Collagen: prolyl hydroxylase, vitamin C, scurvy; glycosaminoglycans

Collagen is the most abundant human protein, a triple helix of α-chains with Gly-X-Y repeats. Post-translational modification: hydroxylation of proline and lysine (proline/lysine hydroxylases require ascorbate, vitamin C, as a cofactor). Vitamin C deficiency → scurvy: vascular fragility, bleeding gums, impaired wound healing. Hyaluronic acid and other glycosaminoglycans (chondroitin sulfate, heparan sulfate) form the basis of the extracellular matrix in connective tissue, cartilage, and skin.

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Collagen: General Overview

Collagen is the primary structural protein of the extracellular matrix, synthesized by connective tissue cells: fibroblasts, osteoblasts, and chondroblasts. It is a fibrillar protein that provides structural support and mechanical strength to skin, tendons, bones, cartilage, and blood vessel walls.

The collagen polypeptide chain contains about 1,000 amino acid residues. Amino acid composition features:

The primary structure is written as a repeating triplet (Gly–X–Y), where X is most commonly proline, and Y is hydroxyproline or hydroxylysine.

Spatial Organization of the Molecule

The polypeptide chain folds into a left-handed α-helix, which is more extended than the classic α-helix of globular proteins: there are 3 amino acid residues per turn. Three such α-chains wind around each other to form a right-handed triple superhelix, the structural unit of mature collagen known as tropocollagen.

Post-translational modifications

Collagen biosynthesis involves a large number of post-translational modifications. The polypeptide chain is synthesized on ribosomes bound to the membrane of the endoplasmic reticulum as a precursor, preprocollagen. It has an N-terminal signal peptide that directs the chain into the ER lumen, after which it is cleaved off.

Main stages of modification:

  1. hydroxylation of proline and lysine residues;
  2. glycosylation of hydroxylysine residues;
  3. assembly of the triple helix from three pro-α-chains;
  4. secretion of procollagen into the extracellular space;
  5. cleavage of N- and C-terminal propeptides (which contain cysteine residues, explaining why mature collagen lacks cysteine);
  6. assembly of collagen molecules into microfibrils, fibrils, and subsequently collagen fibers.

Proline Hydroxylation and the Role of Vitamin C

The key reaction is catalyzed by prolyl hydroxylase. The enzyme contains an Fe²⁺ ion in its active center and requires α-ketoglutarate and molecular O₂ as cofactors.

During the reaction:

Ascorbic acid (vitamin C) is required to reduce iron in the active site back to the Fe²⁺ state, as it is periodically oxidized to Fe³⁺ during catalysis. The introduction of an OH group into proline ensures the formation of additional hydrogen bonds between the chains of the triple helix, which dramatically increases the thermal stability and mechanical strength of collagen.

Scurvy: Vitamin C Deficiency

In ascorbic acid deficiency, prolyl hydroxylase loses activity, proline and lysine hydroxylation is impaired, and abnormal collagen with reduced triple-helix stability is synthesized.

Clinical manifestations of scurvy:

Hyaluronic Acid and Glycosaminoglycans

Hyaluronic acid belongs to glycosaminoglycans — linear polysaccharides of the extracellular matrix composed of repeating disaccharide units (uronic acid and amino sugar residues).

Functional features of hyaluronic acid:

Clinical Significance: Hyaluronidase and Infections

A number of pathogenic bacteria (e.g., agents of gas gangrene, streptococci, staphylococci) secrete the enzyme hyaluronidase, which degrades hyaluronic acid. Depolymerization of the polysaccharide leads to liquefaction of the connective tissue ground substance, increased permeability, and facilitates the invasion of microorganisms and toxins into tissues.

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