Urinary excretion of the type I collagen C-telopeptide (CTx) has been shown to be a sensitive index of the rate of bone resorption. The human type I collagen sequence A"#!*HDGGR"#"% of CTx can undergo racemization of the aspartic acid residue Asp"#"" and isomerization of the bond between this residue and Gly"#"#. These spontaneous non-enzymic chemical reactions takes place in i o in bone, and the degree of racemization and isomerization of CTx molecules may be an index of the biological age and the remodelling of bone. The aim of the present study was to investigate the degree of racemization and isomerization of type I collagen in human connective soft tissues, in order to estimate the rate of collagen turnover in adult tissues and compare it with that of bone. We also performed a systematic evaluation of the pyridinium cross-link content in adult human tissues. Using antibodies raised against the different CTx forms, we found that
INTRODUCTIONType I collagen, the major constituent of the extracellular matrix, is widely distributed in many tissues and organs, including bone, tendon, ligament and skin [1][2][3][4]. It is a heterotrimer [(α1) # α2] composed of a helicoidal domain with C-and N-telopeptides at either end. Recently it has been shown that the A"#!*HDGGR"#"% sequence of the C-telopeptide of the α1 chain of type I collagen can undergo isomerization and racemization [5,6]. These two processes, which are known to occur in several proteins in i o, are believed to derive from a spontaneous non-enzymic chemical reaction [7], and their end-products could represent a potential biochronological tool for investigating bone turnover in i o. For example, we showed previously that, in Paget 's disease of bone (characterized by a marked increase in bone turnover), the degree of isomerization is much lower than in adult normal bone [8]. However, at the present time it is not known if these processes are specific for bone tissue or can also occur in the extracellular matrix of soft tissues.The C-telopeptide of the α1 chain of type I collagen also contains a lysine residue which is involved in the formation of pyridinium cross-links in collagen. Pyridinoline (Pyr) and deoxypyridinoline (DPyr) are trifunctional cross-links which stabilize the structure of mature collagen fibres within the extracellular matrix. Pyr is mainly distributed in bone and cartilage, and to a lesser extent in collagen of other connective tissues, whereas DPyr is present mainly in bone and dentin [9][10][11][12]. Pyr and DPyrAbbreviations used : CTx, fragment derived from the C-telopeptide of the α1 chain of type I collagen containing the sequence AHDGGR ; αL, native peptide ; βL, isomerized peptide containing a β-Asp bond ; αD, native peptide containing a D-Asp residue ; βD, isomerized peptide containing a D-Asp residue ; Pyr, pyridinoline ; DPyr, deoxypyridinoline.1 To whom correspondence should be addressed (e-mail gineyts!lyon151.inserm.fr).bone and dermis are the tissues that show most racemization and isomerization. The type I collagen of ...