Evidence map›Paper›PMID 33684212›Full record

ReviewAdvances in nutrition (Bethesda, Md.)2021

Perspective: Evidence before Enthusiasm-A Critical Review of the Potential Cardiovascular Benefits of Vitamin K.

M Kyla Shea, Kathleen L Berkner, Guylaine Ferland, Xueyan Fu, Rachel M Holden, Sarah L Booth

Open access · greenAbstract readReview
In one paragraph

Review in Advances in nutrition (Bethesda, Md.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.2field-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

22 citing papers in PubMed, 35 citations in OpenAlex.

  1. Review
  2. The History of the Discovery of Vitamin K.Basic & clinical pharmacology & toxicology · 2026
    Article
  3. Review
  4. Review
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  13. Review
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  18. Article
  19. Vitamin K.Advances in nutrition (Bethesda, Md.) · 2022
    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 4 institutions in 2 countries.

M Kyla SheaTufts University USDA Human Nutrition Research Center on Aging, Boston, MA, USA.ORCID 0000-0002-3202-5582
Kathleen L BerknerDepartment of Cardiovascular and Metabolic Sciences, Cleveland Clinic Lerner College of Medicine at CWRU, Cleveland Clinic, Cleveland, OH, USA.
Guylaine FerlandDépartement de Nutrition, Université de Montréal, Montreal, Quebec, Canada.
Xueyan FuTufts University USDA Human Nutrition Research Center on Aging, Boston, MA, USA.
Rachel M HoldenDepartment of Medicine, Queen's University, Kingston, Ontario, Canada.
Sarah L BoothTufts University USDA Human Nutrition Research Center on Aging, Boston, MA, USA.
Tufts University · USCleveland Clinic Lerner College of Medicine · USQueen's University · CAUniversité de Montréal · CA

Funding

Mechanisms controlling the efficiency of hemostatic vitamin K-dependent protein activationR01HL158007 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI BERKNER, KATHLEEN LUCILE, RUNGE, KURT W · 2021 to 2024
$2.2M
Impact of gamma-glutamyl carboxylase processivity on vitamin K-dependent protein modification and function in human health and diseaseR01HL152678 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI BERKNER, KATHLEEN LUCILE, RUNGE, KURT W · 2021 to 2024
$2.1M
Vitamin K status, cardiovascular disease, and arterial stiffness in chronic kidney diseaseR01DK111392 · NIDDK · TUFTS UNIVERSITY BOSTON · PI SHEA, MARY KYLA · 2017 to 2019
$1.2M
NHLBI NIH HHS R01 HL152678NHLBI NIH HHS R01 HL158007NIDDK NIH HHS R01 DK111392
6 · The paper itself

Abstract

A protective role for vitamin K in cardiovascular disease (CVD), a leading cause of morbidity and mortality, has been proposed because vitamin K-dependent proteins, such as matrix Gla (γ-carboxyglutamic acid) protein (MGP), are present in vascular tissue. MGP functions as a vascular calcification inhibitor-but only when it is carboxylated, which requires vitamin K. There is more than one naturally occurring form of vitamin K. Phylloquinone (vitamin K1) is found in plant-based foods, whereas menaquinones (vitamin K2) are a class of vitamin K compounds found in animal-based and fermented foods. Phylloquinone and menaquinones are capable of carboxylating MGP and other vitamin K-dependent proteins. In rodent models, high intakes of either phylloquinone or menaquinone reduced vascular calcification. Evidence of the relative importance of phylloquinone and menaquinone to CVD in humans is limited and controversial. In some observational studies, higher dietary menaquinone intake, but not phylloquinone intake, was associated with less coronary artery calcification (a subclinical manifestation of CVD) and a lower risk for clinical CVD events. These findings have led to claims that menaquinones have unique cardiovascular health benefits compared with phylloquinone. However, this claim is not supported by the results of the limited number of intervention trials conducted to date. The purpose of this review is to evaluate the strengths and limitations of the available evidence regarding the role of vitamin K in vascular calcification, CVD, and mortality.

Indexed as

Cardiovascular DiseasesCoronary Artery DiseaseAnimalsHumansVitamin KVitamin K 1Vitamin K 2Vitamin KVitamin K 1Vitamin K 2cardiovascular diseasematrix Gla proteinmenaquinonemortalityphylloquinonevascular calcificationvitamin K

Identifiers

PMID33684212
PMCPMC8166540
OpenAlexW3135897546

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.