Evidence map›Paper›PMID 29132356›Full record

ReviewRespiratory research2017

Vitamin K deficiency: the linking pin between COPD and cardiovascular diseases?

Ianthe Piscaer, Emiel F M Wouters, Cees Vermeer, Wim Janssens, Frits M E Franssen, Rob Janssen

Open access · goldAbstract readLetterReview
In one paragraph

Review in Respiratory research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. International journal of molecular sciences · 2019
    Article
  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Ianthe PiscaerDepartment of Respiratory Medicine, Maastricht University Medical Center+, Maastricht, The Netherlands. ianthe.piscaer@mumc.nl.
Emiel F M WoutersDepartment of Respiratory Medicine, Maastricht University Medical Center+, Maastricht, The Netherlands.
Cees VermeerR&D Group VitaK, Maastricht University, Maastricht, The Netherlands.
Wim JanssensDepartment of Chronic Diseases, Metabolism and Ageing, Laboratory of Respiratory Disease, University of Leuven, Leuven, Belgium.
Frits M E FranssenDepartment of Respiratory Medicine, Maastricht University Medical Center+, Maastricht, The Netherlands.
Rob JanssenDepartment of Pulmonary Medicine, Canisius-Wilhelmina Hospital, Nijmegen, The Netherlands.
Maastricht University · NLCanisius-Wilhelmina Ziekenhuis · NLCiro · NLKU Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular diseases are prevalent in patients with chronic obstructive pulmonary disease (COPD). Their coexistence implies that many COPD patients require anticoagulation therapy. Although more and more replaced by direct oral anticoagulants, vitamin K antagonists (VKAs) are still widely used. VKAs induce profound deficiency of vitamin K, a key activator in the coagulation pathway. It is recognized however that vitamin K is also an essential cofactor in the activation of other extrahepatic proteins, such as matrix Gla protein (MGP), a potent inhibitor of arterial calcification. No or insufficient MGP activation by the use of VKAs is associated with a rapid progression of vascular calcification, which may enhance the risk for overt cardiovascular disease. Vitamin K consumption, on the other hand, seems to have a protective effect on the mineralization of arteries. Furthermore, vascular calcification mutually relates to elastin degradation, which is accelerated in patients with COPD associating with impaired survival. In this commentary, we hypothesize that vitamin K is a critical determinant to the rate of elastin degradation. We speculate on the potential link between poor vitamin K status and crucial mechanisms of COPD pathogenesis and raise concerns about the use of VKAs in patients with this disease. Future intervention studies are needed to explore if vitamin K supplementation is able to reduce elastin degradation and vascular calcification in COPD patients.

Indexed as

AnimalsCardiovascular DiseasesDietary SupplementsHumansPulmonary Disease, Chronic ObstructiveVascular CalcificationVitamin KVitamin K DeficiencyVitamin KCardiovascular diseasesCOPDDesmosineElastinMatrix Gla proteinVascular calcificationVitamin KVitamin K antagonists

Identifiers

PMID29132356
PMCPMC5683584
OpenAlexW2768801718

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.