Compared to vitamins A and D, very little is known about the role of
vitamin K in embryonic and fetal development. The enzyme that uses it to
activate vitamin K-dependent proteins first shows up in the skeletal
and nervous tissue of the embryo.36 Two vitamin K-dependent proteins, bone Gla protein and matrix Gla protein, are present in the first trimester.37 These proteins help lay down calcium salts in bone tissue and keep calcium out of the soft tissues where it does not belong.
In 1997, an infant was born to a mother who took Warfarin during
pregnancy. This drug interferes with the normal clotting mechanism of
the blood by creating an effective vitamin K deficiency. During the
early development of the middle third of her face, the cartilage of her
septum calcified; at birth, her nose was a stub. Since only twenty
percent of the septum protrudes from the face, a mere ten percent
reduction in its length can cut the length of the nose in half. She also
had cavities and plaques in her spinal cord; she required oxygen due to
respiratory distress at birth; and she was quadriplegic by twenty
months.37
This tragic case of severe deficiency illustrates the essential role
of K vitamins in the development of proper facial proportions and the
much more important and fundamental development of the nervous system.
Vitamin K2 has a higher rate of transport across the placenta than vitamin K1.38 When mothers receive injections of vitamin K2, the placenta rapidly accumulates it and then releases it slowly to the fetus over time.39 Vitamin K1 is found in leafy greens while vitamin K2 is found in fermented foods and grass-fed animal fats—especially natto, goose liver, cheese, and to a lesser extent butter and egg yolks.40
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