Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

New pieces to an old puzzle: identifying the warfarin-binding site that prevents clotting

Warfarin has been the most widely prescribed anticoagulant for decades. It functions by inhibiting the membrane enzyme vitamin K epoxide reductase (VKOR), but the molecular details of this effect have remained elusive. Two new studies shed light on the warfarin-VKOR interaction. The work has implications for precision medicine and could guide drug discovery.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1: Modeling, docking, and MD simulations of hVKOR identify the warfarin-binding site as located at the hydrophobic cleft proximal to the lumen.

References

  1. Pirmohamed, M. Br. J. Clin. Pharmacol. 62, 509–511 (2006).

    PubMed  PubMed Central  Google Scholar 

  2. Pirmohamed, M., Kamali, F., Daly, A.K. & Wadelius, M. Trends Pharmacol. Sci. 36, 153–163 (2015).

    Article  CAS  Google Scholar 

  3. Wysowski, D.K., Nourjah, P. & Swartz, L. Arch. Intern. Med. 167, 1414–1419 (2007).

    Article  Google Scholar 

  4. Li, T. et al. Nature 427, 541–544 (2004).

    Article  CAS  Google Scholar 

  5. Rost, S. et al. Nature 427, 537–541 (2004).

    Article  CAS  Google Scholar 

  6. Shen, G. et al. Nat. Struct. Mol. Biol. 24, 69–76 (2016).10.1038/nsmb.3333

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Czogalla, K.J. et al. Nat. Struct. Mol. Biol. 24, 77–85 (2017).

    Article  CAS  Google Scholar 

  8. Presnell, S.R. & Stafford, D.W. Thromb. Haemost. 87, 937–946 (2002).

    Article  CAS  Google Scholar 

  9. Booth, S.L. Annu. Rev. Nutr. 29, 89–110 (2009).

    Article  CAS  Google Scholar 

  10. Dutton, R.J., Boyd, D., Berkmen, M. & Beckwith, J. Proc. Natl. Acad. Sci. USA 105, 11933–11938 (2008).

    Article  CAS  Google Scholar 

  11. Dutton, R.J. et al. Proc. Natl. Acad. Sci. USA 107, 297–301 (2010).

    Article  CAS  Google Scholar 

  12. Li, W. et al. Nature 463, 507–512 (2010).

    CAS  PubMed  PubMed Central  Google Scholar 

  13. Liu, S., Cheng, W., Fowle Grider, R., Shen, G. & Li, W. Nat. Commun. 5, 3110 (2014).10.1038/ncomms4110

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Tie, J.K., Jin, D.Y. & Stafford, D.W. J. Biol. Chem. 287, 33945–33955 (2012).

    Article  CAS  Google Scholar 

  15. Fasco, M.J., Principe, L.M., Walsh, W.A. & Friedman, P.A. Biochemistry 22, 5655–5660 (1983).

    Article  CAS  Google Scholar 

  16. Kimmel, S.E. et al. N. Engl. J. Med. 369, 2283–2293 (2013).

    Article  CAS  Google Scholar 

  17. Pirmohamed, M. et al. N. Engl. J. Med. 369, 2294–2303 (2013).

    Article  CAS  Google Scholar 

  18. Drew, L. Nature 537, S60–S62 (2016).

    Article  CAS  Google Scholar 

  19. Relling, M.V. & Evans, W.E. Nature 526, 343–350 (2015).

    Article  CAS  Google Scholar 

  20. Kroncke, B.M., Vanoye, C.G., Meiler, J., George, A.L. Jr. & Sanders, C.R. Biochemistry 54, 2551–2559 (2015).

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wade D Van Horn.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hilton, J., Van Horn, W. New pieces to an old puzzle: identifying the warfarin-binding site that prevents clotting. Nat Struct Mol Biol 24, 5–6 (2017). https://doi.org/10.1038/nsmb.3356

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nsmb.3356

Search

Quick links

Nature Briefing: Translational Research

Sign up for the Nature Briefing: Translational Research newsletter — top stories in biotechnology, drug discovery and pharma.

Get what matters in translational research, free to your inbox weekly. Sign up for Nature Briefing: Translational Research