Glycation and glycoxidative reactions have been recognised to be a major pathogenetic principle for biochemical and biophysical alterations of proteins in diabetes mellitus [1±3]. Both processes have been shown to increase in humans with age and even more in patients with diabetes mellitus with the duration of the disease [4±8].Glycoxidative reactions, e. g. the Maillard reaction, are initiated by the condensation of a reducing sugar with an e-amino group of lysyl-or hydroxylysyl-residues of proteins [9]. The resulting Schiff-base is stabilised subsequently by Amadori rearrangement and processed further in very diverse and not yet fully elucidated chemical reactions resulting in a variety of cross-linked compounds. Only a small number of those, including pentosidine, have been characterised in structure and chemical composition [2, 10±16]. Glycation of proteins is associated with the formation of high-molecular aggregates that are stabilised by non-reducible cross-linking components [13, 17±18] with characteristic fluorescence spectra [6,19,20]. Circular dichroism (CD) spectroscopy studies of glycated proteins exhibited a damaging effect of the modifications on protein structure and stability [21,22].In diabetic nephropathy the disordered morphology and functional deficiency of the glomerular basement membrane (GBM) has been explained by glycation of the collagen IV network providing the mechanical scaffold of the membrane texture. Collagen IV monomers consist of a collagenous major triplehelical domain with two specific cross-linking domains, the NC1 domain at the C-terminal end and the N-terminus the 7S domain [23±26], facilitating Diabetologia (1998) Summary Glycation of basement membrane collagen IV has been implicated as a major pathogenetic process leading to diabetic microvascular complications. To evaluate the relevance of carbohydrate-induced modifications on collagen IV in diabetic nephropathy, we isolated the cross-linking domains 7S and NC1 from the glomerular basement membrane (GBM) of patients with diabetes mellitus. Modifications characteristic for glycated proteins were identified when the domains from diabetic kidney were compared with the same domains from human placenta as an unmodified control. In both domains a marked formation of inter-and intramolecular cross links could be demonstrated by SDS-PAGE. Furthermore circular dichroism studies showed a decrease in helicity of the 7S domain from human diabetic kidneys of 13 %, indicating denaturation already at room temperature. Thermal transition profiles, showing a shift of the denaturation temperature towards a lower temperature, with loss of a distinct second melting point, confirmed this observation. Our data provide further evidence for a possible role of protein-modification by glycoxidative reactions in the onset of diabetic nephropathy in vivo. [Diabetologia (1998