From Structure to Phenotype: Impact of Collagen Alterations on Human Health
Open accessAbstract
The extracellular matrix (ECM) is a highly dynamic and heterogeneous structure that plays multiple roles in living organisms. Its integrity and homeostasis are crucial for normal tissue development and organ physiology. Loss or alteration of ECM components turns towards a disease outcome. In this review, we provide a general overview of ECM components with a special focus on collagens, the most abundant and diverse ECM molecules. We discuss the different functions of the ECM including its impact on cell proliferation, migration and differentiation by highlighting the relevance of the bidirectional cross-talk between the matrix and surrounding cells. By systematically reviewing all the hereditary disorders associated to altered collagen structure or resulting in excessive collagen degradation, we point to the functional relevance of the collagen and therefore of the ECM elements for human health. Moreover, the large overlapping spectrum of clinical features of the collagen-related disorders makes in some cases the patient clinical diagnosis very difficult. A better understanding of ECM complexity and molecular mechanisms regulating the expression and functions of the various ECM elements will be fundamental to fully recognize the different clinical entities.
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In child cohorts, the most robust relationship with joint hypermobility is for ADHD.
“With regard to psychiatry, the most robust relationship with joint hypermobility in child cohorts is for ADHD. 18–21”
From No association between joint hypermobility, musculoskeletal pain and neurodevelopmental problems in a school-based sample of 11-year-old children (2025) · cites this paper as [19]
Section 5, “Collagen Alterations in Pathological Events” (page unavailable), mentions hypermobile joints in patients with Ehlers–Danlos syndrome but discusses motor development, not psychiatric conditions. Searches for ADHD, attention-deficit/hyperactivity disorder, and joint hypermobility in child cohorts found no passage assessing the claimed relationship or comparing it with other psychiatric relationships. (LLM, conf=0.76)
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“Lack of COL29A1 expression in the outer layers of the epidermis of ATOD patients points to a role of collagen XXIX in epidermal integrity, whose breakdown is a clinical hallmark of AD [160].”
Backgroundvan de Wetering, J. K., GOLDE, L. M. G. V., & Batenburg, J. J. (2004) · European Journal of Biochemistry · doi:10.1111/j.1432-1033.2004.04040.x · Cited by 221 · cited 1× · see citing works
“Notably, collagen-like triple helical domains are found in several other proteins that do not have structural function and therefore are not considered as real collagens [65].”
BackgroundExtracellular microfibrils: contextual platforms for TGFβ and BMP signaling
Ramirez, F., & Rifkin, D. B. (2009) · Current Opinion in Cell Biology · doi:10.1016/j.ceb.2009.05.005 · Cited by 207 · see citing works
Hyaluronan synthesis and degradation in cartilage and bone
Bastow, E. R., Byers, S., Golub, S. B., Clarkin, C. E., Pitsillides, A. A., & Fosang, A. (2007) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-007-7360-z · Cited by 201 · cited 1× · see citing works
“Hyaluronidases are a family of enzymes capable of degrading HA [51].”
BackgroundCell-Matrix Interactions in Mammary Gland Development and Breast CancerPreprint
Muschler, J. L., & Streuli, C. H. (2010) · Cold Spring Harbor Perspectives in Biology · doi:10.1101/cshperspect.a003202 · Cited by 200 · cited 1× · see citing works
“Alterations of ECM remodelling can also influence the course and progression of several other pathological conditions, including fibrosis, skin disorders and cancer [74].”
BackgroundA mutation in COL9A1 causes multiple epiphyseal dysplasia: further evidence for locus heterogeneity.
Czarny‐Ratajczak, M., Lohiniva, J., Rogala, P., Kozłowski, K., Perälä, M., Carter, L., Spector, T., Kołodziej, L., Seppänen, U., Glazar, R., et al. (2001) · American Journal of Human Genetics · doi:10.1086/324023 · Cited by 198 · cited 1× · see citing works
“The mother had the same mutation but she did not reveal any symptom before age 45 years [143]”
BackgroundMutations in FKBP10 Cause Recessive Osteogenesis Imperfecta and Bruck Syndrome
Kelley, B., Malfait, F., Bonafė, L., Baldridge, D., Homan, E. P., Symoens, S., Willaert, A., Elcioglu, N., Maldergem, L. V., Verellen-Dumoulin, C., et al. (2010) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.250 · Cited by 186 · cited 1× · see citing works
“All the others clinical data on the 29 patients with OI type XI (mutations in FKBP10) are limited and heterogeneous regarding the age of onset, the number of fractures, the type of affected bones and the severity of the disorder [88].”
BackgroundLeuchter, R. H., Alanay, Y., Bank, R. A., Campos‐Xavier, B., Zankl, A., Superti‐Furga, A., & Bonafé, L. (2004) · American Journal of Medical Genetics Part A · doi:10.1002/ajmg.a.30231 · Cited by 185 · cited 1× · see citing works
“Mutations in this gene affect the instalment and secretion of collagen fibres from osteoblasts [163].”
BackgroundChen, M., Marinkovich, M., Veis, A., Cai, X.-Y., Rao, C. N., O'Toole, E., & Woodley, D. (1997) · Journal of Biological Chemistry · doi:10.1074/jbc.272.23.14516 · Cited by 173 · cited 1×
“The anchoring filaments are assembled in an antiparallel manner, tail to tail with some C-terminal overlap [62,64].”
BackgroundKnowlton, R., Katzenstein, P., Moskowitz, R., Weaver, E. J., Malemud, C., Pathria, M., Jimenez, S., & Prockop, D. (1990) · New England Journal of Medicine · doi:10.1056/nejm199002223220807 · Cited by 169 · cited 1× · see citing works
“Several cases have been reported, included family members over various generations [95,100,101].”
BackgroundCollagenase: a key enzyme in collagen turnover
Shingleton, W. D., Cawston, T. E., Hodges, D. J., & Brick, P. (1996) · Biochemistry and Cell Biology · doi:10.1139/o96-083 · Cited by 166 · cited 1× · see citing works
“Finally, lysosomes fuse together to generate large structures containing collagen and ECM fragments that undergo enzymatic digestion by cysteine cathepsins [72,73].”
BackgroundMonea, S., Lehti, K., Keski-oja, J., & Mignatti, P. (2002) · Journal of Cellular Physiology · doi:10.1002/jcp.10126 · Cited by 165 · cited 1×
“Upon activation, MMP-2 can degrade several collagen types, fibronectin, elastin as well as gelatin, the denatured form of collagen [69].”
BackgroundBaumann, M., Giunta, C., Krabichler, B., Rüschendorf, F., Zoppi, N., Colombi, M., Bittner, R. E., Quijano-Roy, S., Muntoni, F., Cirak, S., et al. (2012) · The American Journal of Human Genetics · doi:10.1016/j.ajhg.2011.12.004 · Cited by 162 · cited 1× · see citing works
“It catalyses the folding of COL3 and interacts with COL3, COL4 and COLX [165].”
BackgroundRahman, S., Patel, Y. M., Murray, J., Patel, K., Sumathipala, R. N., Sobel, M., & Wijelath, E. (2005) · BMC Cell Biology · doi:10.1186/1471-2121-6-8 · Cited by 162 · cited 1× · see citing works
“Hepatocyte growth factor (HGF) binds to the 70 kDa N-terminal and the 40 kDa C-terminal fragments of fibronectin [15], whereas platelet-derived growth factor (PDGF) binds the type III and the variable domains of fibronectin [16].”
BackgroundPhenotypic Spectrum of COL4A1 Mutations: Porencephaly to Schizencephaly
Yoneda, Y., Haginoya, K., Kato, M., Osaka, H., Yokochi, K., Arai, H., Kakita, A., Yamamoto, T., Otsuki, Y., Shimizu, S.-I., et al. (2013) · Annals of Neurology · doi:10.1002/ana.23736 · Cited by 161 · cited 1× · see citing works
“Affected individuals have delayed growth and development, hypotonia, spastic hemiplegia, seizures, migraine headaches, speech problems and intellectual disability with variable severity [126].”
BackgroundInherited epidermolysis bullosa: new diagnostic criteria and classification.
Intong, L., & Murrell, D. (2012) · Clinical Dermatology · doi:10.1016/j.clindermatol.2011.03.012 · Cited by 159 · cited 1×
“Patients usually do not survive more than 30 years due to severe renal complications or aggressive squamous cell carcinoma arising in the areas of repeated scarring [154].”
BackgroundBonnefoy, A., & Legrand, C. (2000) · Thrombosis Research · doi:10.1016/s0049-3848(99)00242-x · Cited by 158 · cited 1× · see citing works
“Plasmin and elastase are serine proteinases, the first degrades fibrin, fibronectin and laminin [47], whereas the latter degrades fibronectin and elastin [48].”
BackgroundMutation Update for COL2A1 Gene Variants Associated with Type II Collagenopathies
Barat-Houari, M., Sarrabay, G., Gatinois, V., Fabre, A., Dumont, B., Geneviève, D., & Touitou, I. (2016) · Human Mutation · doi:10.1002/humu.22915 · Cited by 152 · cited 2×
“The cartilage appears as abnormal gelatinous texture and translucent [75].”
BackgroundAutosomal recessive cutis laxa syndrome revisited
Morava, E., Guillard, M., Lefeber, D., & Wevers, R. (2009) · European Journal of Human Genetics · doi:10.1038/ejhg.2009.22 · Cited by 146 · cited 2× · see citing works
“Cutis laxa is a rare skin disorder characterized by wrinkled, redundant, inelastic and sagging skin due to defective synthesis of elastic fibres and other proteins of the ECM [167].”
BackgroundRecessive Osteogenesis Imperfecta Caused by Missense Mutations in SPARC
Mendoza‐Londono, R., Fahiminiya, S., Majewski, J., Tétreault, M., Nadaf, J., Kannus, P., Sochett, E. B., Howard, A., Stimec, J., Dupuis, L., et al. (2015) · The American Journal of Human Genetics · doi:10.1016/j.ajhg.2015.04.021 · Cited by 139 · cited 1× · see citing works
“Other features are decreased calf muscle mass, joint hyperlaxity and soft skin [89].”
BackgroundBrown, N. H. (2011) · Cold Spring Harbor Perspectives in Biology · doi:10.1101/cshperspect.a005082 · Cited by 127 · cited 1× · see citing works
“An example of coexistence is observed during muscle differentiation, where a sticky ECM is required to bind the extremities of the cells, whereas a slippery matrix coats the lateral sides [38].”
BackgroundAutosomal recessive myosclerosis myopathy is a collagen VI disorder
Merlini, L., Martoni, E., Grumati, P., Sabatelli, P., Squarzoni, S., Urciuolo, A., Ferlini, A., Gualandi, F., & Bonaldo, P. (2008) · Neurology · doi:10.1212/01.wnl.0000327611.01687.5e · Cited by 125 · cited 1× · see citing works
“Increased serum creatine kinase was also found [133].”
BackgroundMatricryptins derived from collagens and proteoglycans
Ricard‐Blum, S. (2010) · Frontiers in bioscience · doi:10.2741/3712 · Cited by 124 · cited 5× · see citing works
“More severe vision defects can be observed in patients with the Knobloch syndrome-1 due to alterations of the type XVIII collagen.”
BackgroundInfluentialTrichothiodystrophy: From basic mechanisms to clinical implications
Stefanini, M., Botta, E., Lanzafame, M., & Orioli, D. (2009) · DNA repair · doi:10.1016/j.dnarep.2009.10.005 · Cited by 120 · cited 1× · see citing works
“TTD patients present a 20-fold higher mortality compared to the US general population [158,159].”
BackgroundSelf-citationStructural basis of homo- and heterotrimerization of collagen I
Sharma, U., Carrique, L., Goff, S. V., Mariano, N., Georges, R.-N., Delolme, F., Koivunen, P., Myllyharju, J., Moali, C., Aghajari, N., et al. (2017) · Nature Communications · doi:10.1038/ncomms14671 · Cited by 119 · cited 1× · see citing works
“The most abundant collagen of the human body, the interstitial type I collagen, is made by two identical α1 and one α2 chain, which shows high sequence homology with α1 [57].”
BackgroundThe Non-phagocytic Route of Collagen Uptake
Madsen, D. H., Ingvarsen, S. Z., Jürgensen, H. J., Melander, M. C., Kjøller, L., Moyer, A., Honoré, C., Madsen, C. A., Garred, P., Burgdorf, S., et al. (2011) · Journal of Biological Chemistry · doi:10.1074/jbc.m110.208033 · Cited by 113 · cited 1× · see citing works
“Finally, lysosomes fuse together to generate large structures containing collagen and ECM fragments that undergo enzymatic digestion by cysteine cathepsins [72,73].”
BackgroundStructure of Homo- and Hetero-oligomeric Meprin Metalloproteases
Bertenshaw, G. P., Norcum, M. T., & Bond, J. S. (2003) · Journal of Biological Chemistry · doi:10.1074/jbc.m208808200 · Cited by 113 · cited 6× · see citing works
“ADAMs are involved in cytokines processing and growth factor receptor shedding [43] while ADAMTS play a role in degradation of ECM components, particularly collagens and proteoglycans [44].”
BackgroundInfluentialNovel COL4A1 mutations associated with HANAC syndrome: A role for the triple helical CB3[IV] domain
Plaisier, E., Chen, Z.-Y., Gekeler, F., Benhassine, S., Dahan, K., Marro, B., Alamowitch, S., Pâques, M., & Ronco, P. (2010) · American Journal of Medical Genetics. Part A · doi:10.1002/ajmg.a.33659 · Cited by 104 · cited 1×
“In addition, patients may manifest eye problems, like arterial retinal tortuosity, cataract and abnormality called Axenfeld-Rieger anomaly [124].”
BackgroundGenetic risk factors for spontaneous intracerebral haemorrhage
Carpenter, A., Singh, I. P., Gandhi, C. D., & Prestigiacomo, C. J. (2015) · Nature Reviews Neurology · doi:10.1038/nrneurol.2015.226 · Cited by 103 · cited 1× · see citing works
“The mutated vascular collagen diminishes the tensile strength of vessels and increases their fragility, which can lead to haemorrhage [128].”
BackgroundMüller, T., Mizumoto, S., Suresh, I., Komatsu, Y., Vodopiutz, J., Dündar, M., Straub, V. W., Lingenhel, A., Melmer, A., Lechner, S., et al. (2013) · Human Molecular Genetics · doi:10.1093/hmg/ddt227 · Cited by 103 · cited 2× · see citing works
“EDSMC1 and 2 share most of the clinical features, even though the majority of cases (31) refer to the EDSMC1 and only three cases are reported for the EDSMC2 type [78].”
BackgroundTiteux, M., Pendaries, V., Tonasso‐Calvière, L., Décha, A., Bodemer, C., & Hovnanian, A. (2007) · Human Mutation · doi:10.1002/humu.20647 · Cited by 101 · cited 2× · see citing works
“An association between disease severity and specific SNP in MMP1 gene (*120353) was found in three affected members of one family and in a cohort of 31 unrelated French RDEB patients [136].”
BackgroundCollagenous transmembrane proteins: collagen XVII as a prototype
Franzke, C.-W., Tasanen, K., Schumann, H., & Bruckner‐Tuderman, L. (2003) · Matrix Biology · doi:10.1016/s0945-053x(03)00051-9 · Cited by 101 · cited 1× · see citing works
“Collagen types XIII and XVII are included in this group [61].”
BackgroundA loss of function mutation in the COL9A2 gene causes autosomal recessive Stickler syndrome
Baker, S., Booth, C., Fillman, C., Shapiro, M., Blair, M., Hyland, J., & Ala-kokko, L. (2011) · American Journal of Medical Genetics. Part A · doi:10.1002/ajmg.a.34071 · Cited by 101 · cited 2× · see citing works
“None of the family members was known to have cleft palate and, although there was short stature in childhood, normal height was found in adults [108].”
BackgroundNovel and emerging therapies in the treatment of recessive dystrophic epidermolysis bullosa.
Rashidghamat, E., & McGrath, J. (2017) · Intractable & Rare Diseases Research · doi:10.5582/irdr.2017.01005 · Cited by 99 · cited 1×
“DDEB and RDEB are also known as Cockayne-Touraine disease and Hallopeau-Siemens disease, respectively [135].”
BackgroundTiller, G. E., Polumbo, P. A., Weis, M. A., Bogaert, R., Lachman, R. S., Cohn, D. H., Rimoin, D. L., & Eyre, D. R. (1995) · Nature Genetics · doi:10.1038/ng0995-87 · Cited by 93 · cited 1× · see citing works
“The disorder is a skeletal dysplasia with platyspondyly and brachydactyly E-like changes (short meta-carpals and metatarsals, short distal phalanges in the hand and feet) [107].”
BackgroundTopical Review: Schizencephaly: Clinical Spectrum, Epilepsy, and Pathogenesis
Granata, T., Freri, E., Caccia, C., Setola, V., Taroni, F., & Battaglia, G. (2004) · Journal of Child Neurology · doi:10.1177/08830738040190030801 · Cited by 92 · cited 1×
“Type II is associated with mental retardation, seizures, hypotonia, spasticity, inability to walk or speak and blindness [127].”
BackgroundFischer‐Zirnsak, B., Escande‐Beillard, N., Ganesh, J., Tan, Y. X., Al-Bughaili, M., Lin, A. E., Sahai, I., Bahena, P., Reichert, S. L., Loh, A., et al. (2015) · The American Journal of Human Genetics · doi:10.1016/j.ajhg.2015.08.001 · Cited by 89 · cited 1× · see citing works
“Patients also exhibit a combination of muscular hypotonia with brisk muscle reflexes [170].”
BackgroundMajava, M., Hoornaert, K. P., Bartholdi, D., Bouma, M., Bouman, K., Carrera, M., Devriendt, K., Hurst, J., Kitsos, G., Niedrist, D., et al. (2007) · American Journal of Medical Genetics. Part A · doi:10.1002/ajmg.a.31586 · Cited by 88 · cited 1×
“Moreover, COL11A1 mutations are associated by early-onset hearing loss [110].”
BackgroundBertini, E., & Pepe, G. (2002) · European journal of paediatric neurology · doi:10.1053/ejpn.2002.0593 · Cited by 88 · cited 1× · see citing works
“The mild form may also reveal skin abnormalities, including follicular hyperkeratosis on the arms and legs; soft, velvety skin on the hand palms and feet soles; abnormal wound healing resulting in shallow scars [131].”
BackgroundMalfait, F., Coster, P. D., Haußer, I., van Essen, A. J., Franck, P., Colige, A., Nusgens, B., MARTENS, L. C., & Paepe, A. D. (2004) · American Journal of Medical Genetics Part A · doi:10.1002/ajmg.a.30299 · Cited by 85 · cited 1× · see citing works
“Extra (redundant) folds of skin may be present as affected children get older [81].”
BackgroundLogan, C. V., Cossins, J., Cruz, P. M. R., Parry, D. A., Maxwell, S., Martínez‐Martínez, P., Riepsaame, J., Abdelhamed, Z. A., Lake, A. V. R., Moran, M., et al. (2015) · The American Journal of Human Genetics · doi:10.1016/j.ajhg.2015.10.017 · Cited by 82 · cited 1× · see citing works
“The severity of the weakness and disease course is variable [149].”
BackgroundRégulation de l’activité cellulaire par la matrice extracelulaire : le concept de matrikines
Maquart, F., Siméon, A., Pasco, S., & Monboisse, J. (1999) · Journal de la Société de Biologie · doi:10.1051/jbio/1999193040423 · Cited by 81 · see citing works
Fibronectin Growth Factor-Binding Domains Are Required for Fibroblast Survival
Lin, F., Ren, X.-D., Pan, Z., Macri, L. K., Zong, W., Tonnesen, M. G., Rafailovich, M. H., Bar‐Sagi, D., & Clark, R. A. F. (2010) · Journal of Investigative Dermatology · doi:10.1038/jid.2010.253 · Cited by 77 · cited 1× · see citing works
“Hepatocyte growth factor (HGF) binds to the 70 kDa N-terminal and the 40 kDa C-terminal fragments of fibronectin [15], whereas platelet-derived growth factor (PDGF) binds the type III and the variable domains of fibronectin [16].”
BackgroundInfantile Cortical Hyperostosis (Caffey Disease): A Review
Kamoun-Goldrat, A. S., & Merrer, M. F. L. (2008) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.joms.2007.09.007 · Cited by 73 · cited 1× · see citing works
“Rare cases of recurrence have also been described [90].”
BackgroundYonekawa, T., & Nishino, I. (2014) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp-2013-307052 · Cited by 71 · cited 1× · see citing works
“As in BTHLM1, some people with UCMD1 have follicular hyperkeratosis [132].”
BackgroundOsteogenesis Imperfecta: A Translational Approach to Brittle Bone Disease
Shapiro, J., Byers, P., Glorieux, F., & Sponsellor, P. (2013) · doi:10.1016/c2011-0-07790-6 · Cited by 68 · cited 1×
“Types X OI is a severe deforming form of the disorder characterized by aberrant collagen crosslinking, folding and chaperoning [87].”
BackgroundRost, S., Bach, E., Neuner, C., Nanda, I., Dysek, S., Bittner, R., Keller, A., Bartsch, O., Mlynski, R., Haaf, T., et al. (2013) · European Journal of Human Genetics · doi:10.1038/ejhg.2013.108 · Cited by 66 · cited 1×
“Female patients develop mild to moderate hearing impairment in the third/fourth decades of life and rarely hearing loss in the first decade of life [129].”
BackgroundJanecke, A. R., Li, B., Boehm, M., Krabichler, B., Rohrbach, M., Müller, T., Fuchs, I., Golas, G., Katagiri, Y., Ziegler, S. G., et al. (2016) · American Journal of Medical Genetics Part A · doi:10.1002/ajmg.a.37383 · Cited by 66 · cited 1× · see citing works
“EDSMC neonates show distal arthrogryposis and muscular hypotonia [78,79].”
BackgroundColpaert, C., Vermeulen, P., Marck, E. V., & Dirix, L. (2001) · American Journal of Surgical Pathology · doi:10.1097/00000478-200112000-00016 · Cited by 61 · cited 1× · see citing works
“Tissue stiffness can drive malignant transformation via integrin-mediated mechanisms [23] and such fibrotic “stiff” lesions are associated with a poor prognosis [24].”
BackgroundJackson, G. C., Marcus‐Soekarman, D., Stolte‐Dijkstra, I., Verrips, A., Taylor, J. A., & Briggs, M. D. (2010) · American Journal of Medical Genetics Part A · doi:10.1002/ajmg.a.33240 · Cited by 59 · cited 1× · see citing works
“EDM2 onset is usually in childhood, around 3-4 years of age and clinical variability is observed even within the same family [141].”
BackgroundMcAlinden, A., Majava, M., Bishop, P. N., Perveen, R., Black, G. C. M., Pierpont, M. E., Ala‐Kokko, L., & Männikkö, M. (2007) · Human Mutation · doi:10.1002/humu.20603 · Cited by 56 · cited 1× · see citing works
“Systemic features of premature osteoarthritis, cleft palate, hearing impairment and craniofacial abnormalities are very mild or absent [113].”
BackgroundZankl, A., Neumann, L., Ignatius, J., Nikkels, P., Schrander-Stumpel, C., Mortier, G., Omran, H., Wright, M., Hilbert, K., Bonafė, L., et al. (2005) · American Journal of Medical Genetics. Part A · doi:10.1002/ajmg.a.30531 · Cited by 55 · cited 1×
“The resting cartilage appeared hypercellular with large chondrocytes [102,103].”
BackgroundUnraveling metalloproteinase function in skeletal biology and disease using genetically altered mice
Aiken, A., & Khokha, R. (2009) · Biochimica et Biophysica Acta (BBA) - Molecular Cell Research · doi:10.1016/j.bbamcr.2009.07.002 · Cited by 53 · see citing works
Schmid type of metaphyseal chondrodysplasia and COL10A1 mutations—findings in 10 patients
Mäkitie, O., Susic, M., Ward, L., Barclay, C., Glorieux, F., & Cole, W. (2005) · American Journal of Medical Genetics. Part A · doi:10.1002/ajmg.a.30855 · Cited by 53 · cited 1×
“These defects give rise to unusual “waddling” walk (gait) [144].”
BackgroundAldahmesh, M., Khan, A. O., Mohamed, J. Y., & Alkuraya, F. (2011) · Genetics in Medicine · doi:10.1097/gim.0b013e31822623d5 · Cited by 52 · cited 1×
“Skull defects range from occipital encephalocele to occult cutis aplasia [151].”
BackgroundDe Barsy syndrome: a review of the phenotype
Kivuva, E., Parker, M., Cohen, M. C., Wagner, B., & Sobey, G. (2008) · Clinical Dysmorphology · doi:10.1097/mcd.0b013e3282f4a964 · Cited by 52 · cited 1×
“ARCL3A is characterized by cutis laxa (a progeria-like appearance) and ophthalmologic abnormalities [169].”
BackgroundMolecular Packing in Network-Forming Collagens
Knupp, C., & Squire, J. (2003) · TheScientificWorldJournal · doi:10.1100/tsw.2003.40 · Cited by 52 · cited 2×
“For this reason collagen type VI can also be included among the network-forming collagens [60].”
BackgroundAlport syndrome with diffuse leiomyomatosis
Anker, M., Arnemann, J., Neumann, K., Ahrens, P., Schmidt, H., & König, R. (2003) · American Journal of Medical Genetics. Part A · doi:10.1002/ajmg.a.20019 · Cited by 51 · cited 1× · see citing works
“DL-ATS reveals the Alport syndrome features associated with diffuse leiomyomatosis [119].”
BackgroundA novel locus for autosomal dominant nonsyndromic hearing loss, DFNA13, maps to chromosome 6p.
Brown, M. R., Tomek, M., Laer, L. V., Smith, S. D., Kenyon, J., Camp, G. V., & Smith, R. J. H. (1997) · American Journal of Human Genetics · doi:10.1086/514892 · Cited by 51 · cited 1× · see citing works
“The affected individuals experienced progressive hearing loss beginning in the second to fourth decades [147].”
BackgroundAutosomal recessive Stickler syndrome in two families is caused by mutations in the COL9A1 gene.
Nikopoulos, K., Schrauwen, I., Simon, M. E. H., Collin, R. W., Veckeneer, M., Keymolen, K., Camp, G. V., Cremers, F., & van den Born, L. I. (2011) · Investigative Ophthalmology and Visual Science · doi:10.1167/iovs.10-7128 · Cited by 50 · cited 1× · see citing works
“Individuals affected by STL4 have moderate-to-severe sensorineural hearing loss, moderate-to-high myopia with vitreoretinopathy, cataracts and epiphyseal dysplasia [112].”
BackgroundRecessive mutations in COL25A1 are a cause of congenital cranial dysinnervation disorder.
Shinwari, J. M. A., Khan, A. O., Awad, S., Shinwari, Z., Alaiya, A., Al-anazi, M., Tahir, A. I., Poizat, C., & Tassan, N. A. (2015) · American Journal of Human Genetics · doi:10.1016/j.ajhg.2014.11.006 · Cited by 49 · cited 1×
“The third sib had no ptosis but showed bilateral Duane retraction syndrome, exotropic in the right eye and esotropic in the left [152].”
BackgroundSaratzis, A., Sarafidis, P., Melas, N., & Khaira, H. (2014) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2014.03.282 · Cited by 48 · cited 1×
“The main symptoms of this condition are dysphasia, frontotemporal cerebral atrophy and frontotemporal dementia, speech disorder, memory impairment [155].”
BackgroundThe shed ectodomain of type XIII collagen affects cell behaviour in a matrix-dependent manner
Väisänen, M., Väisänen, T., & Pihlajaniemi, T. A. (2004) · Biochemical Journal · doi:10.1042/bj20031974 · Cited by 47 · cited 1× · see citing works
“The ectodomains of membrane collagens XIII, XVII, XXIII and XXV [33] are matricryptins involved in cell adhesion, migration or proliferation [34].”
BackgroundSpondylometepiphyseal dysplasia, Strudwick type.
Anderson, C., Sillence, D., Lachman, R., Toomey, K., Bull, M., Dorst, J., Rimoin, D., & Opitz, J. M. (1982) · American journal of medical genetics · doi:10.1002/ajmg.1320130304 · Cited by 46 · cited 1×
“Distinctive radiographic feature is irregular sclerotic changes, described as “dappled” in the metaphyses of the long bones that are caused by alternating zones of osteopenia and osteosclerosis [106].”
BackgroundCzech dysplasia metatarsal type: another type II collagen disorder
Hoornaert, K., Mařík, I. A., Kozlowski, K. S., Cole, T. R. P., Merrer, M. F. L., Leroy, J. G., Coucke, P. J., Sillence, D. O., & Mortier, G. R. (2007) · European Journal of Human Genetics · doi:10.1038/sj.ejhg.5201913 · Cited by 46 · cited 1× · see citing works
“Only five affected families from the Czech Republic have been so far reported [98].”
BackgroundA COL17A1 Splice-Altering Mutation Is Prevalent in Inherited Recurrent Corneal Erosions.
Oliver, V. F., van Bysterveldt, K. V., Cadzow, M., Steger, B., Romano, V., Markie, D., Hewitt, A., Mackey, D., Willoughby, C., Sherwin, T., et al. (2016) · Ophthalmology (Rochester, Minn.) · doi:10.1016/j.ophtha.2015.12.008 · Cited by 45 · cited 4×
“Epithelial recurrent erosion dystrophy (ERED) COL17 ERED (#122400) is caused by heterozygous mutation in COL17A1 gene (*113811) on chromosome 10q24.”
BackgroundInfluentialTarget-Derived Matricryptins Organize Cerebellar Synapse Formation Through α3β1 Integrins
Su, J., Stenbjorn, R. S., Gorse, K., Su, K., Hauser, K., Ricard-Blum, S., Pihlajaniemi, T., & Fox, M. A. (2012) · Cell Reports · doi:10.1016/j.celrep.2012.07.001 · Cited by 45 · cited 1× · see citing works
“Matrikines from collagens IV are involved in angiogenesis [35] and synapse formation [36].”
BackgroundExtracellular Matrix Degradation
Murphy, G., & Reynolds, J. J. (2003) · Definitions · doi:10.1002/0471221929.ch7 · Cited by 43 · cited 1×
“Cathepsin S was shown to target and degrade collagens [68].”
BackgroundChen, W.-M., Liu, Y.-F., Lin, M.-W., Chen, I.-C., Lin, P.-Y., Lin, G.-L., Jou, Y., Lin, Y., Fann, C., Wu, J.-Y., et al. (2004) · American Journal of Human Genetics · doi:10.1086/422702 · Cited by 41 · cited 1×
“LCPD affects more often boys who are usually shorter than their peers [99].”
BackgroundNon-Lethal Type VIII Osteogenesis Imperfecta Has Elevated Bone Matrix Mineralization
Fratzl‐Zelman, N., Barnes, A. M., Weis, M., Carter, E. M., Hefferan, T. E., Perino, G., Chang, W., Smith, P. A., Roschger, P., Klaus Klaushofer, A., et al. (2016) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2016-1334 · Cited by 41 · cited 1× · see citing works
“The type VIII form of OI (mutations in P3H1) includes severe growth defects, skeletal demineralization, scoliosis, round face and proptosis [85].”
BackgroundZenteno, J. C., Crespí, J., Buentello‐Volante, B., Buil, J. A., Bassaganyas, F., Vela, J. I., Díaz‐Cascajosa, J., & Marieges, M. T. (2014) · Graefe s Archive for Clinical and Experimental Ophthalmology · doi:10.1007/s00417-014-2800-6 · Cited by 40 · cited 1× · see citing works
“Involvement of non-ocular vascular beds has not been demonstrated in most cases but occasionally other associated vascular abnormalities have been recorded, including malformations in the Kieselbach nasal septum, spinal cord vascular mass, telangiectasis of bulbar conjunctiva and internal carotid artery aneurysm [123].”
BackgroundMitochondrial oxidative phosphorylation in autosomal dominant optic atrophy
Mayorov, V., Lowrey, A. J., Biousse, V., Newman, N. J., Cline, S. D., & Brown, M. D. (2008) · BMC Biochemistry · doi:10.1186/1471-2091-9-22 · Cited by 39 · cited 1× · see citing works
“They affect the ability of heparin sulphate to bind several growth factors such as VEGF, PDGF and FGF, thus altering the downstream signalling events [50].”
BackgroundA constitutional disorder of connective tissue suggesting a defect in collagen biosynthesis
Meigel, W., M�ller, P. K., Pontz, B. F., S�rensen, N., & Spranger, J. W. (1974) · Journal of Molecular Medicine · doi:10.1007/bf01468935 · Cited by 37 · cited 1× · see citing works
“Alpha-2-Deficient Collagen Disease COL1 In 1974 Meigel and co-authors [91] described a 10-year-old son of consanguineous parents, with an apparently ‘new’ connective tissue disorder.”
BackgroundExpanding the clinical and mutational spectrum of B4GALT7-spondylodysplastic Ehlers-Danlos syndrome
Ritelli, M., Dordoni, C., Cinquina, V., Venturini, M., Calzavara‐Pinton, P., & Colombi, M. (2017) · Orphanet Journal of Rare Diseases · doi:10.1186/s13023-017-0704-3 · Cited by 36 · see citing works
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“Non-collagenous (NC) regions may also have structural function as shown by the transmembrane collagens [58].”
BackgroundLin, D., Yeung, C.-Y., Liu, H.-L., Ho, C.-S., Shu, C.-H., Chuang, C.-K., Huang, Y.-W., Wu, T.-Y., Huang, Z.-G., Jian, Y.-R., et al. (2011) · American Journal of Medical Genetics. Part A · doi:10.1002/ajmg.a.33963 · Cited by 33 · cited 1×
“ARCL3B is a rare autosomal recessive disorder characterized by a progeria-like appearance with distinctive facial features, sparse hair, ophthalmologic abnormalities and intrauterine growth retardation [168].”
BackgroundArseni, L., Lanzafame, M., Compe, E., Fortugno, P., Afonso-Barroso, A., Peverali, F. A., Lehmann, A. R., Zambruno, G., Egly, J., Stefanini, M., et al. (2015) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1416181112 · Cited by 30 · cited 1× · see citing works
“This event leads to hyper-secretion of active MMP1 enzyme and degradation of collagen type I in the dermis of TTD patient skin [157].”
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“The extracellular collagen fragments are then recruited through phagocytosis from the neighbouring cells, mainly fibroblasts and macrophages, which send them to degradation via the lysosomal pathway [70].”
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“A reduced expression of COL6A1 (*120220), an abundant collagen of skin and connective tissue, has been shown in the skin of TTD patients with mutations in the ERCC2/XPD gene [156].”
BackgroundSelf-citationMoravej, H., Karamifar, H., Karamizadeh, Z., Amirhakimi, G., Atashi, S., & Nasirabadi, S. (2015) · Endokrynologia Polska · doi:10.5603/ep.2015.0024 · Cited by 24 · see citing works
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Czech Dysplasia Metatarsal Type
Marik, I., Marikova, O., Zemková, D., Kuklik, M., & Kozlowski, K. (2004) · American Journal of Medical Genetics. Part A · doi:10.1002/ajmg.a.30132 · Cited by 23 · cited 1×
“Czech dysplasia is a skeletal dysplasia characterized by early and progressive onset, shortening of the third and fourth toes caused by metatarsal hypoplasia [97].”
BackgroundBlack, G., Biswas, S., Munier, F., Stone, E., Bonshek, R., & McLeod, D. (2002) · doi:10.1042/cs103069pb · Cited by 23 · cited 1×
“The authors suggested that the underlying pathogenesis of FECD and PPCD2 may be related to disturbance of the role of COL8 in influencing the terminal differentiation of the neural crest-derived corneal endothelial cell [140].”
BackgroundTompson, S. W., Faqeih, E., Ala-kokko, L., Hecht, J. T., Miki, R., Funari, T. L., Funari, V., Nevarez, L., Krakow, D., & Cohn, D. H. (2012) · American Journal of Medical Genetics. Part A · doi:10.1002/ajmg.a.34406 · Cited by 22 · cited 1×
“Affected individuals who survive the neonatal period have high myopia, mild to moderate hearing loss and severe skeletal dysplasia [146].”
BackgroundRecurrence of achondrogenesis type 2 in sibs: Additional evidence for germline mosaicism
Comstock, J., Putnam, A., Sangle, N., Lowichik, A., Rose, N., & Opitz, J. M. (2010) · American Journal of Medical Genetics. Part A · doi:10.1002/ajmg.a.33463 · Cited by 21 · cited 1×
“The inheritance is autosomal dominant but somatic and germline mosaicism have also been reported [96].”
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“The dislocated hips are resistant to surgical intervention [153].”
BackgroundAvgitidou, G., Siebelmann, S., Bachmann, B. O., Kohlhase, J., Heindl, L. M., & Cursiefen, C. (2015) · Case Reports in Ophthalmological Medicine · doi:10.1155/2015/637084 · Cited by 20 · cited 1× · see citing works
“Systemic abnormalities included increased skin laxity, pectus excavatum, scoliosis, congenital hip dislocation, recurrent shoulder dislocation, high-frequency hearing loss, high-arched palate and mitral valve prolapse [166].”
BackgroundPregnancy in women with Alport syndrome
Crovetto, F., Moroni, G., Zaina, B., Acaia, B., Ossola, M., & Fedele, L. (2013) · International Urology and Nephrology · doi:10.1007/s11255-012-0154-8 · Cited by 20
Dominant inheritance of multiple epiphyseal dysplasia, myopia and deafness
Beighton, P., Goldberg, L., & Hof, J. (1978) · Clinical Genetics · doi:10.1111/j.1399-0004.1978.tb02125.x · Cited by 20 · cited 2×
“Several cases have been reported, included family members over various generations [95,100,101].”
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“Though generally lethal in the perinatal period, a few long-term survivors with PLSD-T have been reported [104].”
BackgroundModulating Collagen Triple-Helix Stability with 4-Chloro, 4-Fluoro, and 4-Methylprolines
Shoulders, M., & Raines, R. T. (2009) · Advances in Experimental Medicine and Biology · doi:10.1007/978-0-387-73657-0_115 · Cited by 16 · cited 2×
“Finally, fibrils assemble into fibres of larger diameter [52].”
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A case of Marshall's syndrome and review of the literature
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“Other clinical characteristics are generalized platyspondyly, hypoplastic pelvis, epiphyseal flattening with metaphyseal splaying of the long bones and enlarged phalangeal epimetaphyses of the hands [93,94].”
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“Some patients also present shortening of long bones, degenerative changes in the proximal femora, limited elbow extension, midface hypoplasia, myopia, deafness and mental retardation [105].”
BackgroundNamaqualand hip dysplasia. Orthopedic implications.
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“Other clinical characteristics are generalized platyspondyly, hypoplastic pelvis, epiphyseal flattening with metaphyseal splaying of the long bones and enlarged phalangeal epimetaphyses of the hands [93,94].”
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Cited by
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Regulation of Collagen I and Collagen III in Tissue Injury and Regeneration
Singh, D., Rai, V., & Agrawal, D. K. (2023) · Cardiology and Cardiovascular Medicine · doi:10.26502/fccm.92920302 · Cited by 469 · see citing works
“Alterations in the morphology and function of heart ventricles can occur from disruptions in collagen metabolism, which in turn cause anomalies in the remodeling of the collagen network [76].”
BackgroundThe extracellular matrix in development
Walma, D. A. C., & Yamada, K. M. (2020) · Development · doi:10.1242/dev.175596 · Cited by 398 · see citing works
“Human genetic disorders can result from perturbed ECM structure, dynamics, components and/or interactions (Arseni et al., 2018; Bateman et al., 2009; Lamande and Bateman, 2019; Pozzi et al., 2017).”
BackgroundCollagen: quantification, biomechanics and role of minor subtypes in cartilage
Bielajew, B. J., Hu, J. C. Y., & Athanasiou, K. A. (2020) · Nature Reviews Materials · doi:10.1038/s41578-020-0213-1 · Cited by 318 · see citing works
Diet and Skin Aging—From the Perspective of Food Nutrition
Cao, C., Xiao, Z., Wu, Y., & Ge, C. (2020) · Nutrients · doi:10.3390/nu12030870 · Cited by 231 · see citing works
“epidermis, which is the connective tissue composed of fibroblasts, responsible for the synthesis and secretion of collagen and other matrix proteins (such as fibronectin, elastin, and glycans) to the extracellular environment, giving the skin elasticity, strength, and ability to resist external interference [6,7].”
BackgroundFrom mechanical resilience to active material properties in biopolymer networks
Burla, F., Mulla, Y., Vos, B. E., Aufderhorst-Roberts, A., & Koenderink, G. H. (2019) · Nature Reviews Physics · doi:10.1038/s42254-019-0036-4 · Cited by 224 · see citing works
The Role of Extracellular Matrix in Skin Wound Healing
Potekaev, N., Borzykh, O., Medvedev, G. V., Pushkin, D., Petrova, M., Petrov, A. V., Dmitrenko, D., Karpova, E. I., Demina, O., & Shnayder, N. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10245947 · Cited by 189 · see citing works
“The large, branched hyaluronic acid molecule traps TGF-β1 molecules near the fibroblast.”
BackgroundInfluentialBolke, L., Schlippe, G., Gerß, J., & Voss, W. (2019) · Nutrients · doi:10.3390/nu11102494 · Cited by 200 · see citing works
Alcaide-Ruggiero, L., Molina-Hernández, V., Granados, M., & Domínguez, J. M. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms222413329 · Cited by 152 · see citing works
“In the Golgi, three of these α chains are assembled one around the other, along a central axis, to generate a procollagen molecule in the form of right-handed triple-helix (Figure 2-3) [32,33].”
BackgroundInfluentialEpigenetic Regulation of Skin Cells in Natural Aging and Premature Aging Diseases
Orioli, D., & Dellambra, E. (2018) · Cells · doi:10.3390/cells7120268 · Cited by 144 · see citing works
“Matrix components maintain the skin architecture and confer elasticity as well as resistance and strength to tissue [1,6].”
BackgroundSelf-citationCollagen Biosynthesis, Processing, and Maturation in Lung Ageing
Onursal, C., Dick, E., Angelidis, I., Schiller, H. B., & Staab-Weijnitz, C. A. (2021) · Frontiers in Medicine · doi:10.3389/fmed.2021.593874 · Cited by 122 · see citing works
Research Advances on the Damage Mechanism of Skin Glycation and Related Inhibitors
Zheng, W., Li, H., Go, Y., Chan, X. H. F., Huang, Q., & Wu, J. (2022) · Nutrients · doi:10.3390/nu14214588 · Cited by 97 · see citing works
“The extracellular matrix (ECM) is a complex, non-cellular network produced primarily by fibroblasts, including proteoglycans, hyaluronic acid, adhesion glycoproteins (fibronectin and laminin), and fibrin (collagen and elastin), as well as growth factors and cytokines [84].”
BackgroundChiarelli, N., Ritelli, M., Zoppi, N., & Colombi, M. (2019) · Genes · doi:10.3390/genes10080609 · Cited by 82 · see citing works
“Collagens are also involved in cell adhesion, chemotaxis, and migration [1,2].”
BackgroundAvian Coloration Genetics: Recent Advances and Emerging Questions
Price-Waldman, R., & Stoddard, M. C. (2021) · Journal of Heredity · doi:10.1093/jhered/esab015 · Cited by 118 · see citing works
“However, the molecular and genetic basis of collagen has been extensively studied in other systems (Kadler et al. 2008; Arseni et al. 2018; Holmes et al. 2018; Haq et al. 2019); insights into the regulation of collagen fiber diameter and spacing suggest promising avenues for research into the genetics of structurally…”
BackgroundSaberi, A., Kouhjani, M., Mohammadi, M., & Hosta‐Rigau, L. (2023) · Journal of Nanobiotechnology · doi:10.1186/s12951-023-02115-7 · Cited by 82 · see citing works
“Collagen, for instance, has been identified in at least 28 different types [171].”
BackgroundA natural strategy for astaxanthin stabilization and color regulation: Interaction with proteins.
Yao, Q., Ma, J., Chen, X., Zhao, G., & Zang, J. (2022) · Food Chemistry · doi:10.1016/j.foodchem.2022.134343 · Cited by 71 · see citing works
Polydeoxyribonucleotide: A promising skin anti-aging agent
Khan, A., Wang, G., Zhou, F., Gong, L., Zhang, J., Qi, L., & Cui, H. (2022) · Chinese Journal of Plastic and Reconstructive Surgery · doi:10.1016/j.cjprs.2022.09.015 · Cited by 60 · see citing works
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Biodegradable Materials for Tissue Engineering: Development, Classification and Current Applications
Modrák, M., Trebuňová, M., Balogová, A. F., Hudák, R., & Živčák, J. (2023) · Journal of Functional Biomaterials · doi:10.3390/jfb14030159 · Cited by 71 · see citing works
“At least 28 different types of collagens are currently recognized [60].”
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Senolytic therapeutics: An emerging treatment modality for osteoarthritis
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Glycosylation Modulates the Structure and Functions of Collagen: A Review
Tvaroška, I. (2024) · Molecules · doi:10.3390/molecules29071417 · Cited by 55 · see citing works
“See, for example, references [14,15,31,194,212–216].”
BackgroundCardiac ECM: Its Epigenetic Regulation and Role in Heart Development and Repair
Song, R., & Zhang, L. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21228610 · Cited by 47 · see citing works
Kim, J. H., Jeong, H. D., Song, M. J., Lee, D. H., Chung, J. H., & Lee, S. (2022) · Antioxidants · doi:10.3390/antiox11050928 · Cited by 36 · see citing works
“The dermal ECM comprises fibrillar collagen, including the most abundant type I collagen, elastin, and proteoglycan [7,8].”
BackgroundAltoé, L. S., Alves, R. S., Miranda, L. L., Sarandy, M. M., Bastos, D. S., Gonçalves-Santos, E., Novaes, R., & Gonçalves, R. V. (2021) · Oxidative Medicine and Cellular Longevity · doi:10.1155/2021/4681041 · Cited by 33
Carvalho, D. N., Gonçalves, C., Sousa, R. O., Reis, R. L., Oliveira, J. M., & Silva, T. H. (2024) · Marine Biotechnology · doi:10.1007/s10126-024-10361-5 · Cited by 42 · see citing works
Tyavambiza, C., Dube, P., Goboza, M., Meyer, S., Madiehe, A. M., & Meyer, M. (2021) · Plants · doi:10.3390/plants10122635 · Cited by 44 · see citing works
“The level of vascularity decreases as the scar matures [30,31].”
BackgroundRomero‐Ortuño, R., Kenny, R. A., & McManus, R. (2019) · Experimental Gerontology · doi:10.1016/j.exger.2019.110781 · Cited by 29 · see citing works
Advances of three-dimensional (3D) culture systems for in vitro spermatogenesis
Salem, M., Khadivi, F., Javanbakht, P., Mojaverrostami, S., Abbasi, M., Feizollahi, N., Abbasi, Y., Heidarian, E., & Yazdi, F. R. (2023) · Stem Cell Research & Therapy · doi:10.1186/s13287-023-03466-6 · Cited by 39 · see citing works
“It plays a critical role in maintenance of organ structure, tissue integrity and normal functioning [110, 111].”
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Nikolenko, V. N., Oganesyan, M. V., Vovkogon, A. D., Cao, Y., Churganova, A. A., Золотарева, М. А., Ачкасов, Е. Е., Sankova, M. V., Rizaeva, N. A., & Sinelnikov, M. Y. (2020) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-020-03698-0 · Cited by 26 · see citing works
Modulation of Stiffness-Dependent Macrophage Inflammatory Responses by Collagen Deposition
Meli, V. S., Rowley, A. T., Veerasubramanian, P. K., Heedy, S., Liu, W. F., & Wang, S. (2024) · ACS Biomaterials Science & Engineering · doi:10.1021/acsbiomaterials.3c01892 · Cited by 23 · see citing works
Genetic and Epigenetic Aspects of Skin Collagen Fiber Turnover and Functioning
Потекаев, Н. Н., Borzykh, O. B., Medvedev, G. V., Петрова, М. М., Gavrilyuk, O. A., Karpova, E. I., Trefilova, V. V., Demina, O. M., Popova, T. E., & Shnayder, N. A. (2021) · Cosmetics · doi:10.3390/cosmetics8040092 · Cited by 26 · see citing works
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“As the strict regulation of ECM synthesis and remodeling is directly associated with healthy tissue conditions, alterations in ECM remodeling can affect the course and progression of several other pathological conditions, including fibrosis, disorders, and cancers [2].”
BackgroundExtracellular Matrix in Development and Disease
Oxford, J., Reeck, J., & Hardy, M. J. (2019) · International Journal of Molecular Sciences · doi:10.3390/ijms20010205 · Cited by 24 · see citing works
“The link between ECM molecules and phenotypic characteristics of specific hereditary diseases is reviewed by Arseni and colleagues [3], with an emphasis on the most prevalent of all ECM proteins, collagens, and mutations that result in bone fragility, muscle weakness, and skin defects.”
BackgroundLi, C.-N., Yang, M., Qu, Z., Ruan, S., Chen, B., Ran, J., Shu, W., Chen, Y.-L., & Hou, W.-G. (2022) · International Urogynecology Journal · doi:10.1007/s00192-022-05106-8 · Cited by 22
“Fiber-forming collagen is stabilized by nonreducible covalent cross-links between specific triplehelix domains and telopeptides, such as interstitial collagen (collagen I, collagen II, and collagen III), collagen V, and collagen XI [22].”
BackgroundGlycosaminoglycan Modification of Decorin Depends on MMP14 Activity and Regulates Collagen Assembly
Daquinag, A. C., Gao, Z., Fussell, C., Sun, K., & Kolonin, M. G. (2020) · Cells · doi:10.3390/cells9122646 · Cited by 28 · see citing works
Preedalikit, W., Chittasupho, C., Leelapornpisid, P., Potprommanee, S., & Kiattisin, K. (2023) · Foods · doi:10.3390/foods12234292 · Cited by 21 · see citing works
“The inhibitory effects of this specific enzyme can help to delay the process of collagen breakdown and the subsequent development of wrinkles [67].”
BackgroundPotential of Atlantic Codfish (Gadus morhua) Skin Collagen for Skincare Biomaterials
Rodrigues, C. V., Sousa, R. O., Carvalho, A. C., Alves, A. L. D. S., Marques, C. F., Cerqueira, M. T., Reis, R. L., & Silva, T. H. (2023) · Molecules · doi:10.3390/molecules28083394 · Cited by 23 · see citing works
“To date, 28 types of collagen were identified and characterized, presenting a triple helix structure [6,7].”
BackgroundSianipar, R. N. R., Suryanegara, L., Fatriasari, W., Tangkearung, E., Kusuma, I. W., Achmadi, S. S., Azelee, N. I. W., & Hamid, Z. A. A. (2023) · Saudi Pharmaceutical Journal · doi:10.1016/j.jsps.2023.01.006 · Cited by 21 · see citing works
“…(MACITs) or transmembrane networks; collagen types XV and XVIII form multiple triple-helix domains and interruptions (MULTIPLEXINs); and the two unclassi-fied collagen types, the type XXVI and XXVIII (Andriotis et al., 2023; Arseni et al., 2018; Mak and Mei, 2017; Sun et al., 2019; Uitto, 2019).”
Urbizu, A., Garrett, M., Soldano, K., Drechsel, O., Loth, D., Marcé-Grau, A., Soler, O., Poca, M., Ossowski, S., Macaya, A., et al. (2021) · PLoS ONE · doi:10.1371/journal.pone.0251289 · Cited by 21 · see citing works
“Since each collagen is generally expressed in several different tissues, and is tightly associated with other ECM components, alterations in the collagen genes can result in widely overlapping clinical features [38].”
BackgroundThe roles of collagen in chronic kidney disease and vascular calcification
Huang, A., Guo, G., Yu, Y., & Yao, L. (2020) · Journal of Molecular Medicine · doi:10.1007/s00109-020-02014-6 · Cited by 28 · see citing works
“participates in endothelial cell migration and tumor growth [13].”
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“The most abundant components of the ECM are collagens, the fibrous proteins that are involved in the formation and maintenance of structural components and provide mechanical strength and elasticity to connective tissues (such as cartilage, bone, epidermis, cornea and blood vessels) [10,11].”
BackgroundApical cell expansion maintained by Dusky-like establishes a scaffold for corneal lens morphogenesis
Ghosh, N., & Treisman, J. (2024) · Science Advances · doi:10.1126/sciadv.ado4167 · Cited by 18
Bioactive extracellular matrix fragments in tendon repair
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“Proteinases, such as MMPs, cathepsins, and plasmins, are the main mediators of collagen fragmentation (Arseni et al. 2018).”
BackgroundWang, C., Wang, Y., Fu, Z., Huang, W.-J., Yu, Z., Wang, J.-C., Zheng, K., Zhang, S.-W., Li, S., & Chen, J.-Q. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.837581 · Cited by 18
“Collagens, the main protein component of ECM, exhibit a variety of effects, demonstrating proliferative, migratory, and differentiative cellular activities in vivo (19).”
Araújo, R., Martín, V., Ferreira, R. M., Fernandes, M. H., & Gomes, P. S. (2022) · Bone · doi:10.1016/j.bone.2022.116355 · Cited by 19 · see citing works
Stromal Protein-Mediated Immune Regulation in Digestive Cancers
Gamradt, P., de la Fouchardière, C., & Hennino, A. (2021) · Cancers · doi:10.3390/cancers13010146 · Cited by 25 · see citing works
“Collagen is the most abundant ECM protein that self-assembles into fibrils, provides tissue support for cell growth, and contributes to mechanical resilience of connective tissue [49].”
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Song, F., Wang, L., Mu, J., & Ma, H. (2022) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2022/4156330 · Cited by 17 · see citing works
“e ECM provides significant conditions for the survival and activity of cells, which can affect the shape, function, metabolism, migration, proliferation, and differentiation of cells through signal transduction systems [4].”
BackgroundRetractedPromoting collagen synthesis: a viable strategy to combat skin ageing
Wang, S., Li, F., Feng, X., Feng, M., Niu, X., Jiang, X., Chen, W., & Bai, R. (2025) · Journal of Enzyme Inhibition and Medicinal Chemistry · doi:10.1080/14756366.2025.2488821 · Cited by 18 · see citing works
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“Normally, young skin contains more than 75% of collagen [178,179].”
Shi, H., Yuan, M., Cai, J., Lan, L., Wang, Y., Wang, W., Zhou, J., Wang, B., Yu, W., Dong, Z., et al. (2024) · Journal of Translational Medicine · doi:10.1186/s12967-024-05098-7 · Cited by 18 · see citing works
“It plays a critical role in various cellular processes such as cell proliferation, differentiation, and migration [55, 56].”
BackgroundHypusinated eIF5A is required for the translation of collagen
Barba-Aliaga, M., Mena, A., Espinoza, V., Apostolova, N., Costell, M., & Alepúz, P. (2021) · bioRxiv · doi:10.1101/2021.02.23.432471 · Cited by 16
Quantitative nanohistology of aging dermal collagen
Huang, S., Strange, A. P., Maeva, A. R., Siddiqui, S., Bastien, P., Aguayo, S. D., Vaez, M., Pollock, H. M., Ghibaudo, M., Potter, A., et al. (2023) · Frontiers in Aging · doi:10.3389/fragi.2023.1178566 · Cited by 14 · see citing works
“By implementing Convolutional Neural Network (CNN) approaches37 to identify pathologyrelated morphological collagen fingerprints, it will be possible to create CNN models to predict either early signs or the severity of collagen-based conditions (Arseni et al., 2018).”
BackgroundMethodLi, J., Tian, Z.-H., Yang, H., Duan, L., & Liu, Y. (2022) · Journal of Applied Polymer Science · doi:10.1002/app.53366 · Cited by 14
Abe, Y., Seino, S., Kurihara, H., Kage, M., & Tokudome, Y. (2022) · Journal of Cosmetic Dermatology · doi:10.1111/jocd.15097 · Cited by 14
Collagen synthesis in the skin, its functional and structural features
Borzykh, O. B., Schneider, N. A., Карпова, Е. И., Petrova, M. M., Demina, O. M., & Nasyrova, R. F. (2021) · Medical news of the North Caucasus · doi:10.14300/mnnc.2021.16108 · Cited by 18 · see citing works
“может зависеть от разных факторов, как внешних, так и внутренних [3, 4].”
Bharti, A., Ajinkya, K., Markus, M. A., Ramos‐Gomes, F., Bohnenberger, H., Ströbel, P., Alves, F., & Klein, O. (2024) · npj Imaging · doi:10.1038/s44303-024-00041-3 · Cited by 13 · see citing works
“…multimodalapproachintroducedinourstudycouldbeusedtoidentifynoveltargetsnotonlyincancerbutalsoinvariouscollagen-associateddiseases, suchasorgan fi brosisofdifferentorigins,skeletalandcartilageabnormalities, skin alterations, hearing loss and visual defects, as well as muscle weakness 59 .”
Atopic Eczema: Genetic Analysis of COL6A5, COL8A1, and COL10A1 in Mediterranean Populations
Strafella, C., Caputo, V., Minozzi, G., Milano, F., Arcangeli, M., Sobhy, N., Abdelmaksood, R., Hashad, D. I., Vakirlis, E., Novelli, G., et al. (2019) · BioMed Research International · doi:10.1155/2019/3457898 · Cited by 13 · see citing works
Kitami, M., Kaku, M., Thant, L., & Maeda, T. (2024) · GeroScience · doi:10.1007/s11357-024-01143-x · Cited by 12 · see citing works
“Failure of primary cilia affects various cellular processes, including chondrocyte differentiation [23] and ECM production [20, 24, 25].”
Samadi, A., Movaffaghi, M., Kazemi, F., Yazdanparast, T., Nasrollahi, S. A., & Firooz, A. (2023) · Journal of Cosmetic Dermatology · doi:10.1111/jocd.15700 · Cited by 13 · see citing works
Lephart, E. D. (2019) · Journal of Functional Foods · doi:10.1016/j.jff.2019.03.025 · Cited by 13 · see citing works
Recent Advances in Collagen and Collagen-Based Packaging Materials: A Review
Ezati, P., Khan, A., Bhattacharya, T., Zaitoon, A., Zhang, W.-L., Roy, S., Rhim, J., & Lim, L.-T. (2025) · ACS Food Science & Technology · doi:10.1021/acsfoodscitech.4c00938 · Cited by 11
Multi-organ Transcriptome Atlas of a Mouse Model of Relative Energy Deficiency in Sport (REDs)
van Rosmalen, L., Zhu, J.-Y., Maier, G., Gacasan, E., Lin, T., Zhemchuzhnikova, E., Rothenberg, V., Razu, S. S., Deota, S., Ramasamy, R. K., et al. (2024) · Cell Metabolism · doi:10.1016/j.cmet.2024.08.001 · Cited by 11 · see citing works
Healthy Aging Metabolomic and Proteomic Signatures Across Multiple Physiological Compartments
Moaddel, R., Candia, J., Ubaida‐Mohien, C., Tanaka, T., Moore, A. Z., Zhu, M., Fantoni, G., Church, S. J., D'Agostino, J., Fan, J., et al. (2025) · Aging Cell · doi:10.1111/acel.70014 · Cited by 14 · see citing works
The Role of Collagens in Atopic Dermatitis
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“This process plays a critical role in development, wound healing, and maintaining proper organ homeostasis [24].”
BackgroundRai, M. F., Cai, L., Tycksen, E. D., Keener, J., & Chamberlain, A. M. (2022) · Journal of Orthopaedic Research · doi:10.1002/jor.25296 · Cited by 10
“Further immunostaining studies would be needed to demonstrate the association of collagen organization and the functional implication of these collagens in the tendon tissues as changes in collagens have been associated with specific connective tissue diseases.(35) This study also demonstrates the loss in the expressi…”
BackgroundPaediatric Metabolic Bone Disease: A Lifetime Ahead
Gómez‐Alonso, C. (2020) · Advances in Therapy · doi:10.1007/s12325-019-01174-3 · Cited by 10 · see citing works
Constructing networks for comparison of collagen types
Wesp, V., Scholz, L., Ziermann-Canabarro, J. M., Schuster, S., & Stark, H. (2024) · Journal of Integrative Bioinformatics · doi:10.1515/jib-2024-0020 · Cited by 9 · see citing works
“Theunderstandingofthesequenceandstructureofcollagensiscrucialbecauseofhereditarydiseasesbased on mutations in collagen genes [40], such as osteogenesis imperfecta, Ehlers-Danlos syndrome, and Stickler syndrome.”
Trono, P., Masi, I., Ottavi, F., & Rosanò, L. (2026) · Journal of Biomedical Science · doi:10.1186/s12929-025-01211-0 · Cited by 13 · see citing works
“…reorganization is central to shaping tissue mechanics in diverse cellular processes driving development, tissue repair, and pathological states [36, 37], DDR2, as major transducer of collagen cues, senses collagen dynamicity and activates intracellular pathways, with a profound impact on cell…”
Santorella, E. M., Balsbaugh, J. L., Ge, S., Saboori, P., Baker, D., & Pachter, J. S. (2023) · Fluids and Barriers of the CNS · doi:10.1186/s12987-023-00473-w · Cited by 8 · see citing works
“Type VI collagen, found in both brain and spinal meninges, consists of monomers that aggregate linearly to form beaded filaments or laterally through their globular domains [9], and might further lend to creating a 3D network in these tissues capable of filtering cellular and soluble elements [56].”
BackgroundLuo, X., Liu, Y., Zheng, C., Huo, Q., & Liu, X.-H. (2021) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2021.10.091 · Cited by 9
Félix, E. D. S., & Silva, J. (2025) · Animal Reproduction Science · doi:10.1016/j.anireprosci.2025.108029 · Cited by 8
Cell and tissue reprogramming: Unlocking a new era in medical drug discovery
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“The ECM integrates an array of local and systemic factors, which regulate cellular processes such as growth, differentiation, migration, and survival, through their role in distinct signaling pathways [5,6].”
Neto, N. S. R., Pereira, I. A., Sztajnbok, F., & Azevedo, V. F. (2024) · Revista Brasileira de Reumatologia · doi:10.1186/s42358-024-00373-z · Cited by 11 · see citing works
The CMS19 disease model specifies a pivotal role for collagen XIII in bone homeostasis
Kemppainen, A., Finnilä, M., Heikkinen, A., Härönen, H., Izzi, V., Kauppinen, S., Saarakkala, S. S., Pihlajaniemi, T. A., & Koivunen, J. T. (2022) · Scientific Reports · doi:10.1038/s41598-022-09653-4 · Cited by 9 · see citing works
Contrasting Local and Macroscopic Effects of Collagen Hydroxylation
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MiR‐1297 attenuates high glucose‐induced injury in HK‐2 cells via targeting COL1A2
Wang, S., Sun, K., Hu, H.-L., Jin, X., Wang, Z., Zhang, H., & Zhao, X. (2021) · Nephrology · doi:10.1111/nep.13881 · Cited by 8
“As the highest content of proteins in mammalian, collagens are the substantial composition of extracellular matrix (ECM), providing scaffolds for tissue formation, remodelling and maintenance.(5) There are at least 28 members of collagen in vertebrates.”
BackgroundInfluentialZague, V., Pinheiro, A. L. T. A., Pinto, J. R., Facchini, G., & Eberlin, S. (2025) · Journal of Medicinal Food · doi:10.1089/jmf.2024.0252 · Cited by 4 · see citing works
A Comprehensive Review on the Role of Collagen in Health and Disease
Pillai, N. S., Khan, S. A., Mehrotra, N., & Jadhav, K. (2024) · Biosciences Biotechnology Research Asia · doi:10.13005/bbra/3307 · Cited by 6 · see citing works
miR–122–5p Promotes Cowshed Particulate Matter2.5-Induced Apoptosis in NR8383 by Targeting COL4A1
Sun, Y., Sun, K., Ma, Z., Zhang, X.-Q., Du, X., Jia, Y.-N., Zhu, Y.-B., Inam, M., Gao, Y.-H., & Basang, W. (2024) · Toxics · doi:10.3390/toxics12060386 · Cited by 7
“The overabundance or degradation of the ECM will impact the cell structure; hence, we can infer that the condition of the cells may be affected in this manner [42].”
BackgroundSankova, M. V., Nikolenko, V. N., Oganesyan, M. V., Sankov, S. V., Sinelnikov, M. Y., Suslov, A. V., Trishina, A. S., Zharikova, T. S., Pontes‐Silva, A., & Zharikov, Y. O. (2024) · Sport Sciences for Health · doi:10.1007/s11332-024-01179-8 · Cited by 6 · see citing works
“Connective tissue pathology is based on either a violation of the formation of the main extracellular matrix com-ponents—proteoglycans, collagen, and elastin—or their increased degradation [23, 24].”
Exome sequencing‐aided precise diagnosis of four families with type I Stickler syndrome
Tian, R., Tong, P., He, Y., Zang, L., Zhou, S., & Tian, Q. (2023) · Molecular Genetics & Genomic Medicine · doi:10.1002/mgg3.2331 · Cited by 7 · see citing works
“Sufficient native COL2A1 collagen is necessary for the stability of the ECM and function of cell (Arseni et al., 2018).”
BackgroundSunarwidhi, A. L., Rosyantari, A., Prasedya, E. S., Ardiana, N., Ilhami, B. T. K., Abidin, A. S., Ambana, Y., Kirana, I. P. B. P., Wirasisya, D. G., Anugrah, W., et al. (2021) · IOP Conference Series Earth and Environmental Science · doi:10.1088/1755-1315/913/1/012103 · Cited by 6 · see citing works
“Introduction Collagen represents the most abundant part of the skin’s extracellular matrix, which determines the skin physiology by maintainence of the skin structure [1, 2].”
BackgroundBorzykh, O. B., Петрова, М. М., Karpova, E. I., & Shnayder, N. A. (2022) · Vestnik dermatologii i venerologii · doi:10.25208/vdv1232 · Cited by 10 · see citing works
Zhang, L.-Z., Liu, Y., Wang, X.-T., Li, C., Shen, M., Di, L., He, S., & Li, Y. (2020) · doi:10.1016/j.jtcms.2020.01.001 · Cited by 7
Vaiasicca, S., James, D. W., Melone, G., Saeed, O., Francis, L. W., & Corradetti, B. (2025) · Stem Cell Research & Therapy · doi:10.1186/s13287-025-04262-0 · Cited by 5 · see citing works
“They are heavily involved in the formation and remodeling of tissues’ extracellular matrix and are therefore crucial to achieve the complex task of wound healing [61].”
Multi-index-dependent decellularization processes for scalable tissue-specific bioink production
Kim, H. J., Park, I., Choi, Y., Choi, H., Jeong, S. H., Yoon, J., Kim, D., Lee, B. R., & Jang, J. (2025) · Chemical Engineering Journal · doi:10.1016/j.cej.2025.161827 · Cited by 6 · see citing works
Collagen XIII Is the Key Molecule of Neurovascular Junctions in the Neuroendocrine System
Nakakura, T., Horiguchi, K., & Suzuki, T. (2024) · Neuroendocrinology · doi:10.1159/000538976 · Cited by 5 · see citing works
“The collagen family is involved in various genetic and acquired disorders in humans [13].”
Szalus, K., Zysk, W., Glén, J., Zabłotna, M., Nowicki, R., & Trzeciak, M. (2023) · Journal of Personalized Medicine · doi:10.3390/jpm13040661 · Cited by 6
“encoding collagens can generate structurally and functionally abnormal connective tissues, which are more susceptible to mechanical stress, loss of epidermal integrity, and aging [6].”
BackgroundStatzer, C., Luthria, K. D., Sharma, A., Kann, M. G., & Ewald, C. Y. (2023) · Biomedicines · doi:10.3390/biomedicines11041212 · Cited by 10 · see citing works
“Previously, more than 1000 mutations in collagens were implicated in about 20 common diseases [15,16].”
BackgroundDiGiovanna, J. J., Randall, G., Edelman, A., Allawh, R. M., Xiong, M. Y., Tamura, D., Khan, S. G., Rizza, E. R. H., Reynolds, J. C., Paul, S. M., et al. (2022) · American Journal of Medical Genetics Part A · doi:10.1002/ajmg.a.62962 · Cited by 9 · see citing works
“Patients with LCP and MED usually respond well to surgical interventions directed at alignment of the femur and acetabulum.”
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“Extensive collagen fragmentation, clumping of the fragmented collagen, and a reduced quantity and quality of the collagen fiber network were observed in aged and photodamaged skin [2–4, 6, 8].”
BackgroundBoone, K., Cloyd, A. K., Derakovic, E., Spencer, P., & Tamerler, C. (2023) · Applied Sciences · doi:10.3390/app13053342 · Cited by 5
“Collagen is a protein supramolecular assembly of tropo-collagen fibrils whose dynamic inter-chain interactions respond to changes in pH, temperature, and solute concentrations [5,19,20].”
Bone Molecular Modifications Induced by Diagenesis Followed-Up for 12 Months
Falgayrac, G., Vitale, R., Delannoy, Y., Béhal, H., Penel, G., Olejnik, C., Duponchel, L., & Colard, T. (2022) · Biology · doi:10.3390/biology11101542 · Cited by 5 · see citing works
“Thus, hydroxyproline and proline are involved in the stabilization of collagen, by forming hydrogen bonds between collagen chains (intrafibrillar cross-links) [44,45].”
BackgroundPastushkova, L. K., Русанов, В. Б., Goncharova, A. G., Nosovskiy, A. M., Luchitskaya, E. S., Kashirina, D. N., Kononikhin, A. S., Рейнгольдовна, К. А., Yakhya, Y. D., Larina, I. M., et al. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.760875 · Cited by 5 · see citing works
Polarized photoacoustic microscopy based on high-order harmonics for anisotropy detection
Wang, T., Yang, J. S., Wang, W., Wang, L., Wang, X., & Zhou, S. (2022) · Annals of Translational Medicine · doi:10.21037/atm-22-794 · Cited by 6 · see citing works
“as ( ) ( ) ( ) ( ) 1 1 2 1 1 cos 2 1 F F a b φ θ = − − − , and then the amplitude of the photoacoustic signal at the second layer can be expressed as ( ) ( ) ( ) ( ) 1 1 1, 1 cos 2 1 PA F a b φ φ θ ∝ + − [5]”
- Authors
- Arseni, L., Lombardi, A., & Orioli, D.
- Affiliations
- German Cancer Research Center (DE)
- Istituto di Genetica Molecolare (IT)
- Corresponding author
- Orioli, Donata
- Venue
- International Journal of Molecular Sciences
- Publisher
- MDPI AG
- Published
- 2018-05-08
- Volume
- 19
- Issue
- 5
- Pages
- 1407
- ISSN
- 1422-0067 (ISSN-L)
- PMC
- PMC5983607
- OpenAlex
- W2800155899
- Cited by
- 186
- References
- 172
- Citations by year
- 2026: 15 · 2025: 31 · 2024: 33 · 2023: 21 · 2022: 23 · 2021: 31 · 2020: 14 · 2019: 12 · 2018: 4
- FWCI
- 2.13
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Molecular Sciences (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Deutsches Krebsforschungszentrum
- Fondazione Umberto Veronesi
- Associazione Italiana per la Ricerca sul Cancro (IG 17710, 17710)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
- Physical Sciences › Materials Science › Biomaterials › Collagen: Extraction and Characterization
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Cellular Mechanics and Interactions
- Keywords
- collagen, extracellular matrix, collagen degradation, cell proliferation, cell migration, cell differentiation, diagnosis
- MeSH terms
- Cell Movement, Collagen, Extracellular Matrix, Humans, Phenotype, Structure-Activity Relationship, Extracellular Matrix Proteins, Genetic Diseases, Inborn, Cell Proliferation
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