USMLE (Fach) / Biochemistry - Nutrition (Lektion)
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Vitamin K (phytomenadione)
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Includes phytomenadione, phylloquinone, phytonadione, menaquinone.Activated by epoxide reductase to the reduced form, which is a cofactor for the γ-carboxylation of glutamic acid residues on proteins required for blood clotting (II, VII, IX, X, proteins C and S).- Synthesized by intestinal flora.
Deficiency:- Neonatal hemorrhage with ↑ PT and ↑ aPTT but normal bleeding time (neonates have sterile intestines and are unable to synthesize vitamin K).- Can also occur after prolonged use of broad-spectrum antibiotics.
- Not in breast milk; neonates are given vitamin K injection at birth to prevent hemorrhagic disease of the newborn.
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