DM43, an opossum serum protein inhibitor of snake venom metalloproteinases, has been completely sequenced, and its disulfide bond pattern has been experimentally determined. It shows homology to human ␣ 1 Bglycoprotein, a plasma protein of unknown function and a member of the immunoglobulin supergene family. Size exclusion and dynamic laser light scattering data indicated that two monomers of DM43, each composed of three immunoglobulin-like domains, associated to form a homodimer in solution. Analysis of its glycan moiety showed the presence of N-acetylglucosamine, mannose, galactose, and sialic acid, most probably forming four biantennary N-linked chains. DM43 inhibited the fibrinogenolytic activities of bothrolysin and jararhagin and formed 1:1 stoichiometric stable complexes with both metalloproteinases. DM43 was ineffective against atrolysin C or A. No complex formation was detected between DM43 and jararhagin C, indicating the essential role of the metalloproteinase domain for interaction. Homology modeling based on the crystal structure of a killer cell inhibitory receptor suggested the existence of an I-type Ig fold, a hydrophobic dimerization surface and six surface loops potentially forming the metalloproteinase-binding surface on DM43.The natural resistance to envenomation by snakes observed in a few warm-blooded animals as well as in several snakes can be explained, in most cases, by the presence of soluble proteins in the resistant animals' sera, which can be grouped as inhibitors of either phospholipase A 2 (antimyotoxic and antineurotoxic factors) or snake venom metalloproteinases (SVMPs 1 ;antihemorrhagic factors) (for reviews, see Refs. 1-4). SVMPs are typically found in venom of Viperidae snakes (5). They are classified as members of the reprolysin subfamily of metalloproteinases (6), which also includes ADAMs, proteins composed of a disintegrin and metalloproteinase domain, which function in various physiological processes such as fertilization, cytokine shedding, and neurogenesis (7). SVMPs and ADAMs present many similar structural features as evidenced by their sequence and domain homologies (8). The reprolysins share with matrix metalloproteinases a conserved overall topology, a zinc-binding consensus motif, and a strictly conserved methionine near their active sites. For these reasons, SVMPs, ADAMs, and matrix metalloproteinases have been classified together as the metzincins (6, 9).Some SVMPs induce local hemorrhage apparently as a primary consequence of the degradation of extracellular matrix proteins, although their exact mechanism of action is still unclear (10 -12). Several SVMPs have been sequenced and/or cloned, and five crystal structures are available (13-17). SVMPs are organized into four classes (P-I to P-IV) according to their domain structure. The P-I class presents only the metalloproteinase domain. The P-II members have a disintegrin domain carboxyl-terminal to the proteinase domain. The P-III class has a disintegrin-like domain and a cysteine-rich domain following the protei...