Figure 1 - full size

 

Figure 1.
Figure 1. Heparin catalysis of thrombin inhibition by antithrombin. (a) The binding of the specific heparin pentasaccharide to antithrombin induces a global conformational change involving the expulsion of the hinge region (circled) of the reactive center loop (RCL, yellow) from the central -sheet A (red), and extension (yellow) of the A and D helices (green and cyan, respectively). The expulsion of the hinge region increases the flexibility of the RCL and liberates the P1 Arg (green ball-and-stick). The flexibility of the C-terminal portion of the RCL (P' side) is limited, despite a three-residue insertion (orange), owing to a tight hydrogen-bonded turn. (b) Stereo representation of the crystal structure of the ternary complex between antithrombin (colored as above), thrombin (magenta) and heparin (ball-and-stick, with blue 2F[o] - F[c] electron density contoured at 1 ). Thrombin is docked toward the heparin-binding site of antithrombin, and makes several exosite interactions. The expulsion of the hinge region is not required to form this complex, but the P' side of the RCL (orange) has been elongated. (c) Density (calculated as in b) of the hinge region of antithrombin in its complex with thrombin and heparin (yellow) reveals the insertion of P15 Gly into -sheet A, and a larger opening between strands 3 and 5A than seen for pentasaccharide-bound antithrombin alone (gray). It has been shown that high-affinity binding is not inconsistent with a native-like hinge conformation, as demonstrated by the structure in PDB entry 1NQ9 (ref. 42) (brown). (d) A comparison of the conformations of the P' region of the RCL of pentasaccharide activated antithrombin (gray) to that of antithrombin in the complex with thrombin and heparin (yellow, oriented as in a and b) reveals the requirement for P' elongation through the breaking of hydrogen bonds.

The above figure is reprinted by permission from Macmillan Publishers Ltd: Nat Struct Mol Biol (2004, 11, 857-862) copyright 2004.