A novel metallocarboxypeptidase inhibitor was isolated from the medical leech Hirudo medicinalis. Amino acid sequence analysis provided a nearly complete primary structure. which was subsequently verified and completed by cDNA cloning using reverse transcriptasepolymerase chain reaction/rapid amplification of cDNA end techniques. The inhibitor, called LCI (leech carboxypeptidase inhibitor), is a cysteine-rich polypeptide composed of 66 amino acid residues. It does not show sequence similarity to any other protein except at its C-terminal end. In this region, the inhibitor shares the amino acid sequence -Thr-Cys-X-Pro-Tyr-Val-X with Solanacea carboxypeptidase inhibitors, suggesting a similar mechanism of inhibition where the C-terminal tail of the inhibitor interacts with the active center of metallocarboxypeptidases in a substrate-like manner. This hypothesis is supported by the hydrolytic release of the C-terminal glutamic acid residue of LCI after binding to the enzyme. Heterologous overexpression of LCI in Escherichia coli, either into the medium or as an intracellular thioredoxin fusion protein, yields a protein with full inhibitory activity. Both in the natural and recombinant forms, LCI is a tightly binding, competitive inhibitor of different types of pancreatic-like carboxypeptidases, with equilibrium dissociation constants K i of 0.2-0.4 ؋ 10 ؊9 M for the complexes with the pancreatic enzymes A1, A2, and B and plasma carboxypeptidase B. Circular dichroism and nuclear magnetic resonance spectroscopy analysis indicate that recombinant LCI is a compactly folded globular protein, stable to a wide range of pH and denaturing conditions. In recent years, there has been an increasing interest in the role of proteases in various biological processes such as peptide processing, defense mechanisms, fertilization, carcinogenesis, trauma, inflammation, and coagulation/fibrinolysis, among others (1-3). The biological actions of most proteases is controlled by the interaction with specific proteinaceous inhibitors. In contrast to the wide variety of structurally diverse inhibitors regulating the activity of endoproteinases (4), only a few specific inhibitors that form tight complexes with carboxypeptidases have been identified (5). The only metallocarboxypeptidase inhibitors described so far are the 38 -39-residue proteins from Solanacea (potato and tomato) (6), a 65-residue protein from Ascaris suum (7), and, more recently, a 223-residue protein from rat brain (8). The proteins from Solanacea and Ascaris inhibit carboxypeptidases by a common mechanism where their C-terminal tail interacts with the target enzymes in a substrate-like manner. The C terminus of the mammalian inhibitor from rat brain, however, does not seem to be a suitable substrate for carboxypeptidases (8); this protein is thought to interact with carboxypeptidases by a small region that shows sequence similarity to the inhibitory loop in the propeptides of these enzymes. This inhibitor region may bind in a fashion similar to the long (94 -96 residues) ...