Collagen Synthesis: The Multistep Process
Collagen synthesis occurs in both the intracellular and extracellular spaces. Defects at any stage result in connective tissue disorders.
| Stage | Location | Process Details |
|---|---|---|
| Translation | RER | Synthesis of preprocollagen (Glycine-X-Y repeats). |
| Hydroxylation | RER | Proline/lysine hydroxylation (requires Vitamin C). |
| Glycosylation | RER | Formation of procollagen triple helix; exocytosis. |
| Cleavage | Extracellular | Procollagen peptidases cleave N- and C-terminal ends (forms tropocollagen). |
| Cross-linking | Extracellular | Lysyl oxidase (requires Copper) creates covalent cross-links. |
High-Yield Core Realities:
- Vitamin C Deficiency: Causes Scurvy; inability to hydroxylate proline/lysine prevents stable triple helix formation.
- Copper Deficiency: Inhibits lysyl oxidase, resulting in cross-linking defects (e.g., Menkes disease).
- Osteogenesis Imperfecta: Often caused by mutations in the genes coding for Type I collagen.