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Published on: April 6, 2022
High-resolution crystal structures of factor XIa coagulation factor in complex with nonbasic high-affinity synthetic
Xavier Fradera1, Bert Kazemier, Emma Carswell
1Merck Research Laboratories, MSD, Newhouse, Lanarkshire ML1 5SH, Scotland. xavier.fradera@merck.com
Summary
New crystal structures reveal novel binding modes for Factor XIa inhibitors. These findings offer insights for developing improved anticoagulant therapies targeting blood coagulation.
Area of Science:
- Biochemistry
- Structural Biology
- Pharmacology
Background:
- Factor XI (FXI) is a crucial enzyme in the blood coagulation cascade.
- FXI is a promising target for novel anticoagulant drug development.
- Existing FXIa crystal structures show inhibitors binding to the nonprime side of the active site.
Purpose of the Study:
- To present novel high-resolution crystal structures of Factor XIa (FXIa) in complex with nonbasic inhibitors.
- To characterize the binding interactions of these new inhibitors within the FXIa active site.
- To provide structural insights for the design of next-generation FXIa inhibitors.
Main Methods:
- X-ray crystallography was used to determine the structures of FXIa-inhibitor complexes.
- High-resolution structural data was obtained and analyzed.
- Comparative analysis with existing FXIa-inhibitor structures was performed.
Main Results:
- Two new crystal structures of FXIa complexed with nonbasic inhibitors were determined.
- These inhibitors occupy both the prime and nonprime sides of the FXIa active site.
- The binding mode differs from previously reported inhibitors with basic P1 groups.
Conclusions:
- The presented structures offer new insights into FXIa active site interactions.
- Nonbasic inhibitors binding across both prime and nonprime sides are feasible.
- These findings can guide the optimization of FXIa inhibitors for anticoagulant therapy.

