Vitamin K in Chronic Kidney Disease

Nutrients. 2019 Jan 14;11(1):168. doi: 10.3390/nu11010168.

Abstract

Vitamin K is a composite term referring to a group of fat-soluble vitamins that function as a cofactor for the enzyme γ-glutamyl carboxylase (GGCX), which activates a number of vitamin K-dependent proteins (VKDPs) involved in haemostasis and vascular and bone health. Accumulating evidence demonstrates that chronic kidney disease (CKD) patients suffer from subclinical vitamin K deficiency, suggesting that this represents a population at risk for the biological consequences of poor vitamin K status. This deficiency might be caused by exhaustion of vitamin K due to its high requirements by vitamin K-dependent proteins to inhibit calcification.

Keywords: vitamin K, CKD, vascular calcification.

Publication types

  • Review

MeSH terms

  • Bone and Bones / metabolism
  • Carbon-Carbon Ligases / metabolism
  • Dietary Supplements
  • Humans
  • Nutritional Status
  • Randomized Controlled Trials as Topic
  • Renal Insufficiency, Chronic / blood
  • Renal Insufficiency, Chronic / drug therapy*
  • Vitamin K / blood*
  • Vitamin K / pharmacology*
  • Vitamin K Deficiency / blood
  • Vitamin K Deficiency / drug therapy*
  • Warfarin / administration & dosage
  • Warfarin / adverse effects

Substances

  • Vitamin K
  • Warfarin
  • Carbon-Carbon Ligases
  • glutamyl carboxylase