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 language | English |
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Pages (from-to) | 439-446 |
Number of pages | 8 |
Journal | Seminars in Thrombosis and Hemostasis |
Volume | 35 |
Issue number | 4 |
DOIs | |
State | Published - Jun 2009 |
Externally published | Yes |
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 ).
Funders | Funder number |
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Center for Networker Biomedical Research in Neurodegenerative Diseases | |
Fondo de Investigaciones Sanitarias | PI09/00098 |
Keywords
- Vitamin K epoxide reductase (VKOR)
- Vitamin K-dependent coagulation factors deficiency (VKCFD)
- γ-glutamyl carboxylase (GGCX)