Previous studies have suggested that the conformation of the activation peptide of protein C is influenced by the binding of Ca 2؉ . To provide direct evidence for the linkage between Ca 2؉ binding and the conformation of the activation peptide, we have constructed a protein C mutant in the ␥-carboxyglutamic acid-domainless form in which the P1 Arg 169 of the activation peptide is replaced with the fluorescence reporter Trp. Upon binding of Ca 2؉ , the intrinsic fluorescence of the mutant decreases ϳ30%, as opposed to only 5% for the wild-type, indicating that Trp 169 is directly influenced by the divalent cation. The K d of Ca 2؉ binding for the mutant protein C was impaired ϳ4-fold compared with wild-type. Interestingly, the conformation of the activation peptide was also found to be sensitive to the binding of Na ؉ , and the affinity for Na ؉ binding increased ϳ5-fold in the presence of Ca 2؉ . These findings suggest that Ca 2؉ changes the conformation of the activation peptide of protein C and that protein C is also capable of binding Na ؉ , although with a weaker affinity compared with the mature protease. The mutant protein C can no longer be activated by thrombin but remarkably it can be activated efficiently by chymotrypsin and by the thrombin mutant D189S. Activation of the mutant protein C by chymotrypsin proceeds at a rate comparable to the activation of wild-type protein C by the thrombin-thrombomodulin complex.Protein C is a multidomain vitamin K-dependent serine protease zymogen in plasma, which, upon activation by the complex of thrombin and thrombomodulin (TM), 1 down-regulates the coagulation cascade by degrading cofactors Va and VIIIa by limited proteolysis (1-3). Activated protein C has a light and a heavy chain held together by a single disulfide bond, with the N-terminal light chain containing the non-catalytic ␥-carboxyglutamic acid domain and two epidermal growth factor-like domains (4, 5). The catalytic domain of activated protein C is located in the C-terminal heavy chain of the molecule (6) and contains functionally critical and conformationally linked binding sites for both Na ϩ and Ca 2ϩ (7,8). The Ca 2ϩ binding site is located in the 70-loop (chymotrypsin numbering (9)) by analogy with trypsin (10) and optimizes the catalytic activity of the protease (11,12). Ca 2ϩ binding to the 70-loop is also required for the rapid activation of protein C by the thrombin-TM complex, whereas such binding inhibits the conversion to activated protein C in the absence of TM (13,14). Based on these and other observations, it has been postulated that binding of Ca 2ϩ to the 70-loop of protein C changes the conformation of the activation peptide of the zymogen in a way that promotes cleavage by thrombin in the presence but not the absence of TM (1, 15). However, no direct evidence for the Ca 2ϩ -induced conformational change in the activation peptide of protein C has been presented so far.In addition to a Ca 2ϩ binding site in the 70-loop, the catalytic domain of activated protein C possesses a functiona...