The amino acid sequence of the heavy chain of human high-molecular-mass kininogen has been determined. It completes the primary structure of the high-M, kininogen molecule. The heavy chain contains 362, the total kininogen molecule 626 amino acid residues. Three carbohydrate side chains were found in the heavy chain, all of them N-glycosidically linked to asparagine, which is present in the acceptor sequon Asn-Xaa-Thr (or -Scr); one additional potential glycosylation site devoid of a sugar side chain is found at position 30.There is a high degree of homology between the heavy chains of human high-M, kininogen and bovine high-M, kininogen (74% identity), or rat T-kininogen (61%).Comparison of the primary structure of human high-M, kininogen with that of huinan low-M, kininogen predicted from its cDNA sequence, reveals that the heavy chains of the two human kininogens are completely identical. Two heavy chain segments believed to contain the reactive sites for cysteine proteinase inhibition show an extensive sequence homology with other mammalian cysteine proteinase inhibitors.Within the heavy chain of human high-M, kininogen are repetitive units strongly suggesting that the heavy chain of human kininogens has evolved from at least two ancestral units by a series of gene duplication and fusion events.High-molecular-mass (high-M,) kininogen is the larger type of kinin precursor molecule present in mammalian plasma and secretions (for recent reviews, see [l, 21). A variety of important physiological functions is served by the high-M , kininogen such as kinin delivery, inhibition of cysteine proteinases [3, 41, complexing of coagulation enzymes [5] and initiation of the endogenous coagulation pathway [6]. Human high-M, kininogen is a single-chain glycoprotein of apparent M , 114000 (as judged from gel electrophoresis [2]). Limited proteolysis of high-M, kininogen by plasma kallikrein releases the vasoactive kinin and generates a nicked kininogen molecule consisting of a heavy chain (H chain) of M , 63000 and a light chain (L chain) of M , 58000 interconnected via a single disulfide bridge [2]. The H chain portion contains two reactive sites which inhibit cysteine proteinases such as cathepsin L and papain with high affinity (approx. Ki 3 x 10-" M [4]). The L chain contains a unique histidine-rich portion which mediates the binding of the kininogen molecule to the surface of endothelial lesions [7]. In this way, high-M, kininogen which circulates in plasma in the form of a complex with prekallikrein and factor XI, places these enzymes on the surface in proximity to already bound factor XI1 during the contact phase activation, thereby triggering the intrinsic blood coagulation pathway [8].High-M, kininogen shares the kinin delivery and proteinase inhibition function with the second type of kininogen In a previous communication, we have presented the amino acid sequence of the light chain of huinan high-M, kininogen [ll]. Here we report on the total amino acid sequence of the heavy chain, thereby completing the primary ...