Allostery is a common mechanism of regulation of enzyme activity and specificity, and its signatures are readily identified from functional studies. For many allosteric systems, structural evidence exists of long-range communication among protein domains, but rarely has this communication been traced to a detailed pathway. The thrombin mutant D102N is stabilized in a self-inhibited conformation where access to the active site is occluded by a collapse of the entire 215-219 -strand. Binding of a fragment of the protease activated receptor PAR1 to exosite I, 30-Å away from the active site region, causes a large conformational change that corrects the position of the 215-219 -strand and restores access to the active site. The crystal structure of the thrombin-PAR1 complex, solved at 2.2-Å resolution, reveals the details of this long-range allosteric communication in terms of a network of polar interactions.protease activated receptor ͉ thrombin ͉ x-ray crystallography E ver since its original formulation (1, 2), the allosteric concept of enzyme regulation has captivated the interest of structural biologists. The idea that events occurring at a given site of the protein can be transmitted long-range to affect affinity or catalytic efficiency at a distant site offers an elegant explanation for linkage and cooperativity (3) but poses a challenge to the crystallographer who seeks to identify the communication pathway underlying the functional effects. Perutz (4) was the first to offer a molecular explanation for the allosteric mechanism of hemoglobin cooperativity. For multimeric proteins like hemoglobin, conformational transitions tend to affect the quaternary structure and signatures of allostery have been detected crystallographically (5-9). Allostery is not limited to multimeric assemblies and, in fact, many monomeric proteins feature conformational plasticity that translate into allosteric behavior at equilibrium and steady state (6, 10, 11). For such systems, the structural signatures of long-range communication tend to manifest themselves as small changes in tertiary structure or Hbonding connectivity (12, 13) and lack the amplification seen in large quaternary structural reorganization. Identification of the pathway of communication underlying an allosteric mechanism remains a difficult task in general and continues to receive utmost attention (11, 13). Alternative approaches have been proposed to identify such pathways based on the statistical analysis of evolutionary records of protein sequences (14) or anisotropic thermal diffusion (15). Although promising and insightful, such approaches must ultimately find validation by structural investigation.Among Na ϩ -activated allosteric enzymes (6), the serine protease thrombin has received much attention in view of its critical roles in hemostasis and thrombosis (12,16,17). Thrombin features considerable structural plasticity and exists predominantly in two forms at equilibrium, the Na ϩ -free slow form E (Ϸ40% of the molecules in vivo) and the Na ϩ -bound fast f...