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Type I procollagen is synthesized as prepro-α chains (two α1 and one α2 encoded by COL1A1/COL1A2) on the rough ER, signal peptides are removed to form pro-α chains, which undergo hydroxylation of proline and lysine (vitamin C–dependent), glycosylation of hydroxylysine, triple-helix assembly, and ER quality control assisted by the collagen-specific chaperone Hsp47; procollagen is secreted, its N- and C-terminal propeptides are cleaved extracellularly to yield mature type I collagen that polymerizes into fibrils, while the released propeptides (PINP, PICP) enter the circulation and serve as biomarkers of synthesis.
Ascorbic acid enables proline and lysine hydroxylation in procollagen via prolyl 4-hydroxylase and lysyl hydroxylase, stabilizing the triple helix and permitting proper secretion and fibrillogenesis Modulating ER chaperone Hsp47 could, in principle, alter procollagen folding/quality control (research context)
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