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Collagens S. H. Wolbach and P. K. Howe, way back in 1926, discovered that guinea pigs got scurvy because their furry bodies stopped producing collagen; and when they stopped producing collagen within their intercellular matrix. As a consequence their blood vessels lost their structural integrity and started to leak. When citrus was put back into the diet, their furry bodies went back to producing collagen, healed their blood vessels, and made them healthy again. Collagen is a very important substance in your body. Collagen is the most abundant protein in your body. More than a third of your body’s protein is collagen. Collagen is a structural protein that provides the scaffolding for your body. Collagen controls the shape of every cell in your body. Your bones and teeth are made by trapping calcium crystals within a matrix make of collagen. Collagen forms itself into long, white fibers that strengthen tendons and cartilage. Collagen forms itself into sheets to protect and support softer tissues such as the lining of your organs. When you get cut, it is collagen that glues the tissues back together again (scare tissue is 100% collagen). Your skin is 75% collagen. Collagen is the major connective tissue in your body; it - in essence - holds your body together. As important as collagen is, it actually has a fairly simple chemical structure. It is composed of only three amino acids: glycine, proline and lysine. The glycine and proline form polypeptide chains that twist around each other like the strands of a rope. These strands are ‘glued’ together with cross-linkages of the amino acid lysine. This ropelike structure makes collagen a very strong molecule with a tensile strength greater than steel wire! Because collagen is so pervasive in your body and so necessary for life, your body devotes a lot of time, energy and resources to manufacturing it in sufficient quantities. In his book, How to Live www.healthoracle.org 1 Longer and Feel Better, Dr. Linus Pauling called the body’s production of collagen a ‘major manufacturing enterprise.’ Collagen gives your blood vessels their form, strength and flexibility. Your blood vessels are made up of 3 different layers. The inner layer is a membrane of endothelium cells (similar to skin cells) which is held in place by a sheet of collagen. The middle layer is made of smooth muscle held in place by a network of collagen fibers that run lengthwise. The outer layer is made up of collagen fibers that encircle the blood vessel. Even the smallest capillaries have a thin layer of collagen. If they did not, the endothelium cells would have nothing to adhere to and they would simply float away. Collagen makes your blood vessels both strong and flexible. Because arteries are closer to the heart than veins they need to be able to expand and contract in rhythm with your beating heart. This expanding and contracting is what you feel when you ‘take your pulse’ by putting your fingers on your wrist or on the side of your neck. What you feel is the expanding and contracting of your radial artery (wrist) or carotid artery (neck). www.healthoracle.org 2 Tropocollagen triple helix Collagen is the main protein of connective tissue in animals and the most abundant protein in mammals, making up about 25% to 35% of the whole-body protein content. It is naturally found exclusively in metazoa, including sponges. In muscle tissue it serves as a major component of endomysium. Collagen constitutes 1% to 2% of muscle tissue, and accounts for 6% of the weight of strong, tendinous muscles. The gelatin used in food and industry is derived from the partial hydrolysis of collagen. Uses Collagen is one of the long, fibrous structural proteins whose functions are quite different from those of globular proteins such as enzymes. Tough bundles of collagen called collagen fibers are a major www.healthoracle.org 3 component of the extra-cellular matrix that supports most tissues and gives cells structure from the outside, but collagen is also found inside certain cells. Collagen has great tensile strength, and is the main component of fascia, cartilage, ligaments, tendons, bone and skin. Along with soft keratin, it is responsible for skin strength and elasticity, and its degradation leads to wrinkles that accompany aging. It strengthens blood vessels and plays a role in tissue development. It is present in the cornea and lens of the eye in crystalline form. It is also used in cosmetic surgery and burns surgery. Hydrolyzed collagen can play an important role in weight management, as a protein, it can be advantageously used for its satiating power. Industrial uses If collagen is sufficiently denatured, e.g. by heating, the three tropocollagen strands separate partially or completely into globular domains, containing a different secondary structure to the normal collagen polyproline II (PPII), e.g. random coils. This process describes the formation of gelatin, which is used in many foods, including flavored gelatin desserts. Besides food, gelatin has been used in pharmaceutical, cosmetic, and photography industries. From a nutritional point of view, collagen and gelatin are a poorquality sole source of protein since they do not contain all the essential amino acids in the proportions that the human body requires—they are not ‘complete proteins’ (as defined by food science, not that they are partially structured). Manufacturers of collagen-based dietary supplements claim that their products can improve skin and fingernail quality as well as joint health. However, mainstream scientific research has not shown strong evidence to support these claims. Individuals with problems in these areas are more likely to be suffering from some other underlying condition www.healthoracle.org 4 (such as normal aging, dry skin, arthritis etc.) rather than just a protein deficiency. From Greek for glue, kolla, the word collagen means ‘glue producer’ and refers to the early process of boiling the skin and sinews of horses and other animals to obtain glue. Collagen adhesive was used by Egyptians about 4,000 years ago, and Native Americans used it in bows about 1,500 years ago. The oldest glue in the world, carbondated as more than 8,000 years old, was found to be collagen—used as a protective lining on rope baskets and embroidered fabrics, and to hold utensils together; also in crisscross decorations on human skulls. Collagen normally converts to gelatin, but survived due to the dry conditions. Animal glues are thermoplastic, softening again upon reheating, and so they are still used in making musical instruments such as fine violins and guitars, which may have to be reopened for repairs—an application incompatible with tough, synthetic plastic adhesives, which are permanent. Animal sinews and skins, including leather, have been used to make useful articles for millennia. Gelatin-resorcinol-formaldehyde glue (and with formaldehyde replaced by less-toxic pentanedial and ethanedial) has been used to repair experimental incisions in rabbit lungs. Medical uses The cardiac valve rings, the central body and the cardiac skeleton of the heart summarily represent a unique and moving collagen anchor to the fluid mechanics of the heart. Individual valvular leaflets are arguably held in shape by collagen under great extremes of pressure. Calcium deposition within collagen occurs as a natural consequence of aging. These fixed points in an otherwise static display of blood and muscle enable current cardiac imaging technology to arrive at ratios essentially stating blood in (Cardiac Input) and blood out (Cardiac Output). Specified imaging such as Calcium Scoring illustrates the utility of this methodology, especially in an aging patient subject to pathology of the collagen underpinning. www.healthoracle.org 5 Collagen has been widely used in cosmetic surgery, as a healing aid for burn patients for reconstruction of bone and a wide variety of dental, orthopedic and surgical purposes. Some points of interest are: 1. When used cosmetically, there is a chance of allergic reactions causing prolonged redness; however, this can be virtually eliminated by simple and inconspicuous patch testing prior to cosmetic use. 2. Most medical collagen is derived from young beef cattle (bovine) from certified BSE (Bovine spongiform encephalopathy) free animals. Most manufacturers use donor animals from either ‘closed herds’, or from countries which have never had a reported case of BSE such as Australia, Brazil and New Zealand. 3. Porcine (pig) tissue is also widely used for producing collagen sheet for a variety of surgical purposes. 4. Alternatives using the patient’s own fat, hyaluronic acid or polyacrylamide gel are readily available. Collagens are widely employed in the construction of artificial skin substitutes used in the management of severe burns. These collagens may be derived from bovine, equine or porcine, and even human, sources and are sometimes used in combination with silicones, glycosaminoglycans, fibroblasts, growth factors and other substances. Collagen is also sold commercially as a joint mobility supplement. Because proteins are broken down into amino acids before absorption, there is no reason for orally ingested collagen to affect connective tissue in the body, except through the effect of individual amino acid supplementation. Recently an alternative to animal-derived collagen has become available. Although expensive, this human collagen, derived from donor cadavers, placentas and aborted fetuses, may minimize the possibility of immune reactions. www.healthoracle.org 6 Although it cannot be absorbed through the skin, collagen is now being used as a main ingredient for some cosmetic makeup. History and background The molecular and packing structures of collagen have eluded scientists for decades; the first evidence that it possess a regular structure at the molecular level was presented in the mid-1930s. Since that time many prominent scholars, including (but not limited to) Nobel laureate Crick, and Pauling, Rich, Yonath, Brodsky, Berman and Ramachandran concentrated on the conformation of the collagen monomer. Several competing models although correctly dealing with the conformation of each individual peptide chain, gave way to the triplehelical ‘Madras’ model which provided an essentially correct model of the molecule’s quaternary structure although this model still required some refinement. The packing structure of collagen has not been defined to the same degree outside of the fibrillar collagen types, although it has been long known to be hexagonal or quasi-hexagonal. As with its monomeric structure, several conflicting models alleged that either the packing arrangement of collagen molecules is ‘sheetlike’ or microfibrillar. Recently it was confirmed that the microfibrillar structure as described by Fraser, Miller, Wess (amongst others) was closest to the observed structure, although it oversimplified the topological progression of neighboring collagen molecules and hence did not predict the correct conformation of the discontinuous D-periodic pentameric arrangement termed simply: the microfibril. Types and associated disorders Collagen occurs in many places throughout the body and 29 types of collagen have thus far been identified and described in literature. www.healthoracle.org 7 Over 90% of the collagen in the body, however, is of type I, II, III, and IV. • • • • • Collagen One: skin, tendon, vascular, ligature, organs, bone (main component of bone) Collagen Two: cartilage (main component of cartilage) Collagen Three: reticulate (main component of reticular fibers), commonly found alongside type I. Collagen Four: forms bases of cell basement membrane Collagen Five: Cells surfaces, hair and placenta Collagen diseases commonly arise from genetic defects that affect the biosynthesis, assembly, post-translational modification, secretion, or other processes in the normal production of collagen. Type I II III IV Notes Gene(s) This is the most abundant collagen of the human body. It is present in scar tissue, the end product when tissue heals by COL1A1, repair. It is found in tendons, COL1A2 skin, artery walls, the endomysium of myofibrils, fibrocartilage, and the organic part of bones and teeth. Hyaline cartilage, makes up 50% of all cartilage protein. Vitreous COL2A1 humour of the eye. This is the collagen of granulation tissue, and is produced quickly by young fibroblasts before the COL3A1 tougher type I collagen is synthesized. Reticular fiber. Also found in artery walls, skin, intestines and the uterus Basal lamina; eye lens. Also serves COL4A1, as part of the filtration system in COL4A2, capillaries and the glomeruli of COL4A3, www.healthoracle.org Disorders osteogenesis imperfecta, EhlersDanlos Syndrome, Infantile cortical hyperostosis aka Caffey's disease Collagenopathy, types II and XI Ehlers-Danlos Syndrome Alport syndrome, Goodpasture's syndrome 8 nephron in the kidney. V VI VII VIII IX X XI XII XIII XIV XV XVI XVII COL4A4, COL4A5, COL4A6 COL5A1, most interstitial tissue, assoc. with COL5A2, type I, associated with placenta COL5A3 COL6A1, most interstitial tissue, associated COL6A2, with type I COL6A3 forms anchoring fibrils in dermal COL7A1 epidermal junctions some endothelial cells FACIT collagen, cartilage, associated with type II and XI fibrils hypertrophic and mineralizing cartilage cartilage COL8A1, COL8A2 COL9A1, COL9A2, COL9A3 Ehlers-Danlos syndrome (Classical) Ulrich myopathy and Bethlem myopathy epidermolysis bullosa dystrophica Posterior polymorphous corneal dystrophy 2 - EDM2 and EDM3 COL11A1, COL11A2 Schmid metaphysical dysplasia Collagenopathy, types II and XI COL10A1 FACIT collagen, interacts with type I containing fibrils, decoring and glycosaminoglycans Transmembrane collagen interacts with integrin a1b1, fibronectin and components of basement membranes like nidogen and perlecan. FACIT collagen - COL12A1 - COL13A1 - COL14A1 COL15A1 COL16A1 transmembrane collagen, also known as BP180, a 180 kDa protein COL17A1 Bullous Pemphigoid and certain forms of junctional epidermolysis bullosa - XVIII source of endostatin XIX FACIT collagen www.healthoracle.org COL18A1 COL19A1 9 XX XXI FACIT collagen XXII XXIII MACIT collagen XXIV XXV XXVI XXVII XXVIII XXIX epidermal collagen COL20A1 COL21A1 COL22A1 COL23A1 COL24A1 COL25A1 EMID2 COL27A1 COL28A1 COL29A1 Atopic Dermatitis In addition to the above mentioned disorders, excessive deposition of collagen occurs in Scleroderma ( a slowly progressive disease marked by the deposition of fibrous connective tissues in the skin and often in internal organs). Amino acids Collagen has an unusual amino acid composition and sequence: • • • Glycine (Gly) is found at almost every third residue Proline (Pro) makes up about 9% of collagen Collagen contains two uncommon derivative amino acids not directly inserted during translation. These amino acids are found at specific locations relative to glycine and are modified post-translationally by different enzymes, both of which require vitamin C as a cofactor. o Hydroxyproline (Hyp), derived from proline. o Hydroxylysine, derived from lysine. Depending on the type of collagen, varying numbers of hydroxylysines have disaccharides attached to them. Cortisol stimulates degradation of amino acid from skin collagen. Synthetic pathogenesis www.healthoracle.org 10 Vitamin C deficiency causes scurvy, a serious and painful disease in which defective collagen prevents the formation of strong connective tissue. Gums deteriorate and bleed, with loss of teeth; skin discolors, and wounds do not heal. Prior to the eighteenth century, this condition was notorious among long duration military, particularly naval, expeditions during which participants were deprived of foods containing Vitamin C. In the human body, a malfunction of the immune system, called an autoimmune disease, results in an immune response in which healthy collagen fibers are systematically destroyed with inflammation of surrounding tissues. The resulting disease processes are called Lupus erythematosus, and rheumatoid arthritis, or collagen tissue disorders. Many bacteria and viruses have virulence factors which destroy collagen or interfere with its production. An orderly breakdown of collagen is necessary during development and tissue remodeling. For instance, following childbirth, the uterus reduces in size, which involves a massive degradation of collagen. An abnormal increase in the degradation of cartilage collagen is seen in osteoarthritis. Collagen breakdown also appears to be essential for tumor metastases. A number of hereditary diseases have been shown to be due to mutations in specific collagen genes. Osteogenesis imperfecta (brittle bone) disease is characterized by fragile bones and is due to mutations in type I collagen. Some cartilage disorders are caused by mutations in type II collagen. Ruptured arteries are found in Ehlers-Danlos syndrome type IV, which arises from mutations in type III collagen. www.healthoracle.org 11