“…Up to now, there is not structural information on the binding sites of these PAR1 antagonists to be used for structure-based design of new antagonists. However, recent mutagenesis studies on thrombin and/or PAR1 [34][35][36][37][38][39][40][41][42], X-ray of thrombin crystallized with diverse N-terminal fragments of PAR1 [43,44], and NMR studies on the (Ala 26 -Hse 103 ) N-terminal sequence of PAR1 [45] have shown that the first thrombin/PAR1 interaction is produced between the exosite I of thrombin and the hirudin-like sequence of PAR1 (K 51 YEPF 55 ), and that this first interaction is essential and determinant for high affinity. It seems that the hydrophobic residues F34, I82, L65 and Y76, and the basic residues R67 and R73, of the exosite I of thrombin are important for high affinity.…”