## **Core Concept**
The question tests knowledge of the vitamin required for the post-translational modification of glutamic acid residues to γ-carboxyglutamate (Gla). This modification is crucial for the biological activity of certain proteins, particularly those involved in blood coagulation.
## **Why the Correct Answer is Right**
Vitamin K acts as a cofactor for the enzyme γ-glutamyl carboxylase, which catalyzes the post-translational modification of glutamic acid residues to γ-carboxyglutamate (Gla) in vitamin K-dependent proteins. This modification allows these proteins to bind calcium ions, which is essential for their function in blood coagulation and bone metabolism. The correct answer, Vitamin K, is directly involved in this process.
## **Why Each Wrong Option is Incorrect**
- **Option A:** Vitamin A is crucial for vision, immune function, and skin health but is not involved in the post-translational modification of glutamic acid to γ-carboxyglutamate.
- **Option B:** Vitamin D is important for calcium absorption and bone health but does not play a role in the γ-carboxylation of glutamic acid residues.
- **Option D:** Folic acid (or Vitamin B9) is essential for DNA synthesis and repair but is not involved in the post-translational modification of glutamic acid residues to Gla.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl is that warfarin, an anticoagulant, works by inhibiting the synthesis of vitamin K-dependent clotting factors (II, VII, IX, and X) through the inhibition of vitamin K epoxide reductase. This results in reduced γ-carboxylation of glutamic acid residues in these proteins, impairing their function.
## **Correct Answer:** . Vitamin K
Free Medical MCQs · NEET PG · USMLE · AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.