American Society of Hirudotherapy

Crystal structure of a peptidyl pyridinium methyl ketone inhibitor with thrombin

Research article published in Biochemistry (1995)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Research reportDrug DevelopmentRehse PH et al. · Biochemistry, 1995

Abstract

The crystal structure of a complex between a bivalent peptidyl pyridinium methyl ketone inhibitor and human alpha-thrombin has been solved and refined at 2.0 A to an R factor of 0.18. The inhibitor, (D)cyclohexylalanine-Pro-Arg-(CH2N+C5H4CH2CO)-(Gly)4-Asp- Tyr-Glu-Pro-Ile-Pro-Glu-Glu-Ala-cyclo-hexylalanine-(D)Glu (coded P596), which forms a reversible covalent complex with thrombin, is highly potent with a Ki = 4.6 +/- 1.0 x 10(-14) M, lower than that of recombinant hirudin. The N-terminal, active-site-directed portion of the inhibitor is linked to the fibrinogen recognition exosite binding portion by a tetraglycine segment. The strong electron-withdrawing effect provided by the permanent positive charge on the pyridinium nitrogen makes the arginyl carbonyl carbon more susceptible to nucleophilic attack. In the crystal, a covalent P596-thrombin complex is observed. The electron density surrounding the active site portion and the pyridinium of the inhibitor is very well defined, clearly showing the existence of a covalent bond between the Ser195 O gamma and the now tetrahedral carbon of the inhibitor. The decreased binding ability of thrombin inhibitors containing N-terminal acetylation is discussed as is the effect of replacing the P3 (D)phenylalanine with (D)cyclohexylalanine. The electron density surrounding the remainder of the inhibitor is generally well defined, the exceptions being the C-terminal (D)Glu, the highly flexible tetraglycine linker, and some of the solvent-directed side chains.(ABSTRACT TRUNCATED AT 250 WORDS)

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeJournal Article
Indexed MeSH termsAmino Acid SequenceAnionsAntithrombinsBinding SitesCrystallography, X-RayHumansMolecular Sequence DataMolecular StructureOxygenPeptidesThrombin

Summary

The crystal structure of a complex between a bivalent peptidyl pyridinium methyl ketone inhibitor and human alpha-thrombin has been solved and refined at 2.0 A to an R factor of 0.18.

Why This Matters for Hirudotherapy

This article reports the crystal structure of a bivalent peptidyl pyridinium methyl ketone inhibitor (coded P596) in complex with human alpha-thrombin, solved and refined at 2.0 Å to an R factor of 0.18. The abstract describes P596 as forming a reversible covalent complex with thrombin with a Ki of 4.6 × 10⁻¹⁴ M, stated as lower than that of recombinant hirudin, with an active-site-directed portion linked to a fibrinogen-recognition-exosite-binding portion by a tetraglycine segment. For ASH, the relevance is indirect: recombinant hirudin is used solely as a benchmark comparator for inhibitory potency. The caveat is that this is a purely structural study of a synthetic inhibitor; no leeches, whole hirudin, or leech-secretome components are involved.

Citation

Crystal structure of a peptidyl pyridinium methyl ketone inhibitor with thrombin

Rehse PH et al. · Biochemistry, 1995

Added to ASH library: May 27, 2026 · Site last updated: June 18, 2026

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