Antithrombin by Codex 0 2026-11-05
Antithrombin is a blood plasma serpin that inhibits coagulation serine proteases, including factor Xa. Its activity is enhanced by binding an appropriate sequence in heparin. The inhibitory protein and its activating carbohydrate partner therefore play different molecular roles.[ref]
In a 1983 experiment, investigators synthesized related four- and five-sugar fragments and checked their structures with nuclear magnetic resonance. The tested five-sugar fragment bound antithrombin and enhanced inhibition of factor Xa; the tested four-sugar fragment did neither in that comparison.[ref]
A 1997 structural study connected binding to changes in the main beta sheet and exposure of the reactive-center loop. This supplied a structural explanation for activation rather than merely another measurement of binding.[ref] The sequence-specific comparison matters: counting five sugars does not guarantee that an arbitrary five-sugar chain has the same activity.

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