Relative stabilities of the intermediate reducible crosslinks present in collagen fibres

Physiological remodeling of the mitral valve during pregnancy

There is growing evidence that heart valves are not passive structures but can remodel with left ventricular dysfunction. To determine if these tissues remodel under nonpathological conditions, we examined the mirtal valve anterior leaflet during the volume loading and cardiac expansion of pregnancy using a bovine model. We measured leaflet dimensions, chordal attachments, and biaxial mechanical properties of leaflets collected from never-pregnant heifers and pregnant cows (pregnancy duration estimated from fetal length). Hydrothermal isometric tension (HIT) tests were performed to assess the denaturation temperature (Td) associated with collagen molecular stability and the load decay half-time ( t1//2) associated with intermolecular cross-linking. Histological changes were examined using Verhoeff-van Gieson and picrosirius red staining with polarized light. We observed striking changes to the structure and material properties of the mitral anterior leaflet during pregnancy. Leaflet area was increased 33%, with a surprising increase (nearly 25%) in chordae tendinae attachments. There was a biphasic change in leaflet extensibility: it rapidly decreased by 30% and then reversed to prepregnant values by late pregnancy. The 2°C decrease in Td in pregnancy was indicative of collagen remodeling, whereas the 70% increase in HIT t1/2 indicated an increase in collagen cross-linking. Finally, histological results suggested transient increases in leaflet thickness and transient decreases in collagen crimp. This remodeling may compensate for the increased loading conditions associated with pregnancy by normalizing leaflet stress and maintaining coaptation. Understanding the mechanisms of mitral valve physiological remodeling in pregnancy could contribute to alternative treatments of pathological remodeling associated with left ventricular dysfunction.

Chemistry of the collagen cross-links. Origin and partial characterization of a putative mature cross-link of collagen

The conversion of the reducible divalent cross-links in collagen to non-reducible multivalent cross-links in mature collagen has resulted in the identification of several new amino acids as the putative mature cross-link. None of these compounds has completely satisfied the necessary criteria. We have now isolated an amino acid of high Mr, derived from lysine, that is only present in high-Mr peptides derived from mature collagen. Its increase with age of the tissue correlates with the decrease in the reducible cross-links, and it is present both in mature skin and bone, which are initially cross-linked through the aldimine and oxo-imine divalent cross-link respectively. We propose that this amino acid, as yet incompletely characterized and designated compound M, is a major cross-link of mature collagen.

Biochemical studies of normal and keratoconus corneas

Keratoconus corneas are characterized by a reduced mechanical stability. The mechanical strength depends primarily on the collagen. In the present study the cross-linking pattern is analysed because it is important for the mechanical properties; an analysis of the amino acids of the collagen is included. Surprisingly, we did not find any change in the cross-linking pattern of collagen from keratoconus corneas compared to normal corneas. Neither did we find any difference in the composition of amino acids of the collagens. Thus no alteration was found in the molecular structure which could explain the marked reduction in the mechanical stability of keratoconus corneas.

Age related evolution of stable collagen reticulation in human skin

The relaxation time of hydrothermal isometric tensions (HIT) was measured in different tissues during collagen hydrolysis. This hydrolysis was shown to have the same activation energy in all skin samples studied, whatever the species and age. Therefore, variations in the HIT relaxation half-time at the boiling point, exclusively reflected variations in the reticulation degree of the stable infinite network of denatured collagen. Stable collagen reticulation was studied in human skin from birth to 70 yrs of age in 113 biopsies, by measuring the relaxation half-time of hydrothermal isometric tension (HIT) at boiling point. This time was observed to vary in three different ways as a function of age: 1) from birth to eight or 10 yrs and from 14-15 yrs until adulthood, it increased constantly, and at the same rate; 2) during early puberty, the striking observation was the dramatic decrease of relaxation time value which remained low for 4-5 yrs thereafter, and 3) from adulthood to 70 yrs of age, relaxation time values were scattered along several plateaux, apparently separated by similar incremental steps. A parallel study on rat and pig skin showed a similar age-related evolution for collagen stable reticulation i.e., a sudden drop of reticulation at puberty, and low values for several months thereafter, followed by a linear increase, at the same rate as that observed for human skin. The study of collagen reticulation in various pathological situations may help to clarify and increase our understanding of the different mechanisms involved in collagen modifications during in vivo growth and aging.

Collagen cross-linking compounds in human urine

We report the isolation and chemical characterization of collagen cross-linking compounds, 3-hydroxypyridinium and dihydroxylysinonorleucine, from human urine.

Isometric tensions developed during the hydrothermal swelling of rat skin

Isometric tensions developed in connective tissue under the influence of temperature have previously been measured by their effect on a "shrinkage" phenomenon observed along the main axis of the collagen fibers. A new device, built and tested in our laboratory enabled us to obtain isometric tension curves by measuring a "swelling" phenomenon observed in other directions. Curves recorded in the two systems have been compared. Shapes were unchanged and the parameters chosen to define these morphologies showed the same values in both types of experiments. The parameters, which are independent of maximal tension, were also found to be independent of the total collagen content of the sample. Interpretation of the results suggests that these parameters depend not only on the nature but also on the density of the collagen crosslinks. The new device is applicable to minute tissue samples, whatever their fragility and fiber orientation.

The Ehlers-Danlos syndrome: an analysis of the structure of the collagen fibres of the skin

The structure of the collagen fibres of the skin in the Ehlers-Danlos syndrome (ED-S) was studied in eight patients with ED-S Type I, three patients with ED-S Type II and three patients with the X-linked Type V. The results show that the reducible cross-links are present and undergo the same maturation process to non-reducible cross-links as in normal skin. Transmission electron microscopy revealed a normal ultrastructure of the collagen fibrils. At a higher morphological level of organization scanning electron microscopy demonstrated progressive increase in fibre bundle disorder from the X-linked to mitis, to gravis, in which the fibres making up the large fibre bundles demonstrated a considerable inability to aggregate.

Aging of collagen

Current knowledge of the structure and the mechanism of formation of the covalent cross-links that fuse individual collagen molecules into a stable fiber is reviewed. Some of the mechanical properties of dermal connective tissue and the way in which these change with age can be correlated with the types of cross-link present in the tissue. Cross-links are routinely detected by treatment of a tissue sample with tritium-labeled borohydride and subsequent isolation and quantification of the cross-linked compound, which has been rendered radioactive by reaction with this reducing compound. After maturity, the number of detectable cross-links decreases even though the mechanical stability of the tissue increases. This anomaly is examined in the light of recent data suggesting that cross-links may be oxidized in vivo and thus become undetectable since they can no longer react with borohydride.

In vitro inhibition of collagen cross links by catechol analogs

Catechol analogs inhibit the formation of hydroxylysine-derived intermolecular collagen cross links in tissue cultures of chick embryo calvaria. Formation of intermolecular collagen cross links was measured following incorporation of [14C]lysine, reduction with sodium borohydride, and elution from an ion exchange column with a pyridine-formate gradient. Cultures grown in the presence of 10(-3) M catechol, 10(-3) M dopamine, 10(-3) M L-dopa, or 10(-3) M D,L-serine-(2,3,4-trihydroxybenzyl)-hydrazide demonstrated between 43 and 84% inhibition of hydroxylysine formation. Collagen biosynthesis was not diminished in these cultures as compared to controls without additions or with beta-aminopropionitrile when measured by collagenase digestion. The formation of hydroxylysine-derived intermolecular cross links was inhibited 34 to 93% for 5,5'-dihydroxylysinonorleucine and 7 to 71% for 5-hydroxylysinonorleucine. The catechol analogs also inhibit the activity of lysyl hydroxylase as measured by specific tritium release as triated water from an L-[4,5-3H]lysine-labeled unhydroxylated collagen substrate prepared from chick calvaria. Since catechol analogs inhibit the formation of hydroxylysine in a cell-free assay, these compounds must pass into the cells of calvaria in this culture system to inhibit intracellular hydroxylysine formation and subsequently to diminish the reducible intermolecular cross links of the newly synthesized collagen.

Collagen and myofibroblasts of granulation tissue. A chemical, ultrastructural and immunologic study

In granulation tissue produced in the rat by subcutaneous injection of turpentine oil or polyvynile sponge implantation, the great majority of fibroblasts (myofibroblasts) possess a contractile apparatus which makes them similar to smooth-muscle cells. Chemical analysis shows that these granulation tissues contain a high proportion of Type III collagen, a genetically distinct collagen normally associated with embryonic dermal tissue. Type III collagen may persist up to 9 months after sponge implantation and myofibroblasts are seen in granulation tissue by means of electron microscopy and immunofluorescence. When granulation tissue is resorbed 50 days after turpentine oil injection, myofibroblasts disappear and the dermis contains Type I collagen. The concurrent presence of myofibroblasts and Type III collagen suggests that myofibroblasts, in addition to their contractile activity, synthetize, at least in part, type III collagen.

A stabilised tris(hydroxymethyl)aminomethane adduct in reduced collagen

The reduction of collagen with sodium [3H] borohydride in the presence of Tris buffer results in the stabilization of a Schiff base adduct which is formed between allysine residues and tris(hydroxymethyl)aminomethane. The reduced, radioactive derivative of this adduct has been identified in hydrolyzates or reduced collagen. It elutes before hydroxylysine on an amino acid analyzer column close to the position of dihydroxylysinonorleucine. Similar artifacts may occur when aldehydes present in or added to proteins react with Tris or other amines prior to reduction.

Characterization of the collagen of human hypertrophic and normal scars

The collagen produced in response to an injury of human skin is initially stabilized by a cross-link derived from hydroxyallysine, and characteristic of embryonic skin. In normal healing there is a change over with time to the cross-link derived from allysine, which is typical of young skin collagen. In contrast, hypertrophic scars fail to follow the time-related changes of normal skin, but retain the characteristics of embryonic collagen, indicating a continued rapid turnover of the collagen. This is further supported by the high proportion of the embryonic Type III collagen present in hypertrophic scars.

The chemistry of the collagen cross-links. The mechanism of stabilization of the reducible intermediate cross-links

The periodate-degradation technique was used to demonstrate the mechanism by which the reducible cross-links of collagen are stabilized. In all the tissues examined, Smith degradations of the 3H-labelled cross-links indicated that dihydroxylysinonorleucine is derived solely from hydroxylysino-5-oxonorleucine, the Amadori-rearranged product of the original condensation reaction. Monohydroxylysinonorleucine exists in both keto and aldimine forms, the former being derived from hydroxyallysine and the latter from allysine. Their relative proportions are tissue-dependent and are related to the degree of hydroxylation of the specific lysine residues in both the telopeptides and the triple helix.