# Collagen Glycation in Aging

> **NIH NIH R21** · UNIVERSITY OF WASHINGTON · 2020 · $233,250

## Abstract

Project Summary/Abstract:
In this study, we focus on non-enzymatic glycations (abnormal sugar additions) on collagens in aging tissue.
Among the many known cross-links in fibrillar collagens, perhaps the least understood but most speculative
pathologically are advanced glycation end-products (AGEs). Normal enzymatic lysyl oxidase-mediated cross-
links between individual collagen molecules in a fibril are essential for the strength and integrity of tendons and
most musculoskeletal tissues. On the other hand, non-enzymatic glycations are thought to accumulate
randomly on aging tissue collagens, with the potential to form abnormal intermolecular cross-links. Glycations
and subsequent AGE cross-links in collagens have been linked to limited joint mobility, tissue fragility, and
diminished healing capacity, all of which are commonly associated with aging and age-related diseases.
Collagen glycations, therefore, not only affect the rapidly aging US population, but also one in three Americans
already suffering from prediabetes and hyperglycemia. We propose to 1) identify the main sites of non-
enzymatic glycations in type I collagen in aging tendon, and 2) characterize changes in the normal lysyl
oxidase-mediated collagen cross-linking associated with non-enzymatic glycations in tendon. Although
collagen is a frequently cited substrate for non-enzymatic glycation, the lack of experimental data on any
molecular sites of collagen glycation, let alone AGE cross-linking, is striking. Instead, total AGE cross-links in
collagen have typically been measured from whole tissue hydrolysates. We propose a paradigm shifting
hypothesis that glycations occur preferentially, not randomly, at the helical domain cross-linking lysine residues
in tendon type I collagen. These newly identified glycated lysine residues on type I collagen will be compared
in aging (young vs. old) human Achilles tendons using targeted ion trap mass spectrometry. We next
hypothesize that glycations and AGE products can prevent nascent collagen from enzymatically cross-linking
to fibrils in the tendon unit. Changes in the divalent and trivalent collagen cross-link profile will be
simultaneously quantitated using an innovative, newly adapted silica hydride based chromatographic approach
coupled with established mass spectrometric methods. Age-related glycations at the helical domain cross-
linking lysines of type I collagen are predicted to weaken tissues by hindering normal cross-linking as tissues
age. Biomechanical testing will be used to correlate increased collagen glycations with changes in tendon
material properties. It is essential to locate the primary sites of collagen glycation and their subsequent AGE
products before real progress can be made in understanding the specific pathogenic consequences of
glycation. These sites could then serve as potential molecular markers of pathology and therapeutic targets.
The knowledge gained from this study could help develop targeted therapeutics u...

## Key facts

- **NIH application ID:** 10053599
- **Project number:** 1R21AG065605-01A1
- **Recipient organization:** UNIVERSITY OF WASHINGTON
- **Principal Investigator:** David Mark Hudson
- **Activity code:** R21 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $233,250
- **Award type:** 1
- **Project period:** 2020-08-01 → 2022-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10053599

## Citation

> US National Institutes of Health, RePORTER application 10053599, Collagen Glycation in Aging (1R21AG065605-01A1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10053599. Licensed CC0.

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