Phe-pro-arg-chloromethyl ketone-inhibited alpha-thrombin [FPRalpha-thr] retains its fibrinogen recognition site (exosite 1), augments fibrin/fibrinogen [fibrin(ogen)] polymerization, and increases the incorporation of fibrin into clots. There are two 'low-affinity' thrombin-binding sites in each central E domain of fibrin, plus a non-substrate 'high affinity' gamma' chain thrombin-binding site on heterodimeric 'fibrin(ogen) 2' molecules (gamma'(A),gamma'). 'Fibrin(ogen) 1' (gamma(A), gamma(A)) containing only low-affinity thrombin-binding sites, showed concentration-dependent FPRalpha-thr enhancement of polymerization, thus indicating that. low-affinity sites are sufficient for enhancing polymerization. FPRgamma-thr, whose exosite 1 is non-functional, did not enhance polymerization of either fibrin(ogen)s 1 or 2 and DNA aptamer HD-1, which binds specifically to exosite 1, blocked FPRalpha-thr enhanced polymerization of both types of fibrin(ogen) (1>2). These results showed that exosite 1 is the critical element in thrombin that mediates enhanced fibrin polymerization. Des Bbeta1-42 fibrin(ogen) 1, containing defective 'low-affinity' binding sites, was subdued in its FPRalpha-thr-mediated reactivity, whereas des Bbeta1-42 fibrin(ogen) 2 (gamma(A),gamma') was more reactive. Thus, the gamma' chain thrombin-binding site contributes to enhanced FPRalpha-thr mediated polymerization and acts through a site on thrombin that is different from exosite 1, possibly exosite 2. Overall, the results suggest that during fibrin clot formation, catalytically-inactivated FPRalpha-thr molecules form non-covalently linked thrombin dimers, which serve to enhance fibrin polymerization by bridging between fibrin(ogen) molecules, mainly through their low affinity sites. (C) 2004 Published by Elsevier B.V.