Little is known on the role of disulfide bonds in the catalytic domain of serine proteases. The Cys-191-Cys-220 disulfide bond is located between the 190 strand leading to the oxyanion hole and the 220-loop that contributes to the architecture of the primary specificity pocket and the Na ؉ binding site in allosteric proteases. Removal of this bond in thrombin produces an ϳ100-fold loss of activity toward several chromogenic and natural substrates carrying Arg or Lys at P1. Na ؉ activation is compromised, and no fluorescence change can be detected in response to Na ؉ binding. A 1.54-Å resolution structure of the C191A/ C220A mutant in the free form reveals a conformation similar to the Na ؉ -free slow form of wild type. The lack of disulfide bond exposes the side chain of Asp-189 to solvent, flips the backbone O atom of Gly-219, and generates disorder in portions of the 186 and 220 loops defining the Na ؉ site. This conformation, featuring perturbation of the Na ؉ site but with the active site accessible to substrate, offers a possible representation of the recently identified E* form of thrombin. Disorder in the 186 and 220 loops and the flip of Gly-219 are corrected by the active site inhibitor H-D-Phe-Pro-Arg-CH 2 Cl, as revealed by the 1.8-Å resolution structure of the complex. We conclude that the Cys-191-Cys-220 disulfide bond confers stability to the primary specificity pocket by shielding Asp-189 from the solvent and orients the backbone O atom of Gly-219 for optimal substrate binding. In addition, the disulfide bond stabilizes the 186 and 220 loops that are critical for Na ؉ binding and activation.Thrombin is a Na ϩ -activated, allosteric serine protease involved in blood clotting (1, 2) and is composed of two polypeptide chains of 36 (A chain) and 259 (B chain) residues covalently linked through the Cys-1-Cys-122 disulfide bond (3, 4). The shorter A chain runs in the back of the B chain that has the typical fold of serine proteases, with two six-stranded -barrels of similar structure that pack together asymmetrically to accommodate at their interface the residues of the catalytic triad His-57, . The B chain is stabilized by three disulfide bonds, Cys-42-Cys-58, Cys-168 -Cys-182, and Cys-191-Cys-220, that connect contiguous strands shaping the Na ϩ binding site, the primary specificity pocket, and the active site. These bonds are highly conserved among serine proteases, but the Cys-191-Cys-220 disulfide bond is absent in cathepsins and granzymes. Previous studies using reduction with dithiothreitol have addressed the role of disulfide bonds in the mechanism of thrombin unfolding (6). The role of disulfide bonds in thrombin function and allostery, however, remains unexplored. Indeed, remarkably little is known on the role of conserved disulfide bonds for serine proteases in general (7), and no structural information on relevant mutants lacking one or more such bonds is currently available.Previous mutagenesis studies on trypsin have addressed the role of the Cys-191-Cys-220 bond and offered conflicting r...