Plasminogen activator inhibitor 1 (PAI-1) is a serpin inhibitor of the plasminogen activators urokinase-type plasminogen activator (uPA) and tissue plasminogen activator, which binds tightly to the clearance and signaling receptor low density lipoprotein receptor-related protein 1 (LRP1) in both proteinasecomplexed and uncomplexed forms. Binding sites for PAI-1 within LRP1 have been localized to CR clusters II and IV. Within cluster II, there is a strong preference for the triple CR domain fragment CR456. Previous mutagenesis studies to identify the binding site on PAI-1 for LRP1 have given conflicting results or implied small binding contributions incompatible with the high affinity PAI-1/LRP1 interaction. Using a highly sensitive solution fluorescence assay, we have examined binding of CR456 to arginine and lysine variants of PAI-1 and definitively identified the binding site as composed of four basic residues, Lys-69, Arg-76, Lys-80, and Lys-88. These are highly conserved among mammalian PAI-1s. Individual mutations result in a 13-800-fold increase in K d values. We present evidence that binding involves engagement of CR4 by Lys-88, CR5 by Arg-76 and Lys-80, and CR6 by Lys-69, with the strongest interactions to CR5 and CR6. Collectively, the individual binding contributions account quantitatively for the overall PAI-1/LRP1 affinity. We propose that the greater efficiency of PAI-1⅐uPA complex binding and clearance by LRP1, compared with PAI-1 alone, is due solely to simultaneous binding of the uPA moiety in the complex to its receptor, thereby making binding of the PAI-1 moiety to LRP1 a two-dimensional surface-localized association.Urokinase-type plasminogen activator (uPA) 2 is one of two serine proteinases involved in cell surface generation of plasmin from plasminogen. Although plasmin's primary role is to degrade fibrin-containing thrombi, it is also involved in a wide range of other normal and pathological processes that result from its ability to cleave matrix proteins such as laminin and fibronectin. In this way regulation of uPA activity plays an important role in control of processes such as wound healing and angiogenesis, as well as the growth and dissemination of tumors. For example, inhibition of uPA activity has been shown to block tumor invasion in the nude mouse (1). uPA is localized to the cell surface by tight binding to its uPA receptor (uPAR) (2) through the N-terminal region of uPA (3, 4).The principal inhibitor of uPA activity is plasminogen activator inhibitor 1 (PAI-1), a serpin. Inhibition by serpins involves a unique mechanism of kinetic trapping of the acylenzyme intermediate formed during cleavage of the serpin's reactive center loop by the proteinase (5). The mechanism involves a massive conformational change in the serpin, with insertion of the reactive center loop into sheet A of the serpin and translocation and consequent distortion of the proteinase active site as the means of kinetic trapping (6 -9). Because uPA is predominantly bound to its receptor, the result of inhibitio...