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Vitamin K2 (MK-7)

Menaquinone-7 · MK-7 · Vitamin K2

Vitamine & Nährstoffe
Einheit:
ng/mL
Abbreviation
K2 / MK-7

The test quantifies the concentration of menaquinone-7 (MK-7) in the blood, a subtype of vitamin K2.

Reference Ranges

Reference
0.123.54ng/mL
0.12
3.54
LowNormalHigh
Reference
Unit · ng/mL

Reference ranges are based on healthy women of childbearing age; variations may exist due to age and health status.

Overview

Übersicht

Vitamin K2 (MK-7), also known as menaquinone-7, is a fat-soluble vitamin crucial for various physiological processes. It is part of the vitamin K family, characterized by a 2-methyl-1,4-naphthoquinone ring and a variable aliphatic side-chain. This biomarker measures the concentration of MK-7 in the blood, reflecting its role in activating proteins involved in blood coagulation, bone mineralization, and vascular health. Researchers have observed that MK-7 is essential for the carboxylation of osteocalcin and matrix Gla-protein, which are critical for bone and cardiovascular health. Clinically, MK-7 is significant in assessing the risk of osteoporosis and cardiovascular diseases. Low levels of MK-7 have been associated with increased arterial calcification and bone fragility, particularly in populations with chronic conditions such as diabetes and kidney disease. In the context of athletic performance and biohacking, MK-7 is valued for its potential to enhance bone strength and cardiovascular function, potentially contributing to longevity and improved recovery. However, researchers found that its absorption and efficacy can be influenced by factors such as lipid metabolism and existing health conditions. Caveats include potential confounders like lipid levels, as MK-7 is transported via lipoproteins. Fasting is not typically required, but consistency in testing conditions is advised to ensure accurate monitoring over time.

Klinische Bedeutung

Reduced MK-7 levels may indicate increased risk for osteoporosis and cardiovascular diseases due to impaired carboxylation of vitamin K-dependent proteins. Elevated levels are generally not associated with adverse effects but may reflect high dietary intake or supplementation.

Dynamics

Trend Interpretation

Rising Values

Progressively rising values may indicate increased dietary intake or supplementation. Re-test in 6 months if levels exceed reference range.

Falling Values

Progressively falling values suggest potential dietary insufficiency or increased physiological demand.

Re-test Interval

6 months if outside optimal range

Etiology

Causes — High & Low

Cause

Elevated Levels

  • High dietary intake
  • Supplementation
  • Improved lipid absorption
  • Reduced clearance
  • Genetic factors
Cause

Low Levels

  • Poor dietary intake
  • Chronic kidney disease
  • Lipid metabolism disorders
  • Chronic inflammatory conditions
  • Certain medications
Protocol

How to Optimize

Lever

Lifestyle

  • Regular weight-bearing exercise
  • Smoking cessation
Lever

Nutrition

  • Consume fermented foods like natto
  • Include leafy greens in diet
Lever

Supplementation

  • Menaquinone-7 supplements
  • Vitamin D supplements

Note:

Consult a healthcare provider before starting any supplementation, especially if on anticoagulant therapy.

Testing Guidelines

Fasting Not Required
Not Time-Sensitive

Vitamin K levels may vary; morning samples recommended for consistency.

Testing Frequency

Annually for individuals at risk of deficiency or with cardiovascular concerns

Interfering Factors

  • Lipid-lowering medications
  • Chronic inflammatory conditions

Open Research Questions

Current research suggests that reference ranges for vitamin K2 (MK-7) in diverse populations are not well-defined, particularly in specific demographics like childbearing women. Researchers have not yet established optimal targets for MK-7 supplementation in chronic conditions such as diabetes or chronic kidney disease, where its efficacy appears limited. Unanswered clinical questions include the long-term effects of MK-7 on calcification in various patient populations and the mechanisms underlying its altered metabolism in chronic diseases.

17 Research Publications

136

Total Citations

12

Human/RCT

2.0

Avg. Influence

2026

Latest

Sort
Filter
#01

Altered vitamin K biodistribution and metabolism in experimental and human chronic kidney disease.

HumanInfluence2.0
35
Researchers investigated the biodistribution and metabolism of Vitamin K in patients with chronic kidney disease (CKD). They found that CKD patients had reduced uptake of MK-7 into lipoproteins, suggesting impaired transport and metabolism of this vitamin in uremic conditions.
View on PubMed
#02

Vitamin K (phylloquinone and menaquinones) in foods - Optimisation of extraction, clean-up and LC-ESI-MS/MS method for quantification.

In Vitro
20
Researchers optimized a method for quantifying vitamin K in foods, including MK-7. They validated the method across various food matrices, demonstrating its effectiveness for assessing vitamin K content in dietary sources.
View on PubMed
#03

Dramatic Decrease of Vitamin K2 Subtype Menaquinone-7 in COVID-19 Patients.

Human
16
This study examined the levels of Vitamin K2 (MK-7) in COVID-19 patients compared to healthy controls and non-COVID-19 pneumonia patients. Researchers found that COVID-19 patients had significantly lower MK-7 levels, indicating potential consumption of this vitamin due to inflammatory and oxidative stress factors associated with the disease.
View on PubMed
#04

Vitamin K for Vascular Calcification in Kidney Patients: Still Alive and Kicking, but Still a Lot to Learn.

Neofytou Ioannis Eleftherios, et al. · Nutrients · 2024

ReviewInfluence2.0
14
Researchers reviewed the role of Vitamin K in vascular calcification among chronic kidney disease patients. They noted a strong association between Vitamin K levels and cardiovascular disease risk, highlighting the need for further research on Vitamin K supplementation in this population.

Key findings

  1. 01Researchers observed that vascular calcification is a major issue for patients with chronic kidney disease, contributing to cardiovascular problems.
  2. 02They found that vitamin K is important for regulating vascular calcification through specific proteins.
  3. 03Despite promising pre-clinical data, clinical trials on vitamin K supplementation have shown mixed results.
View on PubMed
#05

Adaptive laboratory evolution for improved tolerance of vitamin K in Bacillus subtilis.

In Vitro
11
This study focused on enhancing the production of MK-7 through microbial fermentation using Bacillus subtilis. Researchers successfully improved the strain's tolerance to Vitamin K and increased MK-7 production, suggesting potential applications in probiotic formulations.
View on PubMed
#06

Reference Range of Vitamin K Evaluating Indicators in Chinese Childbearing Women.

HumanInfluence2.0
11
Researchers aimed to establish reference ranges for Vitamin K indicators in healthy Chinese women of childbearing age. The study found specific reference ranges for serum levels of Vitamin K1, MK-4, and MK-7, which can be used to assess nutritional status in this population.
View on PubMed
#07

The effect of six-month oral vitamin K supplementation on calcification propensity time in individuals with type 2 diabetes mellitus: A post hoc analysis of a randomized, double-blind, placebo-controlled trial.

Meer R, et al. · Atherosclerosis · 2024

Human
9
In a post-hoc analysis, researchers assessed the impact of six-month oral MK-7 supplementation on calcification propensity in individuals with type 2 diabetes. They found no significant change in calcification propensity time (T50) between the MK-7 and placebo groups.

Key findings

  1. 01The study involved 68 participants with an average age of 69 years.
  2. 02Participants were divided into two groups: one received vitamin K and the other a placebo.
  3. 03Researchers observed no effect of vitamin K supplementation on arterial calcification over the six-month period.
View on PubMed
#08

Identification of Carotenoids and Isoprenoid Quinones from Asaia lannensis and Asaia bogorensis.

In Vitro
8
Researchers identified carotenoids and isoprenoid quinones produced by strains of acetic acid bacteria. They found that these strains could biosynthesize menaquinone-7 among other compounds. The study provides insights into the metabolic capabilities of these bacteria and their potential applications in food science.
View on PubMed
#09

No Detectable Coagulation Activation After Vitamin K (MK-7) Supplementation in Patients on Dialysis With Functional Vitamin K Deficiency: A One-Year Randomized, Placebo-Controlled Study.

Bladbjerg Else-Marie, et al. · Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2024

Human
5
This study examined the effects of vitamin K2 (MK-7) supplementation on coagulation biomarkers in patients on dialysis. Researchers found no significant changes in coagulation activation or vascular events after one year of supplementation, indicating no procoagulant effects. PIVKA-II levels decreased significantly in the MK-7 group compared to placebo.

Key findings

  1. 01Researchers observed no detectable effects on blood clotting markers after one year of vitamin K supplementation.
  2. 02There was a significant decrease in a specific biomarker (PIVKA-II) in the vitamin K group compared to the placebo group.
  3. 03No differences in adverse events or serious complications were noted between the vitamin K and placebo groups.
View on PubMed
#10

Scaling up biofilm bioreactors for enhanced menaquinone-7 production.

In Vitro
4
Researchers scaled up a biofilm reactor for the production of MK-7 using Bacillus subtilis. They found that optimizing oxygen transfer and using a fed-batch strategy significantly increased MK-7 concentrations, indicating the reactor's potential for commercial production.
View on PubMed

Clinical Trials (4)

4

Total Trials

381

Total Enrolled

A Pilot Study of Vitamin K2 (Menaquinone-7, Soloways ™) in Patients With Osteopenia/Osteoporosis Carrying a VDR Gene Variant

NCT06867952RECRUITING
Sponsor

S.LAB (SOLOWAYS)

Enrollment

40

Started

2024

Primary outcome

Change in Bone Mineral Density (BMD)

OsteoporosisOsteopenia

Pilot Study of Vitamin K2 (MK-7) and Vitamin D3 Supplementation and the Effects on PASC Symptomatology and Inflammatory Biomarkers

NCT05356936COMPLETED
Sponsor

University Hospitals Cleveland Medical Center

Enrollment

151

Started

2022

Primary outcome

Change in high-sensitivity C-reactive protein (hs-CRP) as measured by blood test

Post-acute COVID-19 Syndrome

Comparative Study Evaluating the Effect of Vitamin K1 Versus Vitamin K2 on Vascular Calcification in Dialysis Patients

NCT04477811Phase 2/3COMPLETED
Sponsor

Ain Shams University

Enrollment

40

Started

2020

Primary outcome

change in serum level of Uncarboxylated MGP

End Stage Renal Disease on Dialysis

Decalcification of the Aortic Valve by Vitamin K2 (Menaquinone-7)

NCT03305536Phase 2UNKNOWN
Sponsor

Hopital St. Georges, Ajaltoun

Enrollment

150

Started

2018

Primary outcome

Evolution of the Aortic Valve Hemodynamic measured by echography: Change in Gradients in (mm Hg)

Aortic Valve Disease

Publication Trend

Research publications about Vitamin K2 (MK-7) over time

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