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Connective Tissue Formation in Wound Healing - E-thesis

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fold<strong>in</strong>g and association <strong>in</strong>to a triple helix requires the <strong>in</strong>volvement of molecular chaperone<br />

(60). After formation of the major triple helix the N-term<strong>in</strong>al propeptide will be assembled<br />

(54). Pro-collagens are secreted out of the cell, where they are converted to collagen by<br />

proteolytic cleavage of both the N-and C-term<strong>in</strong>al propeptide extensions. N-term<strong>in</strong>al<br />

propeptide is cleaved by the collagen type-specific N-prote<strong>in</strong>ases. For maximal N-prote<strong>in</strong>ase<br />

activity, all three cha<strong>in</strong>s of the collagen molecule must be <strong>in</strong> register. C-term<strong>in</strong>al prote<strong>in</strong>ases<br />

also appear to be collagen-type specific but they does not require the <strong>in</strong>tact trimer as the<br />

substrate. After removal of the propeptides the collagen monomers spontaneously assemble<br />

<strong>in</strong>to fibrils by an entropy-driven process. Once the fiber is formed, the associations are<br />

stabilized by <strong>in</strong>termolecular crossl<strong>in</strong>ks that provide the fiber with tremendous tensile strength<br />

and <strong>in</strong>solubility. Most of the cross-l<strong>in</strong>ks form between the telopeptides at each end of collagen<br />

molecules. Collagen fibril formation is a complex process that is regulated by a number of<br />

different factors, <strong>in</strong>clud<strong>in</strong>g the collagen type present, the sequence and extent of propeptide<br />

process<strong>in</strong>g, <strong>in</strong>teractions with other matrix components such as proteoglygans, as well as a<br />

direct <strong>in</strong>volvement of the cells (61).<br />

Fibrillar collagens<br />

Based on their prote<strong>in</strong> and gene structures, types I, II, III, V, and XI collagens have been<br />

assigned to the fibril-form<strong>in</strong>g group (58). They all conta<strong>in</strong> a globular N-term<strong>in</strong>al doma<strong>in</strong> that<br />

<strong>in</strong>cludes a short triple helical sequence, a major un<strong>in</strong>terrupted triple helical doma<strong>in</strong> of<br />

approximately 1000 am<strong>in</strong>o acids and a globular C-term<strong>in</strong>al doma<strong>in</strong>. These collagens can be<br />

divided <strong>in</strong>to two groups, major (I, II and III) and m<strong>in</strong>or fibrillar collagens (V and XI), based on<br />

the quantities of prote<strong>in</strong>s <strong>in</strong> tissue. Type II and XI collagens are found ma<strong>in</strong>ly <strong>in</strong> cartilag<strong>in</strong>ous<br />

tissue. In connective tissues, other than cartilage, collagen fibrils are ma<strong>in</strong>ly composed of type I<br />

III and V collagens at different molecular rations, with diameters rang<strong>in</strong>g from 20 to 500 nm<br />

(57). Fibrillar collagen molecules are either homotrimers with α-cha<strong>in</strong>s of the same k<strong>in</strong>d or<br />

heterotrimers composed of two or three different α-cha<strong>in</strong>s. These α-cha<strong>in</strong> molecules consist of<br />

an un<strong>in</strong>terrupted triple helix of approximately 300 nm <strong>in</strong> length and 1.5 nm <strong>in</strong> diameter flanked<br />

by short extra-helical telopeptides. The lateral <strong>in</strong>teraction between the homologous regions<br />

with<strong>in</strong> the triple helical doma<strong>in</strong>s is the basis for fibril formation. Fibrillar collagens selfassemble<br />

<strong>in</strong>to cross-striated fibrils observed <strong>in</strong> electron microscopy <strong>in</strong> negatively sta<strong>in</strong>ed fibrils<br />

(Fig. 2.)<br />

22

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