This study was undertaken to search for the endogenous dithiol cofacto
r of the reductases of the vitamin K cycle. As a starting point, the r
edox-active lipophilic endogenous compounds lipoic acid and lipoamide
were looked at. The study shows that microsomes contain NADH-dependent
lipoamide reductase activity. Reduced lipoamide stimulates microsomal
vitamin K epoxide reduction with kinetics comparable with those for t
he synthetic dithiol dithiothreitol (DTT). Reduced lipoic acid shows h
igher (4-fold) K-m values. No reductase activity with lipoic acid was
found to be present in microsomes or cytosol. The reduced-lipoamide-st
imulated vitamin K epoxide reductase is as sensitive to warfarin and s
alicylate inhibition as is the DTT-stimulated one. Both vitamin K epox
ide reductase and lipoamide reductase activity are recovered in the ro
ugh microsomes. NADH/lipoamide-stimulated vitamin K epoxide reduction
is uncoupled by traces of Triton X-100, suggesting that microsomal lip
oamide reductase and vitamin K epoxide reductase are associated. The r
esults suggest that the vitamin K cycle obtains reducing equivalents f
rom NADH through microsomal lipoamide reductase.