The cleavage of parathyroid hormone (PTH) from its precursor proparathyroid hormone (pro-PTH) is accomplished efficiently by the proprotein convertase furin (Hendy, G. N., Bennett, H. P. J., Gibbs, B. F., Lazure, C., Day, R., and Seidah, N. G. (1995) J. Biol. Chem. 270, 9517-9525). We also showed that a synthetic peptide comprising the ؊6 to ؉7 sequence of human pro-PTH is appropriately cleaved by purified furin in vitro. The human pro-PTH processing site Lys-Ser-Val-Lys-LysArg differs from the consensus furin site Arg-Xaa-(Lys/ Arg)-Arg that is represented by Arg-Arg-Leu-Lys-Arg in the cleavage site of pro-PTH-related peptide (proPTHrP). An earlier study demonstrated that an internally quenched fluorogenic substrate bearing an O-aminobenzoyl fluorescent donor at the NH 2 terminus and an acceptor 3-nitrotyrosine near the COOH terminus was appropriately cleaved by the convertases furin and PC1 (Jean, F., Basak, A., DiMaio, J., Seidah, N. G., and Lazure, C. (1995) Biochem. J. 307, 689 -695). Here, we have synthesized a series of internally quenched fluorogenic substrates based upon the pro-PTH and pro-PTHrP sequences to determine which residues are important for furin cleavage. Purified recombinant furin and PC1 cleaved the human pro-PTH internally quenched substrate at the appropriate site in an identical manner to that observed with the nonfluorescent peptide. Several substitutions in the P 6 -P 3 sequence were well tolerated; however, replacement of the Lys at the P 6 position with Gly and replacement of the P 3 Lys by an acidic residue led to markedly compromised cleavage by furin. Furin activity was very sensitive to substitution in P positions. Replacement of Ser at P 1 with Gly and Val at P 2 with Ala generated substrates that were less well cleaved. Substitution at the P 1 position of Val for Ser in conjunction with Ala for Val at P 2 , as well as a single substitution of Lys for Val at P 2 , generated specific inhibitors of furin cleavage. The findings of this study open the way to the rational design of inhibitors of furin with therapeutic potential.Polypeptide hormones, such as parathyroid hormone (PTH) 1 which is the major regulator of extracellular calcium homeostasis (1) and many other biologically active proteins and peptides, including PTH-related peptide (PTHrP), are initially synthesized as larger inactive precursor proteins that undergo processing to release the active moiety. The related PTH gene family member, PTHrP, was originally recognized as the major pathogenic agent in the hypercalcemia of malignancy syndrome (2). Under normal physiological conditions it subserves a variety of autocrine or paracrine roles such as modulator of the growth of various cell types including cartilage, bone, skin, and breast, or regulator of vascular smooth muscle tone (3). Among the proprotein precursors, pro-PTH is unusual in that the excised pro-segment consists of only a hexapeptide (4) located NH 2 -terminal to the 84-amino acid bioactive hormone. ProPTHrP is very similar to pro-PTH at the NH 2 terminus (5...