Hypothetical model of the productive thrombin·FVa2 complex. The model was generated based on the current structure of FPR–α-thrombin·FVa2 and that of S195A thrombin bound to a fragment from the PAR1 ectodomain that includes the activation cleavage site (PDB code 3LU9).39 Factor V residues Leu706 (P4) to Phe711 (P2′) were modeled according to the conformation of the equivalent PAR1 sequence, and the 2 polypeptide fragments were then extended following standard peptide geometries. The well-defined active-site– and exosite I–binding regions are highlighted in green. Notice that the relatively large distance between these 2 peptides (∼ 40 Å between Cα atoms of residues Glu672 and Leu706) necessarily implies that the intervening sequence has to adopt a rather extended conformation, running close to the thrombin surface. The spatial proximity of clusters of acidic residues, Asp659-Asp663 and Glu719-Glu722, in the Michaelis complex is also noteworthy. The side chain of the arginine residue targeted by APC (Arg679) is also shown, as well as Tyr698, which could contact basic residues at the edge of exosite II, especially if sulfated.