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Published in: Nutrition Journal 1/2014

Open Access 01-12-2014 | Short report

Low-dose menaquinone-4 improves γ-carboxylation of osteocalcin in young males: a non-placebo-controlled dose–response study

Authors: Eriko Nakamura, Mami Aoki, Fumiko Watanabe, Ayako Kamimura

Published in: Nutrition Journal | Issue 1/2014

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Abstract

Background

Menaquinone-4 is a type of vitamin K that has a physiological function in maintaining bone quality via γ-carboxylation of osteocalcin. However, little is known about the beneficial effect of intake of dosages below1500 μg/day.

Findings

Fifteen healthy males aged 25.0 years (median) participated in a non-placebo-controlled dose-examination study. They received menaquinone-4 daily for 5 weeks at 0, 300, 600, 900, and 1500 μg/day in weeks 1, 2, 3, 4, and 5, respectively. Compared with baseline, serum γ-carboxylated osteocalcin levels were significantly greater at an intake of 900 μg/day or more; serum undercarboxylated osteocalcin levels and the ratio of serum undercarboxylated osteocalcin to γ-carboxylated osteocalcin were significantly lower than baseline at doses of 600 μg/day or more.

Conclusions

This preliminary graded-dose study suggested that menaquinone-4 supplementation at 600 μg/day or more is likely to be important in terms of vitamin K requirements for bone health.
Literature
1.
go back to reference Poser JW, Price PA: A method for decarboxylation of gamma-carboxyglutamic acid in proteins. Properties of the decarboxylated gamma-carboxyglutamic acid protein from calf bone. J Biol Chem. 1979, 254: 431-436.PubMed Poser JW, Price PA: A method for decarboxylation of gamma-carboxyglutamic acid in proteins. Properties of the decarboxylated gamma-carboxyglutamic acid protein from calf bone. J Biol Chem. 1979, 254: 431-436.PubMed
2.
go back to reference Vergnaud P, Garnero P, Meunier PJ, Breart G, Kamihagi K, Delmas PD: Undercarboxylated osteocalcin measured with a specific immunoassay predicts hip fracture in elderly women: the EPIDOS Study. J Clin Endocrinol Metab. 1997, 82: 719-724.PubMed Vergnaud P, Garnero P, Meunier PJ, Breart G, Kamihagi K, Delmas PD: Undercarboxylated osteocalcin measured with a specific immunoassay predicts hip fracture in elderly women: the EPIDOS Study. J Clin Endocrinol Metab. 1997, 82: 719-724.PubMed
3.
go back to reference Shiraki M, Aoki C, Yamazaki N, Ito Y, Tsugawa N, Suhara Y, Okano T: Clinical assessment of undercarboxylated osteocalcin measurement in serum using an electrochemiluminescence immunoassay: Establishment of cut-off values to determine vitamin K insufficiency in bone and to predict fracture leading to clinical use of vitamin K2. Iyaku to Yakugaku. 2007, 57: 537-546. (in Japanese) Shiraki M, Aoki C, Yamazaki N, Ito Y, Tsugawa N, Suhara Y, Okano T: Clinical assessment of undercarboxylated osteocalcin measurement in serum using an electrochemiluminescence immunoassay: Establishment of cut-off values to determine vitamin K insufficiency in bone and to predict fracture leading to clinical use of vitamin K2. Iyaku to Yakugaku. 2007, 57: 537-546. (in Japanese)
4.
go back to reference Theuwissen E, Cranenburg EC, Knapen MH, Magdeleyns EJ, Teunissen KJ, Schurgers LJ, Smit E, Vermeer C: Low-dose menaquinone-7 supplementation improved extra-hepatic vitamin K status, but had no effect on thrombin generation in healthy subjects. Br J Nutr. 2012, 108: 1652-1657. 10.1017/S0007114511007185.CrossRefPubMed Theuwissen E, Cranenburg EC, Knapen MH, Magdeleyns EJ, Teunissen KJ, Schurgers LJ, Smit E, Vermeer C: Low-dose menaquinone-7 supplementation improved extra-hepatic vitamin K status, but had no effect on thrombin generation in healthy subjects. Br J Nutr. 2012, 108: 1652-1657. 10.1017/S0007114511007185.CrossRefPubMed
5.
go back to reference Price CT, Langford JR, Liporace FA: Essential Nutrients for Bone Health and a Review of their Availability in the Average North American Diet. Open Orthop J. 2012, 6: 143-149. 10.2174/1874325001206010143.CrossRefPubMedPubMedCentral Price CT, Langford JR, Liporace FA: Essential Nutrients for Bone Health and a Review of their Availability in the Average North American Diet. Open Orthop J. 2012, 6: 143-149. 10.2174/1874325001206010143.CrossRefPubMedPubMedCentral
6.
go back to reference Tanaka K, Terao J, Shidoji Y, Tamai H, Imai E, Okano T: Dietary Reference Intakes for Japanese 2010: fat-soluble vitamins. J Nutr Sci Vitaminol. 2013, 59: S57-S66.CrossRef Tanaka K, Terao J, Shidoji Y, Tamai H, Imai E, Okano T: Dietary Reference Intakes for Japanese 2010: fat-soluble vitamins. J Nutr Sci Vitaminol. 2013, 59: S57-S66.CrossRef
7.
go back to reference Booth SL, Martini L, Peterson JW, Saltzman E, Dallal GE, Wood RJ: Dietary phylloquinone depletion and repletion in older women. J Nutr. 2003, 133: 2565-2569.PubMed Booth SL, Martini L, Peterson JW, Saltzman E, Dallal GE, Wood RJ: Dietary phylloquinone depletion and repletion in older women. J Nutr. 2003, 133: 2565-2569.PubMed
9.
go back to reference Tsugawa N, Uenishi K, Ishida H, Minekami T, Doi A, Koike S, Takase T, Kamao M, Mimura Y, Okano T: A novel method based on curvature analysis for estimating the dietary vitamin K requirement in adolescents. Clin Nutr. 2012, 31: 255-260. 10.1016/j.clnu.2011.10.006.CrossRefPubMed Tsugawa N, Uenishi K, Ishida H, Minekami T, Doi A, Koike S, Takase T, Kamao M, Mimura Y, Okano T: A novel method based on curvature analysis for estimating the dietary vitamin K requirement in adolescents. Clin Nutr. 2012, 31: 255-260. 10.1016/j.clnu.2011.10.006.CrossRefPubMed
10.
go back to reference Kuwabara A, Fujii M, Kawai N, Tozawa K, Kido S, Tanaka K: Bone is more susceptible to vitamin K deficiency than liver in the institutionalized elderly. Asia Pac J Clin Nutr. 2011, 20: 50-55.PubMed Kuwabara A, Fujii M, Kawai N, Tozawa K, Kido S, Tanaka K: Bone is more susceptible to vitamin K deficiency than liver in the institutionalized elderly. Asia Pac J Clin Nutr. 2011, 20: 50-55.PubMed
11.
go back to reference Binkley NC, Krueger DC, Kawahara TN, Engelke JA, Chappell RJ, Suttie JW: A high phylloquinone intake is required to achieve maximal osteocalcin gamma-carboxylation. Am J Clin Nutr. 2002, 76: 1055-1060.PubMed Binkley NC, Krueger DC, Kawahara TN, Engelke JA, Chappell RJ, Suttie JW: A high phylloquinone intake is required to achieve maximal osteocalcin gamma-carboxylation. Am J Clin Nutr. 2002, 76: 1055-1060.PubMed
12.
go back to reference Koitaya N, Sekiguchi M, Tousen Y, Nishide Y, Morita A, Yamauchi J, Gando Y, Miyachi M, Aoki M, Komatsu M, Watanabe F, Morishita K, Ishimi Y: Low-dose vitamin K2 (MK-4) supplementation for 12 months improves bone metabolism and prevents forearm bone loss in postmenopausal Japanese women. J Bone Miner Metab. 2014, 32: 142-150. 10.1007/s00774-013-0472-7.CrossRefPubMed Koitaya N, Sekiguchi M, Tousen Y, Nishide Y, Morita A, Yamauchi J, Gando Y, Miyachi M, Aoki M, Komatsu M, Watanabe F, Morishita K, Ishimi Y: Low-dose vitamin K2 (MK-4) supplementation for 12 months improves bone metabolism and prevents forearm bone loss in postmenopausal Japanese women. J Bone Miner Metab. 2014, 32: 142-150. 10.1007/s00774-013-0472-7.CrossRefPubMed
13.
go back to reference Takeuchi A, Masuda Y, Kimura M, Marushima R, Matsuoka R, Hasegawa M, Takahama M, Onuki M: Minimal effective dose of vitamin K2 (menaquinone-4) on serum osteocalcin concentration in Japanese subjects and safety evaluation of vitamin K2 supplemented in calcium tablet. J Jpn Soc Clin Nutr. 2005, 26: 254-260. (in Japanese) Takeuchi A, Masuda Y, Kimura M, Marushima R, Matsuoka R, Hasegawa M, Takahama M, Onuki M: Minimal effective dose of vitamin K2 (menaquinone-4) on serum osteocalcin concentration in Japanese subjects and safety evaluation of vitamin K2 supplemented in calcium tablet. J Jpn Soc Clin Nutr. 2005, 26: 254-260. (in Japanese)
14.
go back to reference Ministry of Education: Standard Tables of Food Composition in Japan – 2010. 2010, Tokyo: Official Gazette Corporation of Japan, (in Japanese) Ministry of Education: Standard Tables of Food Composition in Japan – 2010. 2010, Tokyo: Official Gazette Corporation of Japan, (in Japanese)
15.
go back to reference Thane CW, Bolton-Smith C, Coward WA: Comparative dietary intake and sources of phylloquinone (vitamin K1) among British adults in 1986–7 and 2000–1. Br J Nutr. 2006, 96: 1105-1115. 10.1017/BJN20061971.CrossRefPubMed Thane CW, Bolton-Smith C, Coward WA: Comparative dietary intake and sources of phylloquinone (vitamin K1) among British adults in 1986–7 and 2000–1. Br J Nutr. 2006, 96: 1105-1115. 10.1017/BJN20061971.CrossRefPubMed
18.
go back to reference Theuwissen E, Magdeleyns EJ, Braam LA, Teunissen KJ, Knapen MH, Binnekamp IA, van Summeren MJ, Vermeer C: Vitamin K status in healthy volunteers. Food Funct. 2014, 5: 229-234. 10.1039/c3fo60464k.CrossRefPubMed Theuwissen E, Magdeleyns EJ, Braam LA, Teunissen KJ, Knapen MH, Binnekamp IA, van Summeren MJ, Vermeer C: Vitamin K status in healthy volunteers. Food Funct. 2014, 5: 229-234. 10.1039/c3fo60464k.CrossRefPubMed
19.
go back to reference Haraikawa M, Tsugawa N, Sogabe N, Tanabe R, Kawamura Y, Okano T, Hosoi T, Goseki-Sone M: Effects of gamma-glutamyl carboxylase gene polymorphism (R325Q) on the association between dietary vitamin K intake and gamma-carboxylation of osteocalcin in young adults. Asia Pac J Clin Nutr. 2013, 22: 646-654.PubMed Haraikawa M, Tsugawa N, Sogabe N, Tanabe R, Kawamura Y, Okano T, Hosoi T, Goseki-Sone M: Effects of gamma-glutamyl carboxylase gene polymorphism (R325Q) on the association between dietary vitamin K intake and gamma-carboxylation of osteocalcin in young adults. Asia Pac J Clin Nutr. 2013, 22: 646-654.PubMed
Metadata
Title
Low-dose menaquinone-4 improves γ-carboxylation of osteocalcin in young males: a non-placebo-controlled dose–response study
Authors
Eriko Nakamura
Mami Aoki
Fumiko Watanabe
Ayako Kamimura
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Nutrition Journal / Issue 1/2014
Electronic ISSN: 1475-2891
DOI
https://doi.org/10.1186/1475-2891-13-85

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