Factor VIII was purified 1200-fold from commercial concentrates (Centre National de Transfusion Sanguine) by immunoaffinity chromatography using an anti-(80-kDa light chain) monoclonal antibody. The different molecular forms isolated were subsequently separated and analyzed using Fast Protein Liquid Chromatography and sodium dodecyl sulphate polyacrylamide gel electrophoresis analysis. The different factor-VI11 forms obtained, consisted of 80-kDa light chains, each being associated with one more-or-less fragmented heavy chain ranging over 90-210 kDa. The specific activity of these different forms was 7000 U/mg.At different stages of activation of factor VIII by thrombin, various forms were separated and identified. Activated complexes were found to result from the association of the 70-kDa light chain (generated from the SO-kDa light chain) with heavy chains ranging over 90-210 kDa. Two different thrombin activation steps were characterized. The first step corresponding to the cleavage of the 80-kDa light chain led to a sixfold increase in the procoagulant activity, and yielded a stable activated intermediate form. Compared with normal f-actor VIII, the ratio of von Willebrand activity to factor-Vlll activity, measured in the activated fractions, decreased, indicating that von Willebrand factor dissociates from factor VIII after proteolysis of the light chain by thrombin.In the second step, the 90-kDa heavy chain was cleaved into two polypeptides of 45 kDa and 50 kDa, which were associated with the 70-kDa proteolyzed light chain, generating the final activated complex (45 -50 ~ 70 kDa).The new intermediate forms we described imply a new scheme for the multistep activation process of factor VIII.Factor VIII is a glycoprotein present in the plasma at a very low concentration (0.1 pg/ml). Its absence or deficiency characterizes hemophilia A. It drives, as a cofactor, the activation of factor X mediated by factor IXa in the presence of phospholipids and calcium, in the blood coagulation intrinsic pathway [l]. The primary structure of f k t o r VIII contains 2332 amino acids and exhibits a triplicated region of 330 amino acids (A domains), a unique region of 983 amino acids (B domain), and a carboxy-terminal duplicated region of 150 amino acids (C domain), that are arranged in the order AlFactor VIII is susceptible to proteolysis by thrombin, plasmin and other serine proteases [3, 41. Factor VIII purified from plasma fractions of intermediate purity, consists of variable active forms with molecular masses ranging over 290-170 kDa, though a single chain precursor of 330 kDa has been reported [5]. Continuous proteolysis of the 210-kDa proteins yields a series of polypeptides of 210-90 kDa [6, 71. The polypeptides of 210 kDa and 80 kDa represent the N-terminal and C-terminal parts of factor VIII, respectively [2,8, 91. Fay et al. [lo] have identified the heterodimeric structure of the active factor VIII as the association, by a metal ion, of lightCorrespondence to H. Van de Pol, Centre National de Transfusion Sanguine...