It has been reported that vitamin K-2 (menaquinone-4) promoted 1,25-dihydro
xyvitamin D-3 (1,25 (OH)(2)D-3)-induced mineralization and enhanced gamma -
carboxyglutamic acid (Gla)-containing osteocalcin accumulation in cultured
human osteoblasts. In the present study, we investigated whether menaquinon
e-4 (MK-4) was metabolized in human osteoblasts to act as a cofactor of gam
ma -glutamyl carboxylase. Both conversions of MK-4 to MK-4 2,3-epoxide (epo
xide) and epoxide to MK-4 were observed in cell extracts of cultured human
osteoblasts. The effect of 1,25(OH)(2)D-3 and warfarin on the vitamin K cyc
le to cultured osteoblasts were examined. With the addition of 1 nM 1,25(OH
)(2)D-3 or 25 muM warfarin in cultured osteoblasts, the yield of epoxide fr
om MK-4 increased. However, the conversion of epoxide to MK-4 was strongly
inhibited by the addition of warfarin (2.5-25 muM), whereas it was almost n
ot inhibited by 1,25(OH)(2)D-3 (0.1-10 nM). To clarify the mechanism for th
is phenomenon, a cell-free assay system was studied. Osteoblast microsomes
were incubated with 10 muM epoxide in the presence or absence of warfarin a
nd 1,25(OH)(2)D-3. Epoxide reductase, one of the enzymes in the vitamin K c
ycle was strongly inhibited by warfarin (2.5-25 muM), whereas it was not af
fected by 1,25(OH)(2)D-3 (0.1-1 muM). Moreover, there was no effect of pret
reatment of osteoblasts with 1 nM 1,25(OH)(2)D-3 on the activity of epoxide
reductase. However, the activity of epoxidase, that is the gamma -glutamyl
carboxylase was induced by the pretreatment of osteoblasts with 1 nM 1,25(
OH)(2)D-3. In the present study, it was demonstrated that the vitamin K met
abolic cycle functions in human osteoblasts as well as in the liver, the po
st-translational mechanism, by which 1,25(OH)(2)D-3 caused mineralization i
n cooperation with vitamin K-2 was clarified.