Graphene oxide (GO), a two-dimensional material with a high aspect ratio and polar functional groups, can physically adsorb single-strand DNA through different types of interactions, such as hydrogen bonding and Ï-Ï stacking, making it an attractive nanocarrier for nucleic acids. In this work, we demonstrate a strategy to target exosites I and II of thrombin simultaneously by using programmed hybrid-aptamers for enhanced anticoagulation efficiency and stability. The targeting ligand is denoted as Supra-TBA
15/29
(supramolecular TBA
15/29
), containing TBA
15
(a 15-base nucleotide, targeting exosite I of thrombin) and TBA
29
(a 29-base nucleotide, targeting exosite II of thrombin), and it is designed to allow consecutive hybridization of TBA
15
and TBA
29
to form a network of TBAs (i.e., supra-TBA
15/29
). The programmed hybrid-aptamers (Supra-TBA
15/29
) were self-assembled on GO to further boost anticoagulation activity by inhibiting thrombin activity, and thus suppress the thrombin-induced fibrin formation from fibrinogen. The Supra-TBA
15/29
-GO composite was formed mainly through multivalent interaction between poly(adenine) from Supra-TBA
15/29
and GO. We controlled the assembly of Supra-TBA
15/29
on GO by regulating the preparation temperature and the concentration ratio of Supra-TBA
15/29
to GO to optimize the distance between TBA
15
and TBA
29
units, aptamer density, and aptamer orientation on the GO surfaces. The dose-dependent thrombin clotting time (TCT) delay caused by Supra-TBA
15/29
-GO was >10 times longer than that of common anticoagulant drugs including heparin, argatroban, hirudin, and warfarin. Supra-TBA
15/29
-GO exhibits high biocompatibility, which has been proved by
in vitro
cytotoxicity and hemolysis assays. In addition, the thromboelastography of whole-blood coagulation and rat-tail bleeding assays indicate the anticoagulation ability of Supra-TBA
15/29
-GO is superior to the most widely used anticoagulant (heparin). Our highly biocompatible Supra-TBA
15/29
-GO with strong multivalent interaction with thrombin [dissociation constant (
K
d
) = 1.9 Ă 10
â11
M] shows great potential as an effective direct thrombin inhibitor for the treatment of hemostatic disorders.