Vitamin K epoxide reductase (VKOR) catalyzes the conversion of vitamin K 2,3-epoxide into vitamin K in the vitamin K redox cycle. Recently, the gene encoding the catalytic subunit of VKOR was identified as a 163-amino acid integral membrane protein. In this study we report the experimentally derived membrane topology of VKOR. Our results show that four hydrophobic regions predicted as the potential transmembrane domains in VKOR can individually insert across the endoplasmic reticulum membrane in vitro. However, in the intact enzyme there are only three transmembrane domains, residues 10 -29, 101-123, and 127-149, and membrane-integration of residues 75-97 appears to be suppressed by the surrounding sequence. Results of N-linked glycosylation-tagged full-length VKOR shows that the N terminus of VKOR is located in the endoplasmic reticulum lumen, and the C terminus is located in the cytoplasm. Further evidence for this topological model of VKOR was obtained with freshly prepared intact microsomes from insect cells expressing HPC4-tagged full-length VKOR. In these experiments an HPC4 tag at the N terminus was protected from proteinase K digestion, whereas an HPC4 tag at the C terminus was susceptible. Altogether, our results suggest that VKOR is a type III membrane protein with three transmembrane domains, which agrees well with the prediction by the topology prediction program TMHMM.The K vitamins, phylloquinone (K1), menaquinones (K2), and menadione (K3), are a family of structurally similar, fatsoluble, 2-methyl-1,4-naphthoquinones. The main function of vitamin K is to act as a co-factor for the â„-glutamyl carboxylase that catalyzes the post-translational carboxylation of specific glutamic acid to â„-carboxyglutamic acid (Gla) 1 of variety of vitamin K-dependent proteins (1). Members of the vitamin K-dependent protein family include coagulation factors (factor II, VII, IX, X) as well as several other proteins that function in bone metabolism (2) and signal transduction (3). Concomitant with â„-glutamyl carboxylation, the reduced form of vitamin K (vitamin K hydroquinone) is converted to vitamin K 2,3-epoxide, which must be converted back to vitamin K hydroquinone for the reaction to continue because of limited vitamin K amounts in vivo (4). This cyclic conversion of vitamin K establishes a redox cycle known as the vitamin K cycle (5).VKOR is responsible for the conversion of vitamin K 2,3-epoxide into vitamin K and is highly sensitive to inhibition by coumarin drugs, such as R,S-warfarin (4-hydroxy-3-(3-oxo-1-phenylbutyl-coumarin)), the most commonly prescribed oral anticoagulant. Warfarin inhibition of VKOR reduces the availability of reduced vitamin K, which reduces the rate of carboxylation and leads to partially carboxylated, inactive vitamin K-dependent proteins. Since its discovery in 1970 (6), numerous futile attempts to purify the enzyme were reported (7-11). Attempts to understand the mechanism underlying warfarinsensitive vitamin K epoxide reduction have been somewhat more successful (8,(12)(13)(14)(15)....