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[维生素K转化系统缺陷所致疾病及其预防]

[Diseases Due to the Deficiency in Vitamin K Conversion System and Its Prevention].

作者信息

Nakagawa Kimie

机构信息

Laboratory of Hygienic Sciences, Kobe Pharmaceutical University.

出版信息

Yakugaku Zasshi. 2021;141(5):669-674. doi: 10.1248/yakushi.20-00243-1.

Abstract

Vitamin K is a fat-soluble vitamin that plays an important role in blood coagulation and bone formation. Vitamin K has homologues due to differences in the side chain structure, phylloquinone (abbreviated as vitamin K, PK) having a phytyl side chain and menaquinones (MK-n, n=1 to 14) having an isoprenoid side chain structure. The main vitamin K that we take from our daily diet is PK, and a fermented food, natto, contains MK-7 produced by Bacillus subtilis natto. However, the majority of vitamin K present in the tissues of mammals, including humans, is menaquinone-4 (abbreviated as vitamin K, MK-4) having a geranylgeranyl side chain. This reason is that PK or MK-n obtained in the diet is converted into MK-4 in the body. We identified that the UbiA prenyltransferase domain containing protein 1 (UBIAD1) is the conversion enzyme of PK and MK-n to MK-4. The physiological roles of MK-4 in all tissues of the whole body and the physiological significance of MK-4 converted from PK and MK-n by UBIAD1 have not been sufficiently elucidated yet. To investigate the function of UBIAD1 in vivo, we generated UBIAD1 systemic knockout mice and tissue-specific UBIAD1 knockout mice. In this paper, we introduce the usefulness of vitamin K for diseases that may involve vitamin K and UBIAD1.

摘要

维生素K是一种脂溶性维生素,在血液凝固和骨骼形成中发挥重要作用。由于侧链结构不同,维生素K有多种同系物,叶绿醌(简称为维生素K,PK)具有叶绿基侧链,而甲萘醌(MK-n,n = 1至14)具有类异戊二烯侧链结构。我们日常饮食中摄入的主要维生素K是PK,发酵食品纳豆含有由纳豆芽孢杆菌产生的MK-7。然而,包括人类在内的哺乳动物组织中存在的大多数维生素K是具有香叶基香叶基侧链的甲萘醌-4(简称为维生素K,MK-4)。原因是饮食中获取的PK或MK-n在体内会转化为MK-4。我们确定含泛醌A异戊烯基转移酶结构域蛋白1(UBIAD1)是PK和MK-n转化为MK-4的转化酶。MK-4在全身所有组织中的生理作用以及由UBIAD1将PK和MK-n转化为MK-4的生理意义尚未得到充分阐明。为了研究UBIAD1在体内的功能,我们构建了UBIAD1全身敲除小鼠和组织特异性UBIAD1敲除小鼠。在本文中,我们介绍了维生素K对可能涉及维生素K和UBIAD1的疾病的作用。

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