Nonstandard Factor VIIa Binding Mode Reveals S1 Pocket Plasticity in Trypsin-Like Proteases

Laura Tesmer1,2, Hans Matter2, Otmar Klingler3

  • 1Department of Theoretical Biophysics, Max Planck Institute of Biophysics, Frankfurt am Main, Germany.

Chemmedchem
|January 31, 2026
PubMed

Insights

Factor VIIa (FVIIa) inhibitors are sought for antithrombotic therapy. A new crystal structure reveals a remodeled active site and collapsed S1 pocket, suggesting a novel inhibition strategy for FVIIa and related serine proteases.

Area of Science:

  • Biochemistry
  • Structural Biology
  • Pharmacology

Background:

  • Factor VIIa (FVIIa) is a key enzyme in blood coagulation.
  • FVIIa inhibitors are attractive drug targets due to a potential wide therapeutic window.
  • Existing FVIIa inhibitors face challenges, primarily poor oral bioavailability.

Purpose of the Study:

  • To present a novel X-ray crystal structure of the FVIIa-tissue factor complex with a bound inhibitor.
  • To investigate the structural plasticity of the FVIIa active site, particularly the S1 pocket.
  • To explore new strategies for inhibiting FVIIa and other serine proteases.

Main Methods:

  • X-ray crystallography of the FVIIa-tissue factor complex with an oxazole-based inhibitor at 1.9 Å resolution.
  • Atomistic molecular dynamics simulations (0.17 ms total).
  • Analysis of conformational transitions in the S1 pocket of FVIIa and other serine peptidases.

Main Results:

  • The crystal structure revealed an extensively remodeled active site and a collapsed S1 pocket upon inhibitor binding.
  • Molecular dynamics simulations showed conformational transitions between open and collapsed S1 pocket states in FVIIa.
  • Similar S1 pocket plasticity was observed in 12 out of 16 studied serine peptidases.

Conclusions:

  • FVIIa exhibits S1 pocket plasticity, existing in an equilibrium between open and collapsed states.
  • This plasticity offers a basis for developing novel FVIIa inhibitors.
  • The findings suggest a generalizable approach for inhibiting other serine proteases.

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