collagen

collagen The word collagen means ‘glue-producing’. Collagen in the body does indeed help to hold it all together, but the notion of glue is not very apt. It strengthens and connects things with a network of tough fibres, rather than sticking them to each other — more like a cat's cradle than an adhesive. Collagen is the protein which forms the ubiquitous white fibres in all the connective tissues of the body, including bone, teeth, cartilage, and tendons; the skin; and all the sheaths, partitions, and supporting frameworks which abound in all organs and tissues. The exception is the central nervous system, which has its own different variety of internal supporting tissue — the glia — though there is collagen in the membranes which cover the brain and spinal cord.

Collagen is one of the ‘structural proteins’ (the other widespread one is elastin), which provide support to the tissues. By crude analogy with string, the principal mechanical property of collagen is its ability to resist distending force (tensile strength), which is vastly greater than its ability to resist compression or twisting (compression and torsion strengths). The tensile strength of collagen is so high as to be comparable, weight for weight, with that of steel. Elastin, by contrast, has a low tensile strength but the important mechanical properties of distensibility and resilience: the capability for relatively long range stretching under load and for returning to the original dimensions when the distending force is removed. Collagen can stretch only by about 2% without damage.

Collagen and elastin fibres often co-exist, notably in tissues which regularly undergo considerable changes in shape, such as skin, lungs, and blood vessels. The essentially inextensible, high tensile strength collagen is able to exist and function alongside the elastic fibres simply by having considerable slack. This can easily be illustrated if you pinch up the skin on the back of the hand: it returns to its original shape on release by virtue of the elastic fibres (a property progressively impaired in old age due to degeneration of the elastic fibres, with consequent increase in skin wrinkling). Now with the fingertips push the same skin on the back of the hand sideways and note that it slides quite freely until displacement comes to a distinct halt (when the collagen has used its slack and the tough fibres are pulled into alignment, resisting the distending force).

Collagen is synthesized by fibroblasts, the living cells present in all connective tissue, so named because they generate fibres — of collagen. There are in fact several types, with minor variations of molecular structure. Like all proteins, collagens are constructed from amino acid units; they are all glycoproteins, meaning that glucose and other simple sugars are attached to the amino acid chains. Each long, thin molecule consists of three chains of over 1000 units; each chain is helical, and the three in turn form a triple helix. A molecule is about 300 nm long — over 3000 end-to-end would measure 1 mm — but in fully-formed collagen they overlap lengthwise, and are also linked side to side, providing longer, wider, and very tough fibres. Again like all proteins in the body, collagen has a finite life span after which it is degraded to the constituent amino acids and replaced by new fibres. The synthesis within the fibroblasts is a complex process; the three chains are separately assembled, and then wound into the triple helix, which is extruded. Once outside the cell, the molecules aggregate and forge links as described.

The complexity of collagen synthesis involves multiple enzymes, so that a congenital deficiency of any of these can lead to some disorder of its formation. This accounts for there being a wide variety of clinical syndromes associated with such disorders: there can be fragile bones, with fractures from minimal trauma; fragile blood vessels with widespread bruising; dental defects; readily dislocating joints; a bent or twisted spine; thin, hyperelastic skin; and poor wound healing. Apart from these inborn defects, deprivation of ascorbic acid (vitamin C) at any time of life interferes with a step in collagen synthesis; the resulting bleeding, bruising, and poor healing are part of the picture of scurvy.

With ageing, habitually exposed areas of skin in white-skinned people show broken and disordered collagen fibres, related to the effects of UV light. Deficient replacement of collagen also contributes to thinning and wrinkling of the skin, and, together with mineral loss, to osteoporosis — decreasing bone mass.

These changes suggest that the continuous production of new fibroblasts, and by them of new collagen, progressively declines. Fibroblasts in culture outside the body divide again and again, but do not continue to replicate indefinitely. When such cultures from different animal species are compared, it is found that the number of cell divisions is related to the lifespan of each species, and is also related inversely to the age of the donor from any one species: a finding of considerable interest in the study of the ageing process.

Hugh Elder, and Sheila Jennett

See also ageing; connective tissue.