Protein Z-dependent protease inhibitor (ZPI) is a plasma serpin, which can rapidly inactivate factor Xa (fXa) in the presence of protein Z (PZ), negatively charged phospholipids, and Ca 2؉ . To investigate the mechanism by which ZPI inactivates fXa, we expressed the serpin in mammalian cells and characterized its reactivity with both wild-type and selected mutants of fXa that 1) contained substitutions in the autolysis loop and the heparin binding exosite, 2) lacked the first EGF-like domain (fXa-des-EGF-1), or 3) contained the Gla domain of protein C (fXa/PC-Gla). Inhibition studies in both the presence and absence of PZ revealed that Arg-143, Lys-147, and Arg-154 of the autolysis loop and Lys-96, Lys-169, and Lys-236 of the heparin binding exosite are required for recognition of ZPI, with Arg-143 being essential for the interaction. Similar studies with fXa-des-EGF-1 and fXa/PC-Gla suggested that protein-protein interaction with either the Gla or the EGF-1 domain may not play a dominant role in the PZ-dependent recognition of fXa by the serpin on phospholipid vesicles. Further studies showed that an inactive Ser-195 to Ala mutant of fXa effectively competes with wild-type fXa for binding to the non-serpin inhibitors tissue factor pathway inhibitor and recombinant tick anticoagulant peptide, but does not compete for binding to ZPI. This suggests that the catalytic residue of fXa is required for interaction with ZPI.Factor Xa (fXa) 2 is a vitamin K-dependent serine protease that is responsible for generation of thrombin from prothrombin in the coagulation cascade (1-4). It circulates in plasma as a light and heavy chain molecule held together by a disulfide bond (5). The N-terminal light chain contains the non-catalytic ␥-carboxyglutamic acid (Gla) and two epidermal growth factor-like (EGF) domains, while the C-terminal heavy chain contains the trypsin-like catalytic domain of the molecule (2, 5). The proteolytic activity of fXa in plasma is regulated by three physiological inhibitors, tissue factor pathway inhibitor (TFPI) (6), antithrombin (AT) (7,8), and protein Z (PZ)-dependent protease inhibitor (ZPI) (9 -12). TFPI is a multidomain Kunitz-type inhibitor that regulates the coagulation cascade by the fXa-dependent inhibition of the factor VIIa-tissue factor complex during the initial stages of the clotting cascade (6). It functions by binding to the active site pocket of fXa by the second Kunitz domain, and thereafter binding tightly to the active site of the factor VIIa-tissue factor complex via the first Kunitz domain, thereby rendering both proteases inactive in a quaternary complex (6). AT, on the other hand, is a serine protease inhibitor (serpin) that regulates the proteolytic activity of fXa and other coagulation proteases by covalently binding to the active site through an exposed reactive center loop, and undergoing a conformational change, which leads to entrapment of the target protease in inactive and SDS-stable complex with the serpin (13-15). ZPI is also a serpin, and there is some evidence that...