Vitamin K Dependent Coagulation Factors Include
Substrates include blood clotting proteins bone proteins cell signaling and receptor proteins.
Vitamin k dependent coagulation factors include. Vitamin k can be inhibited by the anticoagulant drug warfarin which acts as an antagonist for vitamin k. The key vitamin k dependent proteins include. Deficiency of the vitamin k dependent clotting factors vkcfd is a recessive bleeding disorder where problems arise with the four clotting factors i ii vii ix and x. An equally important role for vitamin k is to activate anticoagulant proteins to control clotting since uncontrolled clotting can be just as dangerous as uncontrolled bleeding.
Vitamin k is important in the steps involving protein factor ii vii ix and x 1. The clotting factors are essential in controlling the bleeding. Prothrombin alone needs vitamin k to modify 10 different regions within the protein for functionality. Familial multiple coagulation factor deficiency is rare.
Vitamin k dependent proteins synthesized in the liver play a central role in blood coagulation through either procoagulant or anticoagulant mechanisms. Factor ii is alternatively named prothrombin. It is commonly used for prevention and treatment of vte prevention of stroke in atrial fibrillation anticoagulation for mechanical prosthetic heart valves and myocardial infarction prevention in coronary artery disease. Warfarin 4 hydroxycoumarin inhibits the synthesis of vitamin k dependent coagulation factors including factors ii vii ix and x as well as proteins c and s.
Reviews of vitamin k action and blood coagulation are presented. Vitamin k dependent coagulation factors include ii vii ix and x. 1 4 known vitamin k dependent proteins involved in coagulation include. Proteins c s and z.
Factors ii prothrombin vii ix and x. Vitamin k serves as an essential cofactor for a carboxylase that catalyzes carboxylation of glutamic acid residues on vitamin k dependent proteins. In addition gla is a component of short toxin peptides from the marine snail conus. Deficiency of all vitamin k dependent clotting factors leads to a bleeding tendency that is usually reversed by oral administration of vitamin k.
Acquired forms of the disorder can be caused by intestinal malabsorption of vitamin k. The vitamin k dependent protein family includes the zymogen procoagulant factors vii ix x and prothrombin and the anticoagulants protein c protein s and protein z fig. Warfarin is used in medicine for those at high risk of thromboembolism to prevent the coagulation cascade by reducing vitamin k dependent synthesis of coagulation factors. Vitamin k deficiency or utilization disorders may affect the γ carboxylation of glutamate and thus the γ carboxyglutamyl glutamic acid residue in these coagulation factors could not form 1 2 vitamin k dependent coagulopathy is characterized by decreased activity of coagulation factors and coagulation.