Human phosphodiesterase 3A (PDE3A) degrades cAMP, the major inhibitor of platelet function, thus potentiating platelet function. Of the 11 human PDEs, only PDE3A and 3B have 44-amino acid inserts in the catalytic domain. Their function is not clear. Incubating Sp-adenosine-3,5-cyclic-S-(4-bromo-2,3-dioxobutyl) monophosphorothioate (Sp-cAMPS-BDB) with PDE3A irreversibly inactivates the enzyme. The anti-platelet drugs aspirin and clopidogrel have proven efficacy in secondary prevention of stroke, myocardial infarction, and peripheral vascular reocclusion (1, 2). Aspirin inhibits cyclooxygenase, thereby decreasing synthesis of thromboxane A2. Clopidogrel, a P2Y12 antagonist, blocks the ability of ADP to inhibit stimulated adenylate cyclase. However, despite prophylaxis with these anti-platelet drugs, reocclusion of coronary arteries occurs in 20 -30% of patients after thrombolytic therapy or angioplasty probably because of the inability of these drugs to inhibit thrombin-induced platelet activation (3, 4). At low concentrations of thrombin, platelet aggregation depends in part on ADP and thromboxane A2, which are released by platelets and exert autocrine-mediated enhancement. At high concentrations of thrombin, platelets are aggregated and activated by pathways independent of both ADP and thromboxane A2. In contrast, elevation of intracellular cAMP produces potent inhibition of all pathways of platelet activation including increase in intracellular Ca 2ϩ , shape change, aggregation, secretion, and the effects of phospholipases A 2 and C, as well as their responses of platelets to thrombin.Cyclic nucleotide PDE3A 4 is the most abundant cAMP PDE in platelets. PDE3A hydrolyzes cAMP resulting in lowering the intracellular cAMP levels, which in turn potentiates platelet activation. Drugs that inhibit PDE3A raise cAMP levels in platelets, thereby increasing the phosphorylation of proteins by cAMP-and cGMP-dependent protein kinases (5). Currently two PDE3A competitive inhibitors cilostazol and milrinone have respectively been used for treating patients with intermittent claudication and acute congestive heart failure (6, 7). Unfortunately cilostazol is contraindicated in patients with congestive heart failure, and milrinone is associated with undesirable cardiac arrhythmias. Examination of the inhibitory mechanism of PDE3A is important to exploit other ways of inhibiting this enzyme to minimize side effects.The available PDE family crystal structures known to date are those of the catalytic domains cAMP-PDE (PDE4B2B and PDE4D) (8, 9), cGMP-PDE (PDE5A and PDE9A) (10, 11), and dual cAMP/cGMP-PDE (PDE1B and PDE3B) (12, 13). The