Naturally existing vitamin K consists of vitamins K1 and K2. Menaquinone-4 (MK-4), an analog of vitamin K2 and a product of vitamin K1 metabolism, can be detected in several organs, including the testis; however, the function of MK-4 in these tissues has not been well characterized. Recent studies have suggested that vitamin K is involved in enhancing protein kinase A (PKA) activity in several cell types, thus regulating numerous PKA-dependent biological processes. To highlight the effect of vitamin K, we focused on its role in the steroidogenic pathway. Experiments on vitamin K-deficient rats revealed a reduced expression of genes involved in the biosynthesis of cholesterol and steroid hormones in the testis. Moreover, compared with control animals, rats fed on MK-4 diet presented significantly higher testosterone levels in the plasma and testis. These results suggest that vitamin K is involved in the steroidogenic pathway in the testis. Testosterone levels were found to increase in a dose-dependent manner also in cell-based experiments upon addition of MK-4, but such an effect was not observed in vitamin K1 levels. Furthermore, the effect of MK-4 on testosterone production was abolished by the specific PKA inhibitor H89, thus confirming the regulatory role of MK-4 on PKA activation. Here, we describe how MK-4 modulates PKA activation by enhancing intracellular 3′,5′-cyclic adenosine monophosphate (cAMP) levels in testisderived I-10 cells. The presented evidence supports the role of MK-4 in cAMP/PKA signaling and steroidogenesis.