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Q.The vitamin which plays an important role in coagulating blood is : (A) Vitamin A (B) Vitamin E (C) Vitamin D (D) Vitamin K

CBSECBSE Class XII Board 2024MCQ· 1mImportance★★★★★
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The vitamin essential for blood coagulation is Vitamin K. It acts as a cofactor for the synthesis of clotting factors in the liver. The correct option is (D).

The Concept: Why Blood Clotting Needs a Specific Vitamin

Blood clotting (coagulation) is a cascade — a chain reaction where one protein activates the next, eventually forming a fibrin mesh that plugs a wound. Several of these proteins (clotting factors II, VII, IX, and X) are made in the liver in an inactive form. To become active, they need a chemical modification: the addition of a carboxyl group (−COOH-COOH) to certain glutamic acid residues. This step is called gamma-carboxylation.

Vitamin K is the essential cofactor for the enzyme that performs this carboxylation. Without Vitamin K, the clotting factors are produced but remain non-functional — they cannot bind calcium, which is required for them to assemble on platelet surfaces and trigger the cascade. That is why a deficiency of Vitamin K leads to uncontrolled bleeding.

Watch out

A common mistake is to confuse Vitamin K with Vitamin E (antioxidant) or Vitamin D (calcium absorption). While Vitamin D helps with calcium absorption, it is Vitamin K that enables calcium binding by clotting factors. They are not interchangeable.

Step-by-Step Reasoning

  1. Identify the function of each vitamin listed.

    • Vitamin A: Essential for vision (retinal pigment), immune function, and cell growth. No role in clotting.
    • Vitamin E: A fat-soluble antioxidant that protects cell membranes from oxidative damage. No direct role in coagulation.
    • Vitamin D: Regulates calcium and phosphorus metabolism, crucial for bone health. It does not participate in the clotting cascade.
    • Vitamin K: A fat-soluble vitamin that acts as a cofactor for the enzyme gamma-glutamyl carboxylase. This enzyme modifies clotting factors II, VII, IX, and X, as well as proteins C and S (which regulate clotting).
  2. Connect the biochemical role to the clinical outcome. …

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