Acquired Vitamin K-Dependent Carboxylation Deficiency in Liver Disease

Abstract
γ-Carboxyglutamic acid residues on prothrombin are synthesized from glutamic acid on a prothrombin precursor in the liver through a vitamin K-dependent carboxylase. In the absence of vitamin K or in the presence of vitamin K antagonists, an inert form of prothrombin — abnormal prothrombin — circulates in the blood.

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