Factor VIIIa consists of three subunits designated A1, A2, and A3-C1-C2. The isolated A2 subunit possesses limited cofactor activity in stimulating factor IXa-catalyzed activation of factor X. This activity is markedly enhanced by the A1 subunit (inter-subunit K d ؍ 1.8 M). The C-terminal region of A1 subunit (residues 337-372) is thought to represent an A2-interactive site. This region appears critical to factor VIIIa, because proteolysis at Arg 336 by activated protein C or factor IXa is inactivating. A truncated A1 (A1 336 ) showed similar affinity for A2 subunit (K d ؍ 0.9 M) and stimulated its cofactor activity to ϳ50% that observed for native A1. However, A1 336 was unable to reconstitute factor VIIIa activity in the presence of A2 and A3-C1-C2 subunits. Fluorescence anisotropy of fluorescein (Fl)-FFR-factor IXa was differentially altered by factor VIIIa trimers containing either A1 or A1336 . Fluorescence energy transfer demonstrated that, although Fl-A1 336 /A3-C1-C2 bound acrylodan-A2 with similar affinity as the native dimer, an increased inter-fluorophore separation was observed. These results indicate that the C-terminal region of A1 appears necessary to properly orient A2 subunit relative to factor IXa in the cofactor rather than directly stimulate A2 and elucidate the mechanism for cofactor inactivation following cleavage at this site.Factor VIII is a protein cofactor for the serine protease factor IXa, which catalyzes the conversion of factor X to Xa. Factor VIII is synthesized as a multidomainal single-chained molecule (A1-A2-B-A3-C1-C2) (1), with a molecular mass of ϳ300 kDa (2, 3). Factor VIII circulates as a partial proteolyzed protein containing a heavy chain (A1-A2-B domains) and a light chain (A3-C1-C2 domains), which are held together by a metal iondependent linkage. This procofactor is activated by thrombin, converting the dimer into a trimer composed of the A1, A2, and A3-C1-C2 subunits (4, 5). The resulting factor VIIIa heterotrimer retains the metal ion-dependent linkage between the A1 and A3-C1-C2 subunits whereas a weak affinity electrostatic interaction exists between A1 and A2 (5, 6). Factor VIIIa is considerably unstable, and loss of activity is due to the dissociation of the A2 subunit from the A1/A3-C1-C2 dimer (5-7).Under physiological conditions, the K d for this interaction is ϳ260 nM (8, 9), however, under slightly acidic, pH and lower ionic strength, A2 and A1/A3C1C2 can be reconstituted to form the trimer with a K d of ϳ30 nM (8).The role of factor VIIIa is to bind factor IXa, generating the phospholipid-dependent intrinsic factor Xase complex, which increases the k cat for factor Xa formation by several orders of magnitude compared with factor IXa alone (10). At least two interactive sites have been identified for the enzyme-cofactor interaction. A high affinity, surface proximal site is likely formed by residues contained in the A3 domain and light chain of factors VIIIa and IXa, respectively, whereas a weaker affinity interaction involves residues localized to the A...