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Wheeless' Textbook of Orthopaedics

Collagen Biosynthesis





- Discussion:
    - biosynthesis of collagen is initiated w/ osteoblasts;
    - these intracellular events involve protein synthesis on endoplasmic
          reticulum to form 3 polypeptide chains, which make up protocollagen;
    - protocollagen is hydroxylated to form procollagen, which is glyco-
          sylated at the endoplasmic reticulum;
          - degree of hydroxylation of the lysine residue is important in
              that it will determine the number of crosslinks and therefore
              strength of the collagen;
    - procollagen is converted to a triple helix before secretion from cell
          by microtubules;
    - procollagen helices are actually longer than collagen molecules owing
          to amino-terminal and carboxy-terminal endpieces that keep collagen
          soluble while inside the cell;
          - intracellular processes require more than eight enzymes, result
              in over l50 modifications of each chain, and alter one-tenth
              of the amino acids;
    - once the osteoblasts secretes procollagen, a procollagen
          peptidase splits off the terminal endpieces, and polymerization and
          maturation naturally follow;
    - covalent bonds are formed between the adjacent collagen molecules both
          within microfibrils and between adjacent microfibrils;
          - these crosslinks determine maximal tensile strength of tissue
              collagen & its subsequent solubility and thus extractability;



Original Text by Clifford R. Wheeless, III, MD.