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Effect of vitamin K deficiency on urinary gamma-carboxyglutamic acid excretion in rats.

Abstract
Since gamma-carboxyglutamic acid (Gla) in Gla-containing proteins is stoichiometrically excreted into urine as free Gla, urinary Gla excretion is believed to reflect the rate of synthesis and degradation of vitamin K-dependent proteins and the utilization of vitamin K in body. We studied the daily changes in urinary Gla excretion and plasma vitamin K-dependent clotting factor levels in rats fed vitamin K-deficient diets followed by subcutaneous injection of vitamin K1 or after the oral administration of Warfarin. Urinary Gla excretion in normal rats fed a standard diet that contained about 500 ng of vitamin K1 per gram of diet was 2.35 +/- 0.25 mumoles/day, but the level in rats fed a markedly vitamin K-deficient diet (less than 5 ng/g) decreased to 1.40 +/- 0.14 mumoles/day. When rats were fed a moderately vitamin K-deficient diet (20-50 ng/g), plasma vitamin K-dependent clotting factor levels decreased significantly, but urinary Gla excretion did not decrease. Warfarin, a vitamin K antagonist, caused a significant decrease in urinary Gla excretion and plasma clotting factor levels. When vitamin K, (200 micrograms/kg) was injected subcutaneously in rats fed a markedly vitamin K-deficient diet, the plasma vitamin K-dependent clotting factor levels recovered quickly to normal, but urinary Gla excretion showed only a partial recovery to 1.74 +/- 0.15 mumoles/day. These results indicate that urinary Gla excretion decreases in vitamin K deficiency, but changes in urinary Gla excretion do not reflect vitamin K deficiency in rats as sensitively as changes in the prothrombin time and plasma K-dependent clotting factor levels.
AuthorsM Yamano, Y Yamanaka, K Yasunaga, K Uchida
JournalNihon Ketsueki Gakkai zasshi : journal of Japan Haematological Society (Nihon Ketsueki Gakkai Zasshi) Vol. 52 Issue 6 Pg. 1078-86 (Sep 1989) ISSN: 0001-5806 [Print] Japan
PMID2588957 (Publication Type: Journal Article)
Chemical References
  • 1-Carboxyglutamic Acid
Topics
  • 1-Carboxyglutamic Acid (urine)
  • Animals
  • Male
  • Rats
  • Rats, Inbred Strains
  • Vitamin K Deficiency (urine)

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