American Society of Hirudotherapy

The 1.2 A crystal structure of hirustasin reveals the intrinsic flexibility of a family of highly disulphide-bridged inhibitors

Research article published in Structure (1999)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Observational studyDrug DevelopmentUson I et al. · Structure, 1999

Abstract

BACKGROUND: Leech-derived inhibitors have a prominent role in the development of new antithrombotic drugs, because some of them are able to block the blood coagulation cascade. Hirustasin, a serine protease inhibitor from the leech Hirudo medicinalis, binds specifically to tissue kallikrein and possesses structural similarity with antistasin, a potent factor Xa inhibitor from Haementeria officinalis. Although the 2.4 A structure of the hirustasin-kallikrein complex is known, classical methods such as molecular replacement were not successful in solving the structure of free hirustasin. RESULTS: Ab initio real/reciprocal space iteration has been used to solve the structure of free hirustasin using either 1.4 A room temperature data or 1.2 A low temperature diffraction data. The structure was also solved independently from a single pseudo-symmetric gold derivative using maximum likelihood methods. A comparison of the free and complexed structures reveals that binding to kallikrein causes a hinge-bending motion between the two hirustasin subdomains. This movement is accompanied by the isomerisation of a cis proline to the trans conformation and a movement of the P3, P4 and P5 residues so that they can interact with the cognate protease. CONCLUSIONS: The inhibitors from this protein family are fairly flexible despite being highly cross-linked by disulphide bridges. This intrinsic flexibility is necessary to adopt a conformation that is recognised by the protease and to achieve an optimal fit, such observations illustrate the pitfalls of designing inhibitors based on static lock-and-key models. This work illustrates the potential of new methods of structure solution that require less or even no prior phase information.

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

Publication typeComparative StudyJournal Article
Indexed MeSH termsAmino Acid SequenceAnimalsAnticoagulantsComputer SimulationCrystallography, X-RayDisulfidesFactor Xa InhibitorsInvertebrate HormonesLeechesModels, MolecularMolecular Sequence DataProtein Conformation

Summary

The 1.2 A crystal structure of hirustasin reveals the intrinsic flexibility of a family of highly disulphide-bridged inhibitors.

Why This Matters for Hirudotherapy

This study solved the 1.2 Å crystal structure of free hirustasin, a serine protease inhibitor from the leech Hirudo medicinalis that binds tissue kallikrein and is structurally related to antistasin (a factor Xa inhibitor). Comparison of free and kallikrein-bound structures revealed a hinge-bending motion between subdomains upon binding, accompanied by cis-trans proline isomerization, demonstrating that these highly disulfide-bridged inhibitors retain intrinsic flexibility necessary for protease recognition. This is relevant to ASH as a structure-function study of a leech-derived inhibitor informing antithrombotic drug design. Caveat: the work is purely structural/biophysical with no functional or clinical data.

Citation

The 1.2 A crystal structure of hirustasin reveals the intrinsic flexibility of a family of highly disulphide-bridged inhibitors

Uson I et al. · Structure, 1999

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