Carboxyglutamic acid
Carboxyglutamic Acid[edit]

Carboxyglutamic acid is a gamma-carboxylated derivative of glutamic acid, an important amino acid in the human body. It is a key component in the post-translational modification of certain proteins, particularly those involved in the blood coagulation cascade.
Structure and Function[edit]
Carboxyglutamic acid is characterized by the presence of an additional carboxyl group on the gamma carbon of the glutamic acid side chain. This modification is catalyzed by the enzyme gamma-glutamyl carboxylase, which requires vitamin K as a cofactor. The presence of the extra carboxyl group allows carboxyglutamic acid to bind calcium ions, which is crucial for the biological activity of vitamin K-dependent proteins.
Role in Blood Coagulation[edit]
Carboxyglutamic acid residues are essential for the function of several coagulation factors, including prothrombin, factor VII, factor IX, and factor X. These factors require calcium binding for their activation and subsequent participation in the coagulation cascade. The conversion of glutamic acid to carboxyglutamic acid in these proteins enhances their ability to bind calcium, facilitating their proper localization to phospholipid surfaces where clot formation occurs.
Vitamin K and Carboxylation[edit]
The carboxylation of glutamic acid residues to form carboxyglutamic acid is dependent on vitamin K. This vitamin acts as a cofactor for the enzyme gamma-glutamyl carboxylase, which catalyzes the addition of the carboxyl group. A deficiency in vitamin K can lead to impaired carboxylation, resulting in dysfunctional coagulation factors and an increased risk of bleeding disorders.
Clinical Significance[edit]
The presence of carboxyglutamic acid is a marker for the activity of vitamin K-dependent proteins. Disorders in the carboxylation process can lead to conditions such as vitamin K deficiency bleeding in newborns and warfarin overdose in adults. Monitoring the levels of carboxyglutamic acid-containing proteins can be useful in assessing the coagulation status of patients and the effectiveness of anticoagulant therapy.
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