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| Title | Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryo-EM. |
|---|---|
| Journal, issue, pages | J Thromb Haemost, Year 2026 |
| Publish date | Aug 21, 2026 |
Authors | Bassem M Mohammed / Samantha Deavila / Tristan Friet / Isabella Dattilio / ![]() |
| PubMed Abstract | BACKGROUND: Factor XI (FXI) occupies a unique and clinically significant niche, bridging the tissue factor-driven and contact-driven coagulation pathways. Irrespective of the trigger, activated ...BACKGROUND: Factor XI (FXI) occupies a unique and clinically significant niche, bridging the tissue factor-driven and contact-driven coagulation pathways. Irrespective of the trigger, activated factor XI (FXIa) contributes to clotting by activating factor IX (FIX). Biochemical studies established that this reaction requires the membrane-binding FIX-Gla domain to engage an exosite on the FXIa Apple 3 (A3) domain, that only become available upon FXI activation. Structural data for FXIa, FIX, FIXaβ, and the FXIa:FIX complex are lacking; current understanding relies on zymogen FXI crystal structures and homology modeling of FXIa after kallikrein. OBJECTIVES: Elucidate the high-resolution structure of FXIa in functionally relevant conformation in complex with FIX. METHODS: We utilized cryogenic electron microscopy (cryo-EM) to determine the structures of human FXIa in complex with its full-length substrate, FIX, and activated product, FIXaβ. RESULTS: We report the first cryo-EM structures of FXIa in complex with its substrate, FIX, and activated FIX (FIXaβ). The structures capture a functionally relevant conformational change in the FXIa catalytic domain and reveals the first view of the entire FIX and FIXaβ. Critically, we visualize the FIX-Gla domain precisely docked to the FXIa-A3 exosite on both subunits of the FXIa dimer. We also define the first step of proteolysis, visualizing the FIX Arg145 inserted into the primary specificity pocket of FXIa. CONCLUSIONS: The structures define the full FXIa:FIX interface providing a structural template for understanding the sequential activation of FIX and for developing a new class of selective allosteric antithrombotic agents. |
External links | J Thromb Haemost / PubMed:42628751 |
| Methods | EM (single particle) |
| Resolution | 3.09 - 3.7 Å |
| Structure data | EMDB-74584, PDB-9zqy: EMDB-74756, PDB-9ztk: EMDB-74802, PDB-9zub: EMDB-74822, PDB-9zun: ![]() EMDB-74856: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM ![]() EMDB-74858: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM ![]() EMDB-74860: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM ![]() EMDB-74882: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM ![]() EMDB-74883: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM ![]() EMDB-74884: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM EMDB-74894, PDB-9zvx: ![]() EMDB-76284: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM ![]() EMDB-76285: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM ![]() EMDB-76286: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM ![]() EMDB-76287: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM EMDB-76288, PDB-12bn: |
| Chemicals | ![]() ChemComp-CA: ![]() ChemComp-NAG: |
| Source |
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Keywords | BLOOD CLOTTING / Coagulation / Intrinsic Pathway / Complex / Hemophilia / Factor IX / Factor XIa |
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