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Physiology General 43ef796a

Vitamin K dependent clotting factors include the following, EXCEPT:

A
Factor VII
B
Factor VIII
C
Prothrombin
D
Factor IX
High-Yield Explanation
Factors II (prothrombin), VII, IX, and X require vitamin K for their synthesis. Vitamin K is required for the posttranslational carboxylation of glutamic acid, which is necessary for calcium binding to gamma-carboxylated proteins such as prothrombin (factor II); factors VII, IX, and X; protein C; protein S; and proteins found in bone (osteocalcin) and vascular smooth muscle (e.g., matrix Gla protein). Warfarin-type drugs inhibit gamma-carboxylation by preventing the conversion of vitamin K to its active hydroquinone form. Ref: Weitz J.I. (2011). Chapter 30. Blood Coagulation and Anticoagulant, Fibrinolytic, and Antiplatelet Drugs. In B.C. Knollmann (Ed), Goodman & Gilman's The Pharmacological Basis of Therapeutics, 12e.

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