Benefits
Bone strength
In a three year randomized, placebo controlled trial in 244 healthy postmenopausal women, 180 mcg of MK-7 a day improved vitamin K status and slowed the age related decline in bone mineral content and density at the lumbar spine and femoral neck. There was no significant effect at the total hip. The trial tested generic MK-7 rather than the UniK2 brand, and the authors cautioned that the results may not carry over to men or children.
Matrix Gla protein, the proposed link
Vitamin K2 activates matrix Gla protein, which in laboratory work helps limit calcium deposits in artery walls. In the three year arterial stiffness trial cited here, the inactive form of this protein in blood fell by 50% compared with placebo. That is a blood marker and a proposed explanation, not proof of less calcium in artery walls, and the trial measured vessel stiffness rather than heart attacks or strokes.
How MK-7 works with calcium
MK-7 activates osteocalcin, the protein that binds calcium into the bone matrix. Whether supplementing changes where calcium ends up in the body was not tested directly; the reports cited here measured bone density and content, and artery stiffness.
Lower arterial stiffness in postmenopausal women (MK-7, not UniK2)
Tested MK-7 sold under another brand (MenaQ7), not UniK2, at 180 mcg a day. In a placebo controlled trial in 244 healthy postmenopausal women, three years of MK-7 significantly lowered carotid-femoral pulse wave velocity and a stiffness index, with extra gains in women whose arteries were stiffer at the start. Inflammation and endothelial markers did not change. It is a single trial in women only, measuring stiffness, not heart events.
Mechanism of action
Osteocalcin activation
MK-7 carboxylates (activates) osteocalcin, the protein that binds calcium into the bone matrix.
Matrix Gla protein activation
MK-7 activates matrix Gla protein, which in laboratory research limits calcium deposition in artery walls. In the cited arterial stiffness trial, the inactive form of this protein in blood fell with MK-7, but that is a marker, not a direct measure of calcium in artery walls.
Clinical trials
Three year randomized, placebo controlled trial giving 180 mcg a day of generic menaquinone-7 to 244 healthy postmenopausal women. The product tested was not UniK2. The study was funded by NattoPharma, maker of the MenaQ7 brand, and the arterial stiffness report of a trial with the same size, dose and length names MenaQ7 as the product. (Knapen et al. 2013, Osteoporosis International)
244 healthy postmenopausal women; men and children were not studied.
MK-7 improved vitamin K status and slowed the age related loss of bone mineral content and density at the lumbar spine and femoral neck compared with placebo. There was no significant effect at the total hip.