Vitamin K-dependent coagulation factors deficiency

Benjamin Brenner, Amir A. Kuperman, Matthias Watzka, Johannes Oldenburg

Research output: Contribution to journalReview articlepeer-review

62 Scopus citations

Abstract

All vitamin K-dependent coagulation factors require normal function of γ-glutamyl carboxylase and vitamin K epoxide reductase enzyme complex (VKORC1). Heritable dysfunction of g-glutamyl carboxylase or of the VKORC1 complex results in the secretion of poorly carboxylated vitamin K-dependent proteins that play a role in coagulation. The following review will summarize the clinical manifestations of vitamin K-dependent coagulation factors deficiency I and II and will provide a detailed explanation about the gene and protein structure, the function of the protein, and an analysis of the previously reported mutations. Laboratory assays used for diagnosis will be discussed, and treatment for various clinical settings will be recommended.

Original languageEnglish
Pages (from-to)439-446
Number of pages8
JournalSeminars in Thrombosis and Hemostasis
Volume35
Issue number4
DOIs
StatePublished - Jun 2009
Externally publishedYes

Bibliographical note

Funding Information:
The authors are indebted to all the patients and their families for their participation. They thank Dr. Agustín Ruiz for his helpful remarks, Carolyn Newey for editorial help, and Laia Muñoz and Inés M. Matas for technical assistance. This work was supported by a research grant from “ Center for Networker Biomedical Research in Neurodegenerative Diseases ” and by the “ Fondo de Investigaciones Sanitarias ” ( PI09/00098 ).

Funding

The authors are indebted to all the patients and their families for their participation. They thank Dr. Agustín Ruiz for his helpful remarks, Carolyn Newey for editorial help, and Laia Muñoz and Inés M. Matas for technical assistance. This work was supported by a research grant from “ Center for Networker Biomedical Research in Neurodegenerative Diseases ” and by the “ Fondo de Investigaciones Sanitarias ” ( PI09/00098 ).

FundersFunder number
Center for Networker Biomedical Research in Neurodegenerative Diseases
Fondo de Investigaciones SanitariasPI09/00098

    Keywords

    • Vitamin K epoxide reductase (VKOR)
    • Vitamin K-dependent coagulation factors deficiency (VKCFD)
    • γ-glutamyl carboxylase (GGCX)

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