The 2.6-Å x-ray crystal structure of bovine ␣-thrombin in complex with rhodniin, a protein inhibitor isolated from the bug Rhodnius prolixus, has been solved and refined. The structure has enabled us to trace the Nterminal part of the 49-residue A-chain of bovine ␣-thrombin for the first time, which is fixed in a Ushaped loop on the molecular surface opposite the active site canyon. Model building shows that the 25 amino acid residues that link the A-chain and F2 kringle cannot run through the fibrinogen recognition exosite. This demonstrates that this fibrinogen recognition exosite is available in prothrombin and meizothrombin.Thrombin plays a central role in hemostasis and thrombosis, performing both coagulatory and regulatory functions (see Ref. 1). Prothrombin circulates in the plasma as a 579-residue (in man; 582 residues in bovine) 4-domain zymogen, consisting of an N-terminal Gla (␥-carboxyglutamic acid) domain, two tandem kringle domains, and the catalytic domain (see Fig. 1). Activation of prothrombin via two cleavages at Arg-PT271 (human; Arg-PT274 in bovine) and Arg-15 yields the two-chain ␣-thrombin (for thrombin, A-chain residues from Cys-1 to Arg-15 and the B-chain are identified via chymotrypsinogen numbers deduced from topological equivalence (2, 3); residues preceding Cys-1 are numbered according to human prothrombin and designated by the prefix PT (see Table I)). Depending on the reaction conditions, either bond may be cleaved first (4,5). Under physiological conditions (i.e. in the presence of Ca 2ϩ and negatively charged phospholipids), activation is effected largely via the prothrombinase complex (factors Xa and Va). In this case, the first cleavage occurs at Arg-15, resulting in the catalytically active membrane-bound intermediate meizothrombin. Subsequent cleavage at Arg-PT271 releases the mature two-chain procoagulant ␣-thrombin into the blood vessel. In the absence of factor Va, factor Xa performs these cleavages in reverse order at a much slower rate (4). Due to an additional autocatalytic cleavage at Arg-PT285-Thr-PT286, the human ␣-thrombin A-chain is further truncated to 36 residues.Crystallographic studies of ␣-thrombin reveal a compact molecule, with the B-chain and the central portion of the Achain forming a single globular domain (1-3). The ␣-thrombin molecule is characterized by a deep narrow canyon-like active site cleft, together with two positively charged surface patches, representing the "fibrinogen recognition exosite" and the "heparin binding site" (3). These two sites are of great functional significance in thrombin's interactions with macromolecular substrates and inhibitors (1). Recent crystal structures of ␣-thrombin in complex with F2 kringle (6) reveal that this kringle domain binds to the heparin binding site, largely via specific electrostatic interactions. The structure of prethrombin 2 has also recently been solved (7), exhibiting an overall organization identical to that of ␣-thrombin; the C-terminal part of the A-chain shows some displacement due to the intac...