Fibrinogen contains at least two independent sites having demonstrable affinity for a-thrombin. One of these two sites, located in the fibrin E domain, binds to structures within the anion-binding exosite of a-thrombin. Taking advantage of its solubility, we have used late-fibrin(ogen) fragment E in competition experiments to examine its effect on a-thrombin specificity. We show that fragment E modulates a-thrombin enzymic activity towards small synthetic substrates, suggesting that fibrinthrombin interaction might induce subtle changes in the conformation near the catalytic center of the enzyme. In addition, fragment E behaved as a competitive inhibitor of a-thrombin-catalyzed fibrinopeptide-A cleavage (K, = 5.2 2 1.3 pM), indicating that a-thrombin interaction with the fibrin moiety of fibrinogen makes a major contribution to the efficacy of fibrinogen hydrolysis. Fragment E inhibited a-thrombin-induced serotonin release by platelets (concentration required to obtain 50% inhibition, IC,, = 10 pM) and a-thrombin binding to GPIb. Fragment E competitively inhibited athrombin binding to thrombomodulin (K, = 18.3 20.8 pM) but did not inhibit protein-C activation in the absence of thrombomodulin. The data are consistent with the proposal that fibrin, platelet GPIb and thrombomodulin bind to overlapping, but probably non-identical sites, while protein C binds to an independent site on a-thrombin.The serine protease a-thrombin plays a critical role in hemostasis [l]. In addition to its proteolytic action on fibrinogen, a-thrombin also activates factor V, factor VII, factor VIII, factor XI, factor XI11 and, in the presence of thrombomodulin, protein C. Moreover, a-thrombin interacts with receptors or ligands on the surface of most of the cells to elicit various responses [2].The structures of a-thrombin required for binding to other macromolecules have received considerable attention. Thrombin specificity can be attributed not only to the catalytic triad and surrounding regions, but also to exosite(s) remote from the catalytic site [3, 41. Consistent information has been obtained by characterization of proteolytic derivatives of thrombin, which have indicated that a positively charged region located some distance from the catalytic site, named the anion-binding exosite, is involved in the recognition of fibrin(ogen), protein C, thrombomodulin and platelets [5 -81. Crystallographic studies of a-thrombin complexed with its specific inhibitor, hirudin, have confirmed the existence of multiple binding sites both close to and distant from the catalytic site, and have shown that the anion-binding exosite makes numerous interactions with the C-terminal tail of hirudin [9, lo]. Fibrin(ogen), protein C, thrombomodulin and platelet GPIb all appear to compete with the C-terminal do- Enzymes. Thrombin (EC 3.4.21 3. main of hirudin for binding to the anion binding exosite [8, 11 -151. However, the study of recombinant mutant thrombins with single amino-acid substitutions [16] has indicated that the binding sites for fibrin(ogen),...