PROBLEM 21
Thiols such as ethanethiol and propanethiol can be used to reduce vitamin K epoxide back
to vitamin KH 2 ,but they react much more slowly than dihydrolipoate. Explain.
1070 CHAPTER 25 The Organic Mechanisms of the Coenzymes • Metabolism
Vitamin K epoxide is reduced back to vitamin by an enzyme that uses the
coenzyme dihydrolipoate as the reducing agent. The epoxide is first reduced to vita-
min K, which is then further reduced to vitamin
Warfarin and dicoumarol are used clinically as anticoagulants. Warfarin is also a
common rat poison, causing death by internal bleeding. These compounds prevent
clotting by inhibiting the enzyme that reduces vitamin K epoxide to vitamin
thereby preventing the carboxylation of glutamate. The enzyme cannot tell the differ-
ence between these two compounds and vitamin K epoxide, so the compounds act as
competitive inhibitors.
Vitamin E has recently been found to be an anticoagulant. It directly inhibits the
enzyme that carboxylates glutamate residues.
CH 2 CCH 3
O O O
OH
OOOO
OH OH
warfarin dicoumarol
KH 2 ,
KH 2.
KH 2
TOO MUCH BROCCOLI
An article describing two women with diseases
characterized by abnormal blood clotting reported
that they did not improve when they were given warfarin. When
questioned about their diets, one woman said that she ate at
least a pound (0.45 kg) of broccoli every day, and the other ate
broccoli soup and a broccoli salad every day. When broccoli
was removed from their diets, warfarin became effective in pre-
venting the abnormal clotting of their blood. Because broccoli
is high in vitamin K, these patients had been getting enough di-
etary vitamin K to compete with the drug, thereby making the
drug ineffective.
O
O
SH
O
O
R
OH
OH
R
SS
R′ R′
SH SH SS
R′ R′
SH
+ H 2 O
O
R
vitamin K epoxide vitamin K vitamin KH 2