Previous studies have shown that a modified form of antithrombin, cleaved at a single Arg-Ser bond near the carboxy-terminal end of the chain, is formed during the reaction with thrombin concurrent with the formation of the inactive enzyme-inhibitor complex. A variety of evidence suggests that this cleavage site is the active site of antithrombin. In this work, antisera against intact antithrombin, the modified form of antithrombin and the antithrombin-thrombin complex were used in immunodiffusion analyses to probe the state of the inhibitor in its complexes with coagulation serine proteases. The results show that new antigenic determinants not present in intact antithrombin are created in modified antithrombin by the single peptide-bond cleavage. The same antigenic determinants are found also in complexes between antithrombin and thrombin or factor X,. No evidence for the exposure of other new determinants in the complexes was obtained. The most likely conclusion from these results is that antithrombin exists in its complexes with the serine proteases as the modified, two-chain form of the inhibitor. This suggests that the mechanism of inhibition involves proteolytic cleavage of the active site of antithrombin by the protease.Antithrombin inhibits all the serine proteases of the intrinsic coagulation system by forming inactive, extremely stable, equimolar complexes with the enzymes (for reviews, see [I -31). A recent report from this laboratory showed that the formation of the antithrombin-thrombin complex in vitro is accompanied by the appearance ofa non-complexed, proteolytically modified, two-chain form of the inhibitor [4]. Heparin increases the production of this modified antithrombin (Bjork, I. and Fish, W. W., unpublished results; Lavine, K. K. and Jackson, C. M., personal communication) in addition to dramatically accelerating the formation of the antithrombin-thrombin complex [5]. The modified inhibitor is produced by a single cleavage by thrombin of an Arg-Ser bond near the carboxy-terminal end of the antithrombin polypeptide chain [6,7]. The two peptide chain segments thus formed are held together both by a disulfide bridge and by non-covalent interactions. A protein which is identical to the free thrombin-modified form of antithrombin can be released from the antithrombin-thrombin complex by various procedures [6,8 -101 and also dissociates spontaneously from the complex [Ill. Together, these findings have led to the suggestion that the observed cleavage site in antithrombin is the active site of the inhibitor [6,9]. This proposal has been supported by recent demonstrations of a homologous active site in the carboxy-terminal region of human al-protease inhibitor [12,13].The state of the active-site bond of antithrombin in the complexes between the inhibitor and serine proteases has n o t yet been characterized. Circumstantial evidence obtained in earlier investigations has suggested that actual cleavage of antithrombin by thrombin at the active site of the inhibitor may be involved in the formation ...