Vitamin K and its Role in Diabetic Vascular Complications and Low-Grade Inflammation
Sofia Dahlberg1,2, Ulf Schott1,2*
1Department of Anaesthesia and
Intensive Care, Institution of Clinical Science Lund, Medical Faculty, Lund
University, Sweden
2Department of Anaesthesia and Intensive Care, Skåne University Hospital Lund, Lund, Sweden
*Corresponding author: Ulf Schott, Department of Anaesthesia and Intensive Care, Skåne University Hospital, Lund, S-22185 Sweden and Institution of Clinical Science Lund, Medical faculty, Lund University, Sweden. Tel: +4646171319; +4646171000; Fax: +464617605; Email: ulf.schott@skane.se
Received
Date: 12 December, 2017; Accepted Date: 16 January, 2018; Published
Date: 24 January, 2018
Citation: Dahlberg S, Schott U (2018) Vitamin K and its Role in Diabetic Vascular Complications and Low-Grade Inflammation.
1. Abstract
This review summarizes the involvement of vitamin K and the extrahepatic Gla proteins matrix Gla protein (MGP), Osteocalcin (OC) and growth arrest-specific gene 6 protein (Gas6) in the development and progression of diabetes: in particular, complications related to angiopathy and inflammation. High vitamin K intake has been associated with a decreased risk of type 2 diabetes. Furthermore, in type 2 diabetic patients, the extent of artery calcification correlates to levels of the uncarboxylatedGla protein MGP, and supplementation with vitamin K has been shown to reduce oxidative stress markers as well as metabolic risk markers for diabetes.
2.
Keywords: Diabetes; Gas 6; Inflammation;
MGP; Vitamin K; Vascular Disease
- Kerner W, Bruckel J (2014)
Definition, classification and diagnosis of diabetes mellitus. Experimental and
clinical endocrinology & diabetes:official journal, German Society of
Endocrinology [and] German Diabetes Association 122: 384-386.
- DIAMOND Project
Group (2006)Incidence and trends of childhood Type 1
diabetes worldwide 1990-1999. Diabet Med 23: 857-866.
- Sharma M, Nazareth I, Petersen I
(2016) Trends in incidence, prevalence and prescribing in type 2 diabetes
mellitus between 2000 and 2013 in primary care: a retrospective cohort study.
BMJ open 6: e010210.
- Morgan CL,
Currie CJ, Peters JR (2000) Relationship between diabetes and mortality: a
population study using record linkage. Diabetes care 23: 1103-1107.
- Shearer MJ (1992)Vitamin K metabolism
and nutriture. Blood reviews 6: 92-104.
- Tie JK, Stafford DW (2016) Structural
and functional insights into enzymes of the vitamin K cycle. Journal of
thrombosis and haemostasis JTH 14: 236-247.
- Vermeer C (1990)
Gamma-carboxyglutamate-containing proteins and the vitamin K-dependent
carboxylase. The Biochemical journal 266: 625-636.
- Luo G, Ducy P, McKee MD, Pinero GJ,
Loyer E, et al. (1997) Spontaneous calcification of arteries and cartilage in
mice lacking matrix GLA protein. Nature 386: 78-81.
- Murshed M, Schinke T, McKee MD, Karsenty
G (2004) Extracellular matrix mineralization is regulated locally; different
roles of two gla-containing proteins. The Journal of cell biology 165: 625-630.
- Sweatt A, Sane DC, Hutson SM, Wallin
R (2003) Matrix Gla protein (MGP) and bone morphogenetic protein-2 in aortic
calcified lesions of aging rats. Journal of thrombosis and haemostasis JTH 1:
178-185.
- Wallin R,
Schurgers L, Wajih N (2008) Effects of the blood coagulation vitamin K as an
inhibitor of arterial calcification. Thromb Res 122: 411-417.
- Wajih N, Borras T, Xue W, Hutson
SM, Wallin R (2004) Processing and transport of matrix gamma-carboxyglutamic
acid protein and bone morphogenetic protein-2 in cultured human vascular smooth
muscle cells: evidence for an uptake mechanism for serum fetuin. The Journal of
biological chemistry 279: 43052-43060.
- Shea MK, O'Donnell CJ, Vermeer C,
Magdeleyns EJ, Crosier MD, et al. (2011) Circulating uncarboxylated matrix gla
protein is associated with vitamin K nutritional status, but not coronary
artery calcium, in older adults. The Journal of nutrition 141: 1529-1534.
- Cranenburg EC, Koos R, Schurgers
LJ, Magdeleyns EJ, Schoonbrood TH, et al. (2010) Characterisation and potential
diagnostic value of circulating matrix Gla protein (MGP) species. Thrombosis
and haemostasis 104: 811-822.
- Hunter GK,
Hauschka PV, Poole AR, Rosenberg LC, Goldberg HA (1996) Nucleation and
inhibition of hydroxyapatite formation by mineralized tissue proteins. The
Biochemical journal 317: 59-64.
- Boskey AL, Gadaleta S, Gundberg C, Doty
SB, Ducy P, et al. (1998) Fourier transform infrared microspectroscopic
analysis of bones of osteocalcin-deficient mice provides insight into the
function of osteocalcin. Bone 23: 187-196.
- Starup-Linde J, Eriksen SA,
Lykkeboe S, Handberg A, Vestergaard P (2014) Biochemical markers of bone
turnover in diabetes patients--a meta-analysis, and a methodological study on
the effects of glucose on bone markers. Osteoporosis international: a journal
established as result of cooperation between the European Foundation for
Osteoporosis and the National Osteoporosis Foundation of the USA 25: 1697-1708.
- Manfioletti G, Brancolini C, Avanzi G, Schneider
C (1993) The protein encoded by a growth arrest-specific gene (gas6) is a new
member of the vitamin K-dependent proteins related to protein S, a negative
coregulator in the blood coagulation cascade. Mol Cell Biol 13: 4976-4985.
- Fernandez-Fernandez L,
Bellido-Martin L, Garcia de Frutos P (2008) Growth arrest-specific gene 6
(GAS6). An outline of its role in haemostasis and inflammation. Thrombosis and
haemostasis 100: 604-610.
- Wu G, Ma Z, Hu W, Wang D, Gong B,
et al. (2017) Molecular insights of Gas6/TAM in cancer development and therapy.
Cell death & disease 8: e2700.
- Hung YJ, Lee CH,
Chu NF, Shieh YS (2010) Plasma protein growth arrest-specific 6 levels are
associated with altered glucose tolerance, inflammation, and endothelial
dysfunction. Diabetes care 33: 1840-1844.
- Fouad NA, Eltaher SM, Abdullah OA, Metwally
RA (2015) Serum Level of Growth Arrest-Specific 6 (Gas6) Protein and Genetic
Variations in the Gas6 Gene in Patients with Type 2 Diabetes Mellitus. The
Egyptian journal of immunology 22: 41-47.
- Sen P, Wallet MA, Yi Z, Huang Y,
Henderson M, et al. (2007) Apoptotic cells induce Mer tyrosine kinase-dependent
blockade of NF-kappaB activation in dendritic cells. Blood109: 653-660.
- Lemke G, Rothlin CV (2008) Immunobiology
of the TAM receptors. Nature reviews Immunology 8: 327-336.
- Lee CH, Chu NF,
Shieh YS, Hung YJ (2012) The growth arrest-specific 6 (Gas6) gene polymorphism
c.834+7G>A is associated with type 2 diabetes. Diabetes research and
clinical practice 95: 201-206.
- Wu KS, Hung YJ
(2015) The Involvement of GAS6 Signaling in the Development of Obesity and
Associated Inflammation: 202513.
- Kuo FC, Hung YJ,
Shieh YS, Hsieh CH, Hsiao FC,et al. (2014) The levels of plasma growth
arrest-specific protein 6 is associated with insulin sensitivity and
inflammation in women. Diabetes research and clinical practice 103: 304-309.
- Lee NK, Sowa H, Hinoi E, Ferron
M, Ahn JD,et al. (2007) Endocrine regulation of energy metabolism by the skeleton.
Cell 130: 456-469.
- Wei J, Hanna T,
Suda N, Karsenty G, Ducy P (2014) Osteocalcin promotes beta-cell proliferation
during development and adulthood through Gprc6a. Diabetes 63: 1021-1031.
- Knapen MH, Schurgers LJ, Shearer
MJ, Newman P, Theuwissen E, et al. (2012) Association of vitamin K status with
adiponectin and body composition in healthy subjects: uncarboxylated
osteocalcin is not associated with fat mass and body weight. The British
journal of nutrition 108: 1017-1024.
- Takeuchi Y, Suzawa M, Fukumoto S,
Fujita T (2000) Vitamin K(2) inhibits adipogenesis, osteoclastogenesis, and
ODF/RANK ligand expression in murine bone marrow cell cultures. Bone27: 769-776.
- Shearer MJ, Newman P (2008)
Metabolism and cell biology of vitamin K. Thrombosis and haemostasis 100: 530-547.
- Yoshida M, Booth SL, Meigs JB,
Saltzman E, Jacques PF (2008) Phylloquinone intake, insulin sensitivity, and
glycemic status in men and women. The American journal of clinical nutrition
88: 210-215.
- Beulens JW, van der AD, Grobbee
DE, Sluijs I, Spijkerman AM,et al. (2010) Dietary phylloquinone and
menaquinones intakes and risk of type 2 diabetes. Diabetes care 33: 1699-1705.
- Ibarrola-Jurado N, Salas-Salvado
J, Martinez-Gonzalez MA, Bullo M (2012) Dietary phylloquinone intake and risk
of type 2 diabetes in elderly subjects at high risk of cardiovascular disease.
The American journal of clinical nutrition 96: 1113-1118.
- Pan Y, Jackson RT (2009) Dietary
phylloquinone intakes and metabolic syndrome in US young adults. Journal of the
American College of Nutrition 28: 369-379.
- Dam V, Dalmeijer
GW, Vermeer C,Drummen NE, Knapen MH, et al. (2015) Association Between Vitamin
K and the Metabolic Syndrome: A 10-Year Follow-Up Study in Adults. The Journal
of clinical endocrinology and metabolism 100: 2472-2479.
- Rasekhi H, Karandish M, Jalali
MT, Mohammad-Shahi M, Zarei M, et al. (2015) The effect of vitamin K1
supplementation on sensitivity and insulin resistance via osteocalcin in
prediabetic women: a double-blind randomized controlled clinical trial.
European journal of clinical nutrition 69: 891-895.
- Yoshida M,
Jacques PF, Meigs JB, et al. (2008) Effect of vitamin K supplementation on
insulin resistance in older men and women. Diabetes care 31: 2092-2096.
- Kumar R, Binkley N, Vella A (2010)
Effect of phylloquinone supplementation on glucose homeostasis in humans. The
American journal of clinical nutrition 92: 1528-1532.
- Choi HJ, Yu J, Choi H, et al. (2011)
Vitamin K2 supplementation improves insulin sensitivity via osteocalcin
metabolism: a placebo-controlled trial. Diabetes care 34: e147.
- Koitaya N, Sekiguchi M, Tousen Y,
Nishide Y, Morita A, et al. (2014) Low-dose vitamin K2 (MK-4) supplementation
for 12 months improves bone metabolism and prevents forearm bone loss in
postmenopausal Japanese women. Journal of bone and mineral metabolism 32: 142-150.
- Suksomboon N,
Poolsup N, Darli KoKo H (2017) Effect of vitamin K supplementation on insulin
sensitivity: a meta-analysis. Diabetes, metabolic syndrome and obesity: targets
and therapy 10: 169-177.
- Knapen MHJ, Jardon KM, Vermeer C
(2017) Vitamin K-induced effects on body fat and weight: results from a 3-year
vitamin K2 intervention study. European journal of clinical nutrition
72:136-141.
- Rees K, Guraewal S, Wong YL, Majanbu
DL, Mavrodaris A, et al. (2010) Is vitamin K consumption associated with
cardio-metabolic disorders? A systematic review. Maturitas 67: 121-128.
- Valdes-Ramos R,
Guadarrama-Lopez AL, Martinez-Carrillo BE, Benitez-Arciniega AD (2015) Vitamins
and type 2 diabetes mellitus. Endocrine, metabolic & immune disorders drug
targets 15: 54-63.
- Barr EL, Zimmet PZ, Welborn TA, Jolley
D, Magliano DJ, et al. (2007) Risk of cardiovascular and all-cause mortality in
individuals with diabetes mellitus, impaired fasting glucose, and impaired
glucose tolerance: the Australian Diabetes, Obesity, and Lifestyle Study
(Aus Diab). Circulation 116: 151-157.
- Yang SL, Zhu LY,
Han R, Sun LL, Li JX, et al. (2017) Pathophysiology of peripheral arterial
disease in diabetes mellitus. Journal of diabetes 9: 133-140.
- Beulens JW, Bots ML, Atsma F,Bartelink
ML, Prokop M, et al. (2009) High dietary menaquinone intake is associated with
reduced coronary calcification. Atherosclerosis 203: 489-493.
- Dalmeijer GW, van der Schouw YT,
Vermeer C, Magdeleyns EJ, Schurgers LJ, et al. (2013) Circulating matrix Gla
protein is associated with coronary artery calcification and vitamin K status
in healthy women. The Journal of nutritional biochemistry 24: 624-628.
- Liabeuf S, Bourron O, Vemeer C, Theuwissen
E, Magdeleyns E, et al. (2014) Vascular calcification in patients with type 2
diabetes: the involvement of matrix Gla protein. Cardiovascular diabetology 13:
85.
- Dalmeijer GW, van der Schouw YT,
Magdeleyns EJ, Vermeer C, Verschuren WM,et al. (2013) Matrix Gla protein
species and risk of cardiovascular events in type 2 diabetic patients. Diabetes
care 36: 3766-3771.
- Sardana M, Vasim I, Varakantam S,
Kewan U, Tariq A, et al. (2017) Inactive Matrix Gla-Protein and Arterial
Stiffness in Type 2 Diabetes Mellitus. American journal of hypertension 30:
196-201.
- Pivin E, Ponte B, Pruijm M, Ackermann
D, Guessous I, et al. (2015) Inactive Matrix Gla-Protein Is Associated with
Arterial Stiffness in an Adult Population-Based Study. Hypertension (Dallas,
Tex : 1979) 66: 85-92.
- Tavridou A,
Petridis I, Vasileiadis M, Ragia G, Heliopoulos I, et al. (2011) Association of
VKORC1 -1639 G>A polymorphism with carotid intima-media thickness in type 2
diabetes mellitus. Diabetes research and clinical practice 94: 236-241.
- Knapen MH, Braam LA, Drummen NE,
Bekers O, Hoeks A, et al. (2015) Menaquinone-7 supplementation improves
arterial stiffness in healthy postmenopausal women. A double-blind randomised
clinical trial. Thrombosis and haemostasis 113: 1135-1144.
- Caluwe R, Pyfferoen L, De Boeck K,
De Vriese AS (2016) The effects of vitamin K supplementation and vitamin K
antagonists on progression of vascular calcification: ongoing randomized
controlled trials. Clinical kidney journal 9: 273-279.
- Domingueti CP, Dusse LM, Carvalho
M, de Sousa LP, Gomes KB, et al. (2016) Diabetes mellitus: The linkage between
oxidative stress, inflammation, hypercoagulability and vascular complications.
Journal of diabetes and its complications 30: 738-745.
- Korshunov VA (2012) Axl-dependent
signalling: a clinical update. Clinical science (London, England: 1979) 122:
361-368.
- Dihingia A, Kalita J, Manna P
(2017) Implication of a novel Gla-containing protein, Gas6 in the pathogenesis
of insulin resistance, impaired glucose homeostasis, and inflammation: A
review. Diabetes research and clinical practice 128: 74-82.
- Thong FS, Dugani CB, Klip A
(2005) Turning signals on and off: GLUT4 traffic in the insulin-signaling
highway. Physiology (Bethesda, Md) 20: 271-284.
- Lee CH, Shieh
YS, Hsiao FC, Kuo FC, Lin CY,et al. (2014) High glucose induces human
endothelial dysfunction through an Axl-dependent mechanism. Cardiovascular
diabetology 13: 53.
- Rothlin CV, Ghosh S, Zuniga EI,
Oldstone MB, Lemke G (2007) TAM receptors are pleiotropic inhibitors of the
innate immune response. Cell 131: 1124-1136.
- Haase TN, Rasmussen M, Jaksch CA,
Gaarn LW, Petersen CK, et al. (2013) Growth arrest specific protein (GAS) 6: a
role in the regulation of proliferation and functional capacity of the perinatal
rat beta cell. Diabetologia 56: 763-773.
- Hsiao FC, Lin
YF, Hsieh PS, Chu NF, Shieh YS, et al. (2013) Circulating growth
arrest-specific 6 protein is associated with adiposity, systemic inflammation,
and insulin resistance among overweight and obese adolescents. The Journal of
clinical endocrinology and metabolism 98: E267-E274.
- Juanola-Falgarona M,
Salas-Salvado J, Estruch R, Portillo MP, Casas R, et al. (2013) Association
between dietary phylloquinone intake and peripheral metabolic risk markers
related to insulin resistance and diabetes in elderly subjects at high
cardiovascular risk. Cardiovascular diabetology 12: 7.
- Mazzanti L, Battino M, Nanetti L,
Raffaelli F, Alidori A, et al. (2015) Effect of 1-year dietary supplementation
with vitaminized olive oil on markers of bone turnover and oxidative stress in
healthy post-menopausal women. Endocrine 50: 326-334.
- Li J, Wang H, Rosenberg PA (2009)
Vitamin K prevents oxidative cell death by inhibiting activation of
12-lipoxygenase in developing oligodendrocytes. Journal of neuroscience
research 87: 1997-2005.
- Stage TB, Pottegard A, Henriksen
DP, Christensen MM, Højlund
K, et al. (2016) Initiation of glucose-lowering treatment decreases
international normalized ratio levels among users of vitamin K antagonists: a
self-controlled register study.J Thromb Haemost 14: 129-133.
- Johnson JA, Cavallari LH (2015) Warfarin
pharmacogenetics. Trends in cardiovascular medicine 25: 33-41.