Regulation of collagen gene expression was studied in fibroblast cultures established from patients with keloids, fibrotic lesions of the skin. In selected keloid fibroblast cultures, an overproduction of type I procollagen was observed. This increase was accompanied by a parallel increase in type I procollagen-speciflic mRNA levels, as detected by dot-blot and RNA transfer hybridizations, without concomitant change in type I procollagen gene copy number. At the same time, type III procollagen mRNA levels were unaltered, resulting in markedly elevated type I/III procollagen mRNA ratios. Thus, keloid fibroblasts offer a unique model to study the independent regulation of the gene expression of two genetically distinct procollagens, type I and type III.Collagen is a family of closely related, yet genetically distinct, proteins of the extracellular matrix (1, 2). In human skin, collagen comprises 70-80% of the dry weight of the tissue (3). The predominant collagen types in human dermis are types I and III, which together account for >95% of the bulk of the collagen; of this, -85% is type I collagen (3).Cultured human skin fibroblasts, which synthesize type I and type III collagens as precursors, procollagens (4, 5), have provided a useful model to study the modulation of collagen production under carefully controlled tissue culture conditions (6). Indeed, several factors have been shown to alter the production of procollagen in fibroblast cultures (6-8). However, the relative synthesis of type I and type III procollagens appears to be under stringent biological control, since only a few experimental situations have been shown to alter the relative synthesis of these two major procollagens (9-11).Keloids, dermal fibrotic lesions, are histologically and biochemically characterized by excessive accumulation of the extracellular matrix components, most notably collagen (12,13). Previous studies have demonstrated that the production of procollagen by fibroblasts established from keloids is increased when compared to control cells, suggesting an altered regulation of procollagen gene expression (14,15). In the present study, we examined the procollagen gene expression in keloid fibroblasts by determining the cellular steadystate levels of type I and type III procollagen mRNAs. The results indicate that the abundance of type I procollagen mRNA is selectively increased, leading to an altered type I/III procollagen mRNA ratio. No change in type I collagen gene copy number was detected. Thus, the elevated type I procollagen mRNA level reflects either increased transcriptional activity ofthe corresponding gene or increased stability of the mRNA transcripts. A preliminary report of the study has been presented (16).
MATERIALS AND METHODSFibroblast Cultures. Keloid tissue specimens were obtained from nine patients by surgical removal under local anesthesia, after obtaining informed consent. The clinical diagnosis was confirmed by histopathologic examination of the lesions, which showed areas of thick, compact, and hyali...