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Vitamin K-Zyklus, VKORC1 und die molekularen Mechanismen der oralen Antikoagulation

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Hämostaseologie
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Zusammenfassung

Vitamin K ist ein fettlösliches Vitamin, das vom menschlichen Organismus nicht synthetisiert werden kann. Das mit der Nahrung aufgenomme oder durch Darmbakterien synthetisierte Vitamin K wird im Jejunum resorbiert und zu einem geringen Teil in der Leber gespeichert. Vitamin K ist ein notwendiger Kofaktor bei der funktionellen Modifikation verschiedener Proteine, die in die Koagulation, Kalziumhomöostase und andere physiologische Prozesse eingebunden sind. Vitamin K ermöglicht die posttranslationale γ-Carboxylierung der Gerinnungsfaktoren II, VII, X, IX, Protein C und Protein S. Orale Antikoagulanzien vom Typ der Vitamin-K-Antagonisten blockieren die enzymatische Aktivität der Vitamin-K-Epoxid-Oxidoreduktase (VKORC1). Innerhalb des Vitamin-K-Zyklus ermöglicht die VKORC1 die Regeneration von Vitamin K.

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Watzka, M., Oldenburg, J. (2010). Vitamin K-Zyklus, VKORC1 und die molekularen Mechanismen der oralen Antikoagulation. In: Pötzsch, B., Madlener, K. (eds) Hämostaseologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-01544-1_18

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  • DOI: https://doi.org/10.1007/978-3-642-01544-1_18

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-01543-4

  • Online ISBN: 978-3-642-01544-1

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