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TitleStructural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryo-EM.
Journal, issue, pagesJ Thromb Haemost, Year 2026
Publish dateAug 21, 2026
AuthorsBassem M Mohammed / Samantha Deavila / Tristan Friet / Isabella Dattilio /
PubMed AbstractBACKGROUND: 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 linksJ Thromb Haemost / PubMed:42628751
MethodsEM (single particle)
Resolution3.09 - 3.7 Å
Structure data

EMDB-74584, PDB-9zqy:
Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM
Method: EM (single particle) / Resolution: 3.09 Å

EMDB-74756, PDB-9ztk:
Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM
Method: EM (single particle) / Resolution: 3.7 Å

EMDB-74802, PDB-9zub:
Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM
Method: EM (single particle) / Resolution: 3.65 Å

EMDB-74822, PDB-9zun:
Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM
Method: EM (single particle) / Resolution: 3.55 Å

EMDB-74856: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM
Method: EM (single particle) / Resolution: 3.5 Å

EMDB-74858: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM
Method: EM (single particle) / Resolution: 3.6 Å

EMDB-74860: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM
Method: EM (single particle) / Resolution: 3.4 Å

EMDB-74882: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM
Method: EM (single particle) / Resolution: 3.6 Å

EMDB-74883: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM
Method: EM (single particle) / Resolution: 3.4 Å

EMDB-74884: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM
Method: EM (single particle) / Resolution: 3.4 Å

EMDB-74894, PDB-9zvx:
Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM
Method: EM (single particle) / Resolution: 3.4 Å

EMDB-76284: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM
Method: EM (single particle) / Resolution: 3.44 Å

EMDB-76285: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM
Method: EM (single particle) / Resolution: 3.42 Å

EMDB-76286: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM
Method: EM (single particle) / Resolution: 3.54 Å

EMDB-76287: Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM
Method: EM (single particle) / Resolution: 3.54 Å

EMDB-76288, PDB-12bn:
Structural insights into the exosite-mediated activation of Factor IX by Factor XIa using cryoEM
Method: EM (single particle) / Resolution: 3.4 Å

Chemicals

ChemComp-CA:
Unknown entry

ChemComp-NAG:
2-acetamido-2-deoxy-beta-D-glucopyranose

Source
  • homo sapiens (human)
KeywordsBLOOD CLOTTING / Coagulation / Intrinsic Pathway / Complex / Hemophilia / Factor IX / Factor XIa

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