Evidence map›Paper›PMID 29743176›Full record

ArticleBlood2018

Warfarin and vitamin K epoxide reductase: a molecular accounting for observed inhibition.

Sangwook Wu, Xuejie Chen, Da-Yun Jin, Darrel W Stafford, Lee G Pedersen, Jian-Ke Tie

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
3.7field-weighted citation impact, top 8% 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

36 citing papers in PubMed, 62 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Sex-Related Effect of Chronic Doses of Warfarin and Menadione onInternational journal of molecular sciences · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Effect of Warfarin on Lifespan and Oxidative Stress Tolerance ofInternational journal of molecular sciences · 2025
    Article
  13. Review
  14. Observational
  15. The Effect of Spinach (Journal of blood medicine · 2025
    Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
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 2 institutions in 2 countries.

Sangwook WuDepartment of Physics, Pukyong National University, Busan, South Korea; and.
Xuejie ChenDepartment of Biology, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Da-Yun JinDepartment of Biology, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Darrel W StaffordDepartment of Biology, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Lee G PedersenDepartment of Chemistry and.ORCID 0000-0003-1262-9861
Jian-Ke TieDepartment of Biology, University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0002-8447-3408
University of North Carolina at Chapel Hill · USPukyong National University · KR

Funding

Characterization of enzymes in the vitamin K cycleR01HL131690 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI STAFFORD, DARREL W, TIE, JIANKE · 2016 to 2023
$4.0M
NHLBI NIH HHS R01 HL131690
6 · The paper itself

Abstract

Vitamin K epoxide reductase (VKOR), an endoplasmic reticulum membrane protein, is the key enzyme for vitamin K-dependent carboxylation, a posttranslational modification that is essential for the biological functions of coagulation factors. VKOR is the target of the most widely prescribed oral anticoagulant, warfarin. However, the topological structure of VKOR and the mechanism of warfarin's inhibition of VKOR remain elusive. Additionally, it is not clear why warfarin-resistant VKOR mutations identified in patients significantly decrease warfarin's binding affinity, but have only a minor effect on vitamin K binding. Here, we used immunofluorescence confocal imaging of VKOR in live mammalian cells and PEGylation of VKOR's endogenous cytoplasmic-accessible cysteines in intact microsomes to probe the membrane topology of human VKOR. Our results show that the disputed loop sequence between the first and second transmembrane (TM) domain of VKOR is located in the cytoplasm, supporting a 3-TM topological structure of human VKOR. Using molecular dynamics (MD) simulations, a T-shaped stacking interaction between warfarin and tyrosine residue 139, within the proposed TY

Indexed as

Amino Acid MotifsAmino Acid SubstitutionAnimalsBinding SitesChlorocebus aethiopsCOS CellsCysteineHEK293 CellsHumansHydrogen BondingKineticsModels, MolecularMolecular Dynamics SimulationMutation, MissensePoint MutationProtein BindingCysteineTyrosineVitamin K Epoxide ReductasesVKORC1L1 protein, humanVKORC1 protein, humanWarfarin

Identifiers

PMID29743176
PMCPMC6085993
OpenAlexW2801925437

What OpenQuestion holds

Textmetadata
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.