VITAMIN K |
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Vitamin K plays an important
role in blood clotting and
bone metabolism (carboxylation
of osteocalcin). High serum
concentrations of
undercarboxylated osteocalcin
and low serum concentrations
of vitamin K are associated
with lower bone mineral
density and increased risk of
hip fracture. Vitamin K
supplements may improve bone
mass in postmenopausal women.
Vitamin K prevents
calcification of arteries and
other soft tissue.
Calcification of organs and
other soft tissue is an
adverse consequence of aging.
Vitamin K may play a role in
the regulation of blood sugar.
The pancreas, which makes
insulin, has the second
highest amount of vitamin K in
the body.
Vitamin K and blood clotting -
Vitamin K's primary function
is to regulate normal blood
clotting (due to its role in
the synthesis of prothrombin).
Blood clotting is a process
that begins automatically when
any injury produces a tear in
a blood vessel. The process of
blood clotting involves a
collection of molecules, which
circulate continuously through
the bloodstream. Vitamin K
regulates normal blood
clotting by helping the body
transport calcium. Protein Z
appears to enhance the action
of thrombin (the activated
form of prothrombin) by
promoting its association with
phospholipids in cell
membranes. Protein C and
protein S are anticoagulant
proteins that provide control
and balance in the coagulation
cascade. Vitamin K2, not
vitamin K1 (phylloquinone;
phytonadione), may improve a
group of blood disorders known
as myelodysplastic syndromes.
Vitamin K and bone health -
Vitamin K supplements improve
bone health and reduce risk of
bone fractures, particularly
in postmenopausal women who
are at risk for osteoporosis.
Three vitamin-K dependent
proteins have been isolated in
bone. Higher vitamin K levels
correspond to greater bone
density, while low levels of
vitamin K have been found in
those with osteoporosis. In
bones, vitamin K mediates the
gamma-carboxylation of
glutamyl residues on several
bone proteins, notably
osteocalcin. Osteocalcin is a
protein synthesized by
osteoblasts (bone forming
cells). The mineral-binding
capacity of osteocalcin
requires vitamin K-dependent
gamma-carboxylation of three
glutamic acid residues.
Vitamin K and liver diseases -
Vitamin K is used to reduce
risk of bleeding in liver
disease, jaundice,
malabsorption, or in
association with long-term use
of aspirin or antibiotics.
Gastrointestinal problems that
decrease the absorption of
vitamin K, such as
obstructions in the bile duct,
cystic fibrosis, sprue,
Crohn's disease, colitis and
medications that reduce the
absorption of this vitamin,
such as antibiotics. Vitamin K
deficiency in those with
cystic fibrosis is worsened by
their recurrent need for
antibiotics. Vitamin K has
been used in the treatment of
heavy menstrual bleeding, and
with vitamin C to treat
morning sickness. Newborns are
at risk for bleeding in the
brain because of the trauma of
coming through the birth canal
during delivery. |
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