The vitamin K-dependent (VKD) carboxylase converts clusters of Glu residues to ␥-carboxylated Glu residues (Glas) in VKD proteins, which is required for their activity. VKD precursors are targeted to the carboxylase by their carboxylase recognition site, which in most cases is a propeptide. We have identified a second tethering site for carboxylase and VKD proteins that is required for carboxylase activity, called the vitamin K The vitamin K-dependent (VKD) 1 or ␥-carboxylase converts Glus to ␥-carboxylated Glus (Glas) in VKD proteins as they transit through the endoplasmic reticulum (1, 2). Most of the VKD proteins are secreted out of the cell, and carboxylation of their Gla domain confers the ability to bind phospholipid bilayers, where these proteins exert their effects. Carboxylation is thus required for the biological activity of VKD proteins, which function in hemostasis, calcium homeostasis, and growth control. In addition, a novel subset of mammalian VKD proteins with potential functions in signal transduction has recently been identified by sequence homology (3, 4). Unlike the other VKD proteins, these proteins apparently have a single-pass transmembrane domain with the extracellular domain containing the predicted carboxylated region. Inhibition of VKD protein activities forms the basis of anticoagulant therapies with warfarin and coumadin, in which the carboxylation of hemostatic VKD proteins, as well as the other VKD proteins, is reduced by limiting the supply of vitamin K cofactor to the carboxylase.Although the carboxylase was first identified in mammals, carboxylase homologs and activity have been found in fish, the fish-hunting cone snails of the genus Conus, and the fruit fly Drosophila (5-9). All chordates appear to contain the hemostatic VKD proteins (10). The known VKD proteins of Conus, however, have a distinct function where the VKD proteins are neurotoxic venom peptides (11)(12)(13)(14)(15). VKD proteins have not yet been isolated in Drosophila, and so the function of carboxylation in the fruit fly is not currently known.The carboxylase modifies VKD proteins by using O 2 and vitamin K hydroquinone (KH 2 ) to abstract the ␥-hydrogen of glutamyl residues to form a carbanion intermediate, which then incorporates CO 2 via nucleophilic attack to form the Gla (1, 2). During each Glu to Gla conversion, one molecule of KH 2 is oxidized to vitamin K epoxide, and the carboxylase is also an epoxidase. Insights into the molecular mechanism for this reaction have only recently been revealed. Early studies with thiol-specific inhibitors implicated Cys residues as part of the carboxylase active site (16). Chemical modeling based on those studies led to a proposed base strength amplification mechanism where a weak base (thiolate) initiates KH 2 oxygenation to generate a strong base that can abstract the