Collagen fibrils are central to the molecular organization of the extracellular matrix (ECM) and to defining the cellular microenvironment. Glycation of collagen fibrils is known to impact on cell adhesion and migration in the context of cancer and in model studies, glycation of collagen molecules has been shown to affect the binding of other ECM components to collagen. Here we use TEM to show that ribose-5-phosphate (R5P) glycation of collagen fibrils-potentially important in the microenvironment of actively dividing cells, such as cancer cells-disrupts the longitudinal ordering of the molecules in collagen fibrils and, using KFM and FLiM, that R5P-glycated collagen fibrils have a more negative surface charge than unglycated fibrils. Altered molecular arrangement can be expected to impact on the accessibility of cell adhesion sites and altered fibril surface charge on the integrity of the extracellular matrix structure surrounding glycated collagen fibrils. Both effects are highly relevant for cell adhesion and migration within the tumour microenvironment. Collagen fibrils are central to the molecular organization of the extracellular matrix (ECM) and thus to defining the cellular microenvironment 1,2. Cells bind to specific GXOGER sequences on collagen fibrils via non-covalent interactions with transmembrane integrin receptors for both adhesion and migration purposes 3-10 , signal transduction via integrin-collagen binding being relevant for cell growth and differentiation 11. The extent of integrin binding to collagen-and thus the strength of signalling-is dependent on the degree of exposure of the relevant GXOGER molecular sequences on the collagen fibril surface, which in turn depends on the arrangement of collagen molecules within the fibrils. Non-covalent interactions between specific amino acid sequences in collagen molecules and other extracellular matrix (ECM) proteins also direct the organisation of molecules around collagen fibrils and so are crucial in both the initial self-assembly of the ECM and in maintaining its structural integrity. Thus, the physicochemical and structural state of collagen fibrils is highly relevant to cell growth and mobility and to the overall spatial organization of the extracellular matrix networks. Collagen fibrils are subject to non-enzymatic glycation reactions because they are relatively accessible to exogenous sugars and other aldehydes. Glycation is a spontaneous non-enzymatic reaction between carbonyl groups of reducing sugars and amine groups of proteins, lipids or nucleic acids, occurring in all living systems 12,13. The glycation reactions between collagen and sugars are highly complex, with many possible sugar-adduct intermediate products and further reactions steps to form so-called advanced glycation endproducts (AGEs), the latter of which includes intermolecular crosslinks 14,15. The glycation reaction begins with Schiff base formation at lysine sidechain amines and then Amadori rearrangement to a variety of sugar adducts of Lys through a range of facile intra...