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维生素K:更年期女性的钙代谢调节剂

Vitamin K: Calcium Metabolism Modulator for Menopausal Women.

作者信息

Kim Tae-Hee, Kim Hayeon, Lee Hae Hyeog, Sang Jae Hong

机构信息

Department of Obstetrics and Gynecology, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.

出版信息

J Menopausal Med. 2024 Dec;30(3):152-163. doi: 10.6118/jmm.24023.

DOI:10.6118/jmm.24023
PMID:39829192
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11745727/
Abstract

Vitamin K (VitK) exists in multiple forms, with Vitamin K1 (VitK1) and Vitamin K2 (VitK2) being the most prominent. VitK1 primarily regulates clotting factors in the liver, whereas VitK2 plays a crucial role in activating extrahepatic proteins involved in various physiological processes. VitK plays a pivotal role in various physiological functions, including vascular health, bone metabolism, neuroprotection, hepatoprotection, immune response modulation, dental health, and glucose control. Particularly, activation of the matrix Gla protein and osteocalcin through VitK2 inhibits vascular calcification (VC) and promotes bone mineralization. This review provides an overview of the physiological functions of VitK2, underscoring its role in calcium metabolism modulation and its diverse effects on health. Additionally, this article provides a comprehensive overview of the beneficial functions of VitK, and discusses the significance of adequate dietary intake and oral supplementation of VitK. Particularly, emphasizing on the need for VitK2 supplementation owing to its relatively limited availability in Western diets. VitK2 supplementation effectively counters VC, enhances bone density, and offers neuroprotective, hepatoprotective, and anti-inflammatory benefits. Thus, the supplementation of VitK2, alongside dietary intake, is essential for preventive healthcare, particularly in the prevention of osteoporosis and vascular diseases. Incorporating adequate VitK2 intake highlights its significance in promoting overall well-being. Illustrated summary of the role of VitK in menopausal women.

摘要

维生素K(VitK)有多种形式,其中维生素K1(VitK1)和维生素K2(VitK2)最为突出。VitK1主要调节肝脏中的凝血因子,而VitK2在激活参与各种生理过程的肝外蛋白质方面起着关键作用。VitK在各种生理功能中发挥着关键作用,包括血管健康、骨代谢、神经保护、肝脏保护、免疫反应调节、牙齿健康和血糖控制。特别是,通过VitK2激活基质Gla蛋白和骨钙素可抑制血管钙化(VC)并促进骨矿化。本综述概述了VitK2的生理功能,强调了其在调节钙代谢中的作用及其对健康的多种影响。此外,本文全面概述了VitK的有益功能,并讨论了充足的膳食摄入和口服补充VitK的重要性。特别是,强调由于其在西方饮食中的可用性相对有限,需要补充VitK2。补充VitK2可有效对抗VC,提高骨密度,并提供神经保护、肝脏保护和抗炎益处。因此,除了膳食摄入外,补充VitK2对于预防性医疗保健至关重要,特别是在预防骨质疏松症和血管疾病方面。纳入充足的VitK2摄入量突出了其在促进整体健康方面的重要性。维生素K在绝经后女性中的作用示意图总结。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/509b/11745727/028c3ee59b9e/jmm-30-152-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/509b/11745727/028c3ee59b9e/jmm-30-152-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/509b/11745727/028c3ee59b9e/jmm-30-152-g001.jpg

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Vitamin K2 deficiency associated with short stature in children: a cross-sectional study.儿童维生素K2缺乏与身材矮小的相关性:一项横断面研究。
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本文引用的文献

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The emerging relationship between vitamin K and neurodegenerative diseases: a review of current evidence.维生素K与神经退行性疾病之间的新关系:当前证据综述
Mol Biol Rep. 2023 Jan;50(1):815-828. doi: 10.1007/s11033-022-07925-w. Epub 2022 Nov 3.
2
Vitamin K-Dependent Protein Activation: Normal Gamma-Glutamyl Carboxylation and Disruption in Disease.维生素 K 依赖性蛋白激活:正常 γ-谷氨酰羧化和疾病中的破坏。
Int J Mol Sci. 2022 May 20;23(10):5759. doi: 10.3390/ijms23105759.
3
Osteoporosis Due to Hormone Imbalance: An Overview of the Effects of Estrogen Deficiency and Glucocorticoid Overuse on Bone Turnover.
激素失衡导致的骨质疏松症:雌激素缺乏和糖皮质激素过度使用对骨代谢的影响概述。
Int J Mol Sci. 2022 Jan 25;23(3):1376. doi: 10.3390/ijms23031376.
4
The Dual Role of Vitamin K2 in "Bone-Vascular Crosstalk": Opposite Effects on Bone Loss and Vascular Calcification.维生素K2在“骨-血管相互作用”中的双重作用:对骨质流失和血管钙化的相反影响
Nutrients. 2021 Apr 7;13(4):1222. doi: 10.3390/nu13041222.
5
Molecular Mechanism of Vitamin K2 Protection against Amyloid-β-Induced Cytotoxicity.维生素 K2 对抗β-淀粉样蛋白诱导细胞毒性的分子机制。
Biomolecules. 2021 Mar 13;11(3):423. doi: 10.3390/biom11030423.
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Gamma-glutamyl carboxylated Gas6 facilitates the prophylactic effect of vitamin K in inhibiting hyperlipidemia-associated inflammatory pathophysiology via arresting MCP-1/ICAM-1 mediated monocyte-hepatocyte adhesion.γ-谷氨酰羧化 Gas6 通过抑制 MCP-1/ICAM-1 介导的单核细胞-肝细胞黏附,促进维生素 K 抑制高脂血症相关炎症病理生理学的预防作用。
J Nutr Biochem. 2021 Jul;93:108635. doi: 10.1016/j.jnutbio.2021.108635. Epub 2021 Mar 28.
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Clin Infect Dis. 2021 Dec 6;73(11):e4039-e4046. doi: 10.1093/cid/ciaa1258.
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