Summary. Anti-factor Xa and anti-thrombin activities of unfractionated (UF) and low molecular weight (tMW) heparins have been measured in human plasma and with purified human antithrombin III (ATIII) in the absence and presence of 1'5 mu calcium. The anti-factor Xa and antithrombin activities were measured directly, by assessing the heparin-dependent pseudo-first order rate constants of inactivation of human factor Xa or thrombin. These activities were studied with the 4th International Standard for UF heparin, the lst International Standard for LMW heparin, C'1216, enoxaparin, Cy222, and the synthetic pentasaccharide' In plasma, calcium equally well increased the specific antifactor Xa catalytic activities as compared to purified ATIII' That is, 1 '5 mu calcium stimulated the UF standard heparincatalysed inactivation of factor Xa 2'L-2'4 times' In the presence of the LMW heparins the effect of calcium was smaller (1 '3-1 '7 times), and in plasma there was no effect of calcium on the pentasaccharide-catalysed inactivation of factor Xa. Thus, the largest effects of calcium in the inactivation reaction of factor Xa is seen with UF standard heparin. Calcium reduced the anti-thrombin activities of all the heparin preparations studied about 1'5 times when purified ATIII was used, although in plasma this effect was less clear. Consequently, in the presence of 1'5 mlu calcium the ratio of the anti-factor Xa to the anti-thrombin activities of UF standard heparin approximated those of the LMW heparins. The only exception was CY222, which under all conditions retained anti-factor Xa/anti-thrombin ratios significantly higher than those ofUF standard heparin' One of the regulatory mechanisms of blood coagulation is the inhibition of enzymes of the coagulation system by the plasma protein antithrombin III (ATIII)' its main targets in clotting plasma being thrombin and factor Xa (Harpel' 1987). Inactivation ofthese serine proteases is catalysed by heparin, and thus the heparin-dependent anti-factor Xa and anti-thrombin activities have become main points of interest in studying the mode of action and the standardization of heparin. It should also be noted here, however, that the ATlll-dependent inactivation of free factor fXa can contribute significantly to the heparin effect in clotting plasma (B6guin et al, l99l).Since 1976 it is known that low molecular weight (LMW) heparin fractions have little effect on tests of overall clotting' such as the activated partial thromboplastin time (APTT)' but + Present address: