Bekendam, Roelof H.Bendapudi, PavanLin, LinNag, Partha P.Pu, JunKennedy, Daniel R.Feldenzer, AlexandraChiu, JoyceCook, Kristina M.Furie, BruceHuang, MingdongHogg, Philip J.Flaumenhaft, Robert2016-11-182016Bekendam, R. H., P. K. Bendapudi, L. Lin, P. P. Nag, J. Pu, D. R. Kennedy, A. Feldenzer, et al. 2016. “A substrate-driven allosteric switch that enhances PDI catalytic activity.” Nature Communications 7 (1): 12579. doi:10.1038/ncomms12579. http://dx.doi.org/10.1038/ncomms12579.2041-1723http://nrs.harvard.edu/urn-3:HUL.InstRepos:29407554Protein disulfide isomerase (PDI) is an oxidoreductase essential for folding proteins in the endoplasmic reticulum. The domain structure of PDI is a–b–b′–x–a′, wherein the thioredoxin-like a and a′ domains mediate disulfide bond shuffling and b and b′ domains are substrate binding. The b′ and a′ domains are connected via the x-linker, a 19-amino-acid flexible peptide. Here we identify a class of compounds, termed bepristats, that target the substrate-binding pocket of b′. Bepristats reversibly block substrate binding and inhibit platelet aggregation and thrombus formation in vivo. Ligation of the substrate-binding pocket by bepristats paradoxically enhances catalytic activity of a and a′ by displacing the x-linker, which acts as an allosteric switch to augment reductase activity in the catalytic domains. This substrate-driven allosteric switch is also activated by peptides and proteins and is present in other thiol isomerases. Our results demonstrate a mechanism whereby binding of a substrate to thiol isomerases enhances catalytic activity of remote domains.en-USJournal Article2016-11-1810.1038/ncomms12579