Factor D is unique among serine proteases in that it requires neither enzymatic cleavage for expression of proteolytic activity nor inactivation by a serpin for its control. Regulation of factor D activity is instead attained by a novel mechanism that depends on reversible conformational changes for expression and control of catalytic activity. These conformational changes are believed to be induced by the single natural substrate, C3bB, and to result in realignment of the catalytic triad, the specificity pocket, and the nonspecific substrate binding site, all of which have atypical conformations. Mutational studies have defined structural determinants responsible for these unique structural features of factor D and for the resultant low reactivity with synthetic esters.Keywords: alternative complement pathway; catalytic triad; complement; enzyme kinetics; mutagenesis; serine proteases Complement is an important effector system of host defense. It consists of multiple, functionally linked proteins that mediate acute inflammatory reactions, clearance of foreign cells and molecules, and killing of susceptible cells. Activation of the complement system is necessary for expression of these activities and proceeds via pathways consisting of successive enzymatic amplification steps (Campbell et al., 1988; Muller-Eberhard, 1988). The key event in complement activation is the cleavage of a single peptide bond on the a-chain of the third component of complement, C3. The reaction is catalyzed by either of two endopeptidases, termed C3-convertases. In the alternative pathway of complement activation, the enzymatic reaction leading to the formation of the C3-convertase is catalyzed by a serine protease, termed factor D. This enzyme exhibits unique functional properties that are ideally suited to its role as the initiating enzyme of an activation cascade. Unlike other mammalian serine proteases in blood, factor D requires neither enzymatic cleavage for expression of proteolytic activity nor inactivation by an inhibitor for its control. Instead, transition of factor D from the catalytically inactive to the active state seems t o be effected by fully reversible conformational changes. A description of the structural correlates of these unusual functional features has begun to emerge from recent crystallographic and mutational studies. In this paper, we will review these studies in the context of " ..