The nematode Ascaris suum primarily infects pigs, but also causes disease in humans. As part of its survival mechanism in the intestinal tract of the host, the worm produces a number of protease inhibitors, including pepsin inhibitor-3 (PI3), a 17 kDa protein. Recombinant PI3 expressed in E. coli has previously been shown to be a competitive inhibitor of a sub-group of aspartic proteinases: pepsin, gastricsin and cathepsin E. The previously determined crystal structure of the complex of PI3 with porcine pepsin (p. pepsin) showed that there are two regions of contact between PI3 and the enzyme. The first three N-terminal residues (QFL) bind into the prime side of the active site cleft and a polyproline helix (139)(140) in the C-terminal domain of PI3 packs against residues 289-295 that form a loop in p. pepsin. Mutational analysis of both inhibitor regions was conducted to assess their contributions to the binding affinity for p. pepsin, human pepsin (h. pepsin) and several malarial aspartic proteases, the plasmepsins. Overall, the polyproline mutations have a limited influence on the K i values for all the enzymes tested, with the values for p. pepsin remaining in the low nanomolar range. The largest effect was seen with a Q1L mutant, with a 200-fold decrease in K i for plasmepsin 2 from Plasmodium falciparum (PfPM2). Thermodynamic measurements of the binding of PI3 to p. pepsin and PfPM2 showed that inhibition of the enzymes is an entropy-driven reaction. Further analysis of the Q1L mutant showed that the increase in binding affinity to PfPM2 was due to improvements in both entropy and enthalpy.There are over 300 million cases of malaria every year, resulting in at least one million deaths annually (World Health Organization, 2006). Malaria is found in tropical and sub-tropical regions of the world and is caused by one of four species of the plasmodium parasite: P. falciparum, P. vivax, P. ovale, and P. malariae. P. falciparum is the deadliest of the four species and P. vivax is the most common, responsible for 40% to 50% of cases in Latin America and Asia.During the intraerythrocytic stage of the plasmodium parasite's lifecycle in the human host, up to 75% of host cell hemoglobin is degraded (1). In P. falciparum several proteases have been identified in the food vacuole that are involved in hemoglobin degradation, including a family of aspartic proteases known as the plasmepsins (2,3). The four plasmepsins found in the food vacuole of P. falciparum are PfPM1, PfPM2, PfPM4, and the histoaspartic protease (HAP) (3,4). It is now believed that the enzymes from P. vivax (PvPM4), P. ovale (PoPM4), and P. malariae (PmPM4) are orthologs of PfPM4 (5 (3,(6)(7)(8)(9). Therefore, the PfPM4 orthologs would be excellent targets for a single drug therapy directed at all four plasmodium species (4).Most large, proteinaceous inhibitors of aspartic proteases have been isolated from plants (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). For this study, we have analyzed the inhibition of aspartic proteases by a 17 kD inhi...