Vitamin K and vascular calcification in chronic kidney disease: An update of current evidence
Vascular calcification, characterized by calcium deposition in the intimal and medial layers of the arterial wall, is frequently encountered in patients with chronic kidney disease (CKD) and leads to an enhanced risk of adverse cardiovascular (CV) outcomes. However, the underlying complex pathophysi...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Tzu-Chi Medical Journal |
| Subjects: | |
| Online Access: | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2023;volume=35;issue=1;spage=44;epage=50;aulast=Lin |
| _version_ | 1797902772748681216 |
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| author | Yu-Li Lin Bang-Gee Hsu |
| author_facet | Yu-Li Lin Bang-Gee Hsu |
| author_sort | Yu-Li Lin |
| collection | DOAJ |
| description | Vascular calcification, characterized by calcium deposition in the intimal and medial layers of the arterial wall, is frequently encountered in patients with chronic kidney disease (CKD) and leads to an enhanced risk of adverse cardiovascular (CV) outcomes. However, the underlying complex pathophysiology remains incompletely understood. Recently, Vitamin K supplementation aimed at correcting Vitamin K deficiency highly prevalent in CKD holds great promise to mitigate the progression of vascular calcification. This article discusses the functional Vitamin K status in CKD, the pathophysiology linking Vitamin K deficiency and vascular calcification, and reviews current literature from animal models, observational studies, and clinical trials across the different spectrum of CKD. While favorable effects of Vitamin K on vascular calcification and CV outcomes are suggested in animal and observational studies, most recently published clinical trials investigating the effects of Vitamin K on vascular health failed to support the beneficial role of Vitamin K supplementation, despite improving the functional status of Vitamin K. We address the potential reasons for these discrepancies and provide further perspective on Vitamin K research in CKD. |
| first_indexed | 2024-04-10T09:22:56Z |
| format | Article |
| id | doaj.art-222f8c5a6dae44fcbf3c2e23de01819e |
| institution | Directory Open Access Journal |
| issn | 1016-3190 2223-8956 |
| language | English |
| last_indexed | 2024-04-10T09:22:56Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Tzu-Chi Medical Journal |
| spelling | doaj.art-222f8c5a6dae44fcbf3c2e23de01819e2023-02-20T07:29:11ZengWolters Kluwer Medknow PublicationsTzu-Chi Medical Journal1016-31902223-89562023-01-01351445010.4103/tcmj.tcmj_100_22Vitamin K and vascular calcification in chronic kidney disease: An update of current evidenceYu-Li LinBang-Gee HsuVascular calcification, characterized by calcium deposition in the intimal and medial layers of the arterial wall, is frequently encountered in patients with chronic kidney disease (CKD) and leads to an enhanced risk of adverse cardiovascular (CV) outcomes. However, the underlying complex pathophysiology remains incompletely understood. Recently, Vitamin K supplementation aimed at correcting Vitamin K deficiency highly prevalent in CKD holds great promise to mitigate the progression of vascular calcification. This article discusses the functional Vitamin K status in CKD, the pathophysiology linking Vitamin K deficiency and vascular calcification, and reviews current literature from animal models, observational studies, and clinical trials across the different spectrum of CKD. While favorable effects of Vitamin K on vascular calcification and CV outcomes are suggested in animal and observational studies, most recently published clinical trials investigating the effects of Vitamin K on vascular health failed to support the beneficial role of Vitamin K supplementation, despite improving the functional status of Vitamin K. We address the potential reasons for these discrepancies and provide further perspective on Vitamin K research in CKD.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2023;volume=35;issue=1;spage=44;epage=50;aulast=Linarterial stiffnesschronic kidney diseasematrix gla-proteinvascular calcificationvitamin k |
| spellingShingle | Yu-Li Lin Bang-Gee Hsu Vitamin K and vascular calcification in chronic kidney disease: An update of current evidence Tzu-Chi Medical Journal arterial stiffness chronic kidney disease matrix gla-protein vascular calcification vitamin k |
| title | Vitamin K and vascular calcification in chronic kidney disease: An update of current evidence |
| title_full | Vitamin K and vascular calcification in chronic kidney disease: An update of current evidence |
| title_fullStr | Vitamin K and vascular calcification in chronic kidney disease: An update of current evidence |
| title_full_unstemmed | Vitamin K and vascular calcification in chronic kidney disease: An update of current evidence |
| title_short | Vitamin K and vascular calcification in chronic kidney disease: An update of current evidence |
| title_sort | vitamin k and vascular calcification in chronic kidney disease an update of current evidence |
| topic | arterial stiffness chronic kidney disease matrix gla-protein vascular calcification vitamin k |
| url | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2023;volume=35;issue=1;spage=44;epage=50;aulast=Lin |
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