Inhibitors of procoagulant enzymes, such as factor Xa (fXa) and thrombin, are important for treating thrombosis. Thrombin has complex pro-and anticoagulant roles and thus fXa is thought to represent an ideal target. Discrete k cat and K m values for cleavage of a library of fluorescence-quenched substrates by fXa were determined. The results highlighted the low selectivity of fXa at its prime sites, and its poor efficiency compared with thrombin, creating a challenge for the design of fXa-specific peptidic inhibitors. We hypothesized that K m rather than k cat /K m values may be better indicators of inhibitor potential for a peptidic sequence, leading us to design peptide sequences for both fXa and thrombin in three forms: fluorescence-quenched substrates, standard a-peptides and peptides containing a b-homoarginine at the cleavage site. Kinetic and competitive inhibition assays with both fXa and thrombin showed the fluorescence-quenched substrates to be the best inhibitors, while the inhibitory effect of the b-homoarginine peptides varied for the two proteases. Importantly, fXa was inhibited to a much greater extent by the b-peptides than the corresponding a-peptides, resulting in an increased selectivity for fXa inhibition over thrombin for those peptides containing a b-amino acid at the cleavage site.Key words: b-peptide, factor Xa, fluorescence-quenched substrates, protease inhibitor, protease specificity, serine protease Factor Xa (fXa) and thrombin are mammalian trypsin-type serine proteases that have a central role in the blood coagulation cascade. Factor Xa, together with phospholipids and factor Va, forms the prothrombinase complex, which activates thrombin by cleaving prothrombin at two positions (1). Thrombin has a complex role in blood coagulation, behaving as both a procoagulant and anticoagulant, as well as having an effect on platelet function (2). Factor Xa has a more specific physiological role and therefore, fXa-specific inhibitors are expected to be promising candidates as anticoagulation agents (3). A number of highly specific small-molecule fXa inhibitors have been reported (3-5) which bind in the non-prime subsites 1 of the enzyme. The tick anticoagulant peptide from Ornithodoros moubata is also a highly potent inhibitor of fXa and binds to both an exosite and the active site of the enzyme (6). Our main interest in this area involves an examination of the binding properties of the prime subsites of human fXa and the use of this information in the development of inhibitors that span the enzyme's cleavage site. The initial goal was to produce peptidic inhibitors, which might provide leads for the development of non-peptidic inhibitors.Recent studies on bovine and human fXa prime subsites reveal that the enzyme is non-specific in its preferences for peptide substrates on the prime side of the cleavage site, especially when compared with thrombin, which is highly specific (8,9). As a consequence, it appears that the design of specific, high affinity peptide-based inhibitors of fXa that span the...