**Core Concept**
Vitamin K acts as a cofactor in the γ-carboxylation of glutamate residues in certain proteins, a posttranslational modification essential for the activation of clotting factors such as II, VII, IX, and X.
**Why the Correct Answer is Right**
Vitamin K-dependent carboxylase catalyzes the conversion of glutamate (Glu) to γ-carboxyglutamate (Gla), a critical step in activating vitamin K-dependent clotting factors. This reaction occurs in the endoplasmic reticulum and requires vitamin K hydroquinone as a cofactor. The γ-carboxylation enhances the protein's ability to bind calcium, which is vital for coagulation function.
**Why Each Wrong Option is Incorrect**
Option B: Aspartate is not modified by vitamin K; it plays a role in peptide bond formation but not in carboxylation.
Option C: Leucine is a nonpolar amino acid involved in protein structure but not in vitamin K-dependent modifications.
Option D: Lysine undergoes acetylation or methylation in epigenetic regulation, not carboxylation by vitamin K.
**Clinical Pearl / High-Yield Fact**
Remember: Vitamin K converts **glutamate → γ-carboxyglutamate** (Gla) in clotting factors. Without this, patients develop bleeding disorders due to inactive clotting factors—seen in vitamin K deficiency or warfarin overdose.
✓ Correct Answer: A. Glutamate
Free Medical MCQs · NEET PG · USMLE · AIIMS
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