Vitamin K-dependent (VKD) proteins require modification by the VKD-␥-glutamyl carboxylase, an enzyme that converts clusters of glus to glas in a reaction that requires vitamin K hydroquinone, for their activity. We have discovered that the carboxylase also carboxylates itself in a reaction dependent on vitamin K. When pure human recombinant carboxylase was incubated in vitro with 14 CO 2 and then analyzed after SDS͞PAGE, a radiolabeled band corresponding to the size of the carboxylase was observed. Subsequent gla analysis of in vitro-modified carboxylase by base hydrolysis and HPLC showed that all of the radioactivity could be attributed to gla residues. Quantitation of gla, asp, and glu residues indicated 3 mol gla͞mol carboxylase. Radiolabeled gla was acid-labile, confirming its identity, and was not observed if vitamin K was not included in the in vitro reaction. Carboxylase carboxylation also was detected in baculovirus-(carboxylase)-infected insect cells but not in mock-infected insect cells, which do not express endogenous VKD proteins or carboxylase. Finally, we showed that the carboxylase was carboxylated in vivo. Carboxylase was purified from recombinant carboxylase BHK cells cultured in the presence or absence of vitamin K and analyzed for gla residues. Carboxylation of the carboxylase only was observed with carboxylase isolated from BHK cells cultured in vitamin K, and 3 mol gla͞mol carboxylase were detected. Analyses of carboxylase and factor IX carboxylation in vitro suggest a possible role for carboxylase carboxylation in factor IX turnover, and in vivo studies suggest a potential role in carboxylase stability. The discovery of carboxylase carboxylation has broad implications for the mechanism of VKD protein carboxylation and Warfarin-based anti-coagulant therapies that need to be considered both retrospectively and in the future.Vitamin K-dependent (VKD) proteins undergo an unusual posttranslational modification required for their biological activity, namely the carboxylation of clusters of glu residues to ␥-glutamyl glus, or glas, in a region of the VKD proteins called the gla domain (1, 2). Carboxylation of the VKD proteins effects their Ca 2ϩ -mediated interaction with phospholipid bilayers and is carried out by an integral membrane endoplasmic reticulum enzyme, the VKD-␥-glutamyl carboxylase. The carboxylase modifies VKD substrates by using CO 2 , O 2 , and vitamin K hydroquinone as cofactors, and the carboxylase is also an epoxidase, converting the vitamin K hydroquinone to vitamin K 2,3-epoxide. Subsequent regeneration of the vitamin K hydroquinone cofactor is carried out by a reductase that has been characterized but not yet identified (3, 4). Carboxylation of the gla domain involves the modification of multiple glus, ranging from 3 to 12 for the different VKD proteins. This multiplicity raises the question of whether the carboxylase is a processive enzyme, i.e., effecting all modifications as a result of a single binding event. When purified bovine liver carboxylase was coincubated...