 8 -10). While many clinical studies have demonstrated that these protocols...