Collagen is a structural protein that undergoes several essential co- and posttranslational modifications during its synthesis. These modifications are critical for collagen’s stability, functionality, and its role in the extracellular matrix. Collagen’s unique structure consists of a repeating tripeptide sequence, Gly-X-Y, where X and Y are often proline and hydroxyproline. The modification of collagen includes hydroxylation, glycosylation, and cross-linking, which are vital for its maturation and function.
| Type of Collagen | Characteristics | Tissue Distribution | Associated Diseases |
|---|---|---|---|
| I | High tensile strength | Bone, skin, tendons | Osteogenesis imperfecta, Ehlers-Danlos (various) |
| II | Thin fibrils, structural | Cartilage, vitreous humor | — |
| III | Pliable | Blood vessels, granulation tissue | Ehlers-Danlos (Type IV), Keloid formation |
| IV | Amorphous, structural support | Basement membranes | Goodpasture syndrome, Alport disease |
| Disease | Defect | Major Symptoms |
|---|---|---|
| Scurvy | Deficient hydroxylation (Ascorbate deficiency) | Petechiae, ecchymoses, bleeding gums, poor wound healing |
| Osteogenesis Imperfecta | Mutations in collagen genes | Skeletal deformities, fractures, blue sclera |
| Ehlers-Danlos Syndrome | Mutations in collagen genes or hydroxylases | Hyperextensible skin, joint hypermobility, arterial ruptures |
| Menkes Disease | Deficient cross-linking (copper deficiency) | Steely hair, arterial tortuosity, cerebral degeneration |