The investigation of connection between anticoagulant therapy and vitamin K homologues in human determined by LC-MS/MS.

Bioanalysis

Department of Clinical Pharmacy, State Key Laboratory of Analytical Chemistry for Life Science & Jiangsu Key Laboratory of Molecular Medicine, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210002, China.

Published: October 2024

AI Article Synopsis

  • There are differences in bioactivity among various forms of vitamin K (VK), which impact anticoagulation therapy.
  • A study established a method to measure levels of VK1 and two forms of VK2 (MK-4 and MK-7) in plasma samples from cardiovascular patients.
  • Results showed that concentrations of MK-7 and total VKs were significantly associated with initial anticoagulation levels (INR0), suggesting these vitamin K forms should be considered when adjusting anticoagulation doses.

Article Abstract

Differences are existed in the bioactivity among various vitamin K (VK) forms. To investigate the correlation between clinical parameters of initial anticoagulation and plasma levels of VK1 and VK2 (MK-4 and MK-7), it was necessary to establish a quantitative method for simultaneous determination. Plasma samples in cardiovascular patients were extracted by cyclohexane and analyzed using a C18 column. Baseline concentrations of VK1, MK-4 and MK-7 were 0.98 ± 0.52 ng/ml, 0.45 ± 0.13 ng/ml and 0.65 ± 0.31 ng/ml, respectively. The concentrations of MK-7 and total VKs were significantly relevant to INR0, respectively (p = 0.010 and p = 0.048, respectively). Thus, when adjusting anticoagulation dosage, concentrations of various VK homologues might be considered.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11485696PMC
http://dx.doi.org/10.1080/17576180.2024.2383109DOI Listing

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