The kinetic mechanism of Na ؉ binding to thrombin was resolved by stopped-flow measurements of intrinsic fluorescence. Na ؉ binds to thrombin in a two-step mechanism with a rapid phase occurring within the dead time of the spectrometer (<0.5 ms) followed by a single-exponential slow phase whose k obs decreases hyperbolically with increasing [Na ؉ ]. The rapid phase is due to Na ؉ binding to the enzyme E to generate the E:Na ؉ form. The slow phase is due to the interconversion between E* and E, where E* is a form that cannot bind NaTemperature studies in the range from 5 to 35°C show significant enthalpy, entropy, and heat capacity changes associated with both Na ؉ binding and the E to E* transition. As a result, under conditions of physiologic temperature and salt concentrations, the E* form is negligibly populated (<1%) and thrombin is almost equally partitioned between the E (40%) and E:Na ؉ (60%) forms. Single-site Phe mutations of all nine Trp residues of thrombin enabled assignment of the fluorescence changes induced by Na ؉ binding mainly to Trp-141 and Trp-215, and to a lesser extent to Trp-148, Trp-207, and Trp-237. However, the fast phase of fluorescence increase is influenced to different extents by all Trp residues. The distribution of these residues over the entire thrombin surface demonstrates that Na ؉ binding induces long-range effects on the structure of the enzyme as a whole, contrary to the conclusions drawn from recent structural studies. These findings elucidate the mechanism of Na ؉ binding to thrombin and are relevant to other clotting factors and enzymes allosterically activated by monovalent cations.