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Hormonal control of collagen metabolism. Part II
1Medical College of Wisconsin, Department of Medicine, Milwaukee.
Abstract:
Natural and synthetic glucocorticoids are known to effect collagen metabolism. This influence is responsible for several side-effects of a long term therapy with glucocorticoids. Molecular mechanisms of these phenomena are complex, and are only partially elucidated. It has been found that glucocorticoids decrease amount of mRNA coding procollagen chains. Posttranslational modifications including hydroxylation of proline and lysine residues and glycosylation of hydroxylysine residues in procollagen are depressed by glucocorticoids. This is caused by depressed activity of the specific enzymes of intracellular stages of collagen biosynthesis. Extracellular maturation of collagen is affected by steroids but changes reported depend upon rate of the collagen turnover. The effect of glucocorticoids on collagen degradation is a subject of controversy; there are a few data that the hormones decrease activity of collagenolytic enzymes. Possible indirect mechanisms of effect of glucocorticoids on the collagen metabolism include modulatory role of these hormones in inflammatory cell activity as well as a release of various humor mediators. Pathophysiological aspect of hormonal regulation of collagen metabolism by glucocorticoids in hepatic and pulmonary fibrosis as well as keloids are also reviewed.
Insights
Glucocorticoids impact collagen metabolism by reducing procollagen mRNA and altering posttranslational modifications. These hormonal effects on collagen synthesis and degradation contribute to various side effects and influence fibrotic conditions.
Area of Science:
- Biochemistry
- Endocrinology
- Molecular Biology
Background:
- Glucocorticoids influence collagen metabolism, leading to side effects in long-term therapy.
- The molecular mechanisms underlying glucocorticoid effects on collagen are complex and not fully understood.
Purpose of the Study:
- To elucidate the molecular mechanisms by which glucocorticoids affect collagen metabolism.
- To review the pathophysiological aspects of glucocorticoid hormonal regulation in fibrotic diseases and keloids.
Main Methods:
- Analysis of procollagen mRNA levels.
- Assessment of posttranslational modifications in procollagen (hydroxylation, glycosylation).
- Evaluation of enzyme activities involved in collagen biosynthesis and degradation.
Main Results:
- Glucocorticoids decrease procollagen mRNA levels.
- Depressed activity of enzymes involved in intracellular collagen biosynthesis (proline/lysine hydroxylation, hydroxylysine glycosylation).
- Variable effects on extracellular collagen maturation and degradation, with some evidence of decreased collagenolytic enzyme activity.
Conclusions:
- Glucocorticoids significantly impact collagen metabolism at multiple levels, from gene expression to protein modification and degradation.
- These effects contribute to the known side effects of glucocorticoid therapy and are relevant to conditions like hepatic/pulmonary fibrosis and keloids.
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