Human factor VIII was purified from heparinized blood by cryoprecipitation, poly(ethyleneglyco1) precipitation, Affi-Gel blue, aminohexyl, polyelectrolyte E5 and immunoaffinity chromatography. A purification of 280000-fold over plasma with a specific activity over 5300 units/mg was achieved. Analyses of factor VlII using HPLC indicated a molecular mass of 280-340 kDa. Variation in the native mass may reflect heterogeneity of the protein due to associated lipid since structural analysis confirmed that factor VIII contained variable amounts of free fatty acids and diglycerides and triglycerides, but no phospholipids. Additional characterization by denaturing polyacrylamide gel electrophoresis under reducing conditions, followed by silver staining, showed a major single-chain polypeptide of factor VIII with a mass of approximately 260 kDa. To determine whether proteolyzed forms of factor VIII were present during fractionation, we analysed earlier steps in purification. This revealed additional species of factor VIII eluting faster than the single-chain form during chromatography on polyelectrolyte E5. Gel electrophoresis showed that these species of factor VIII consisted of multiple polypeptide chains, and partial peptide mapping using Staphylococcus aureus V8 protease indicated that they were structurally related. Monoclonal and hemophilic antibodies were used in immunoadsorption experiments to demonstrate that the purified factor VIII was composed predominantly of the 260-kDa factor VIII chain.Blood coagulation depends upon the sequential activation of a large number of plasma proteins, culminating in the formation of an insoluble net of fibrin which serves to stabilize a platelet plug at the site of blood vessel injury.One of the key steps in the coagulation process is the activation of factor X to X,. In the intrinsic pathway this reaction is catalyzed by factor IX, in concert with factor VIII, calcium ions and phospholipids [I -51. A number of lines of evidence support the view that factor VIII participates as a regulatory protein or cofactor in the activation of factor X [6, 71, and that proteolytic activation of factor VIII by factor X,, factor IX, or thrombin may be a necessary prerequisite for full expression of procoagulant activity [4, 8 -