Collagens V and XI comprise a single regulatory type of fibrilforming collagen with multiple isoforms. Both co-assemble with collagen I or II to form heterotypic fibrils and have been implicated in regulation of fibril assembly. The objective of this study was to determine the roles of collagens V and XI in the regulation of tendon fibrillogenesis. Flexor digitorum longus tendons from a haplo-insufficient collagen V mouse model of classic Ehlers Danlos syndrome (EDS) had decreased biomechanical stiffness compared with controls consistent with joint laxity in EDS patients. However, fibril structure was relatively normal, an unexpected finding given the altered fibrils observed in dermis and cornea from this model. This suggested roles for other related molecules, i.e. collagen XI, and compound Col5a1 ؉/؊ ,Col11a1 ؉/؊ tendons had altered fibril structures, supporting a role for collagen XI. To further evaluate this, transcript expression was analyzed in wild type tendons. During development (E18-P10) both collagen V and XI were comparably expressed; however, collagen V predominated in mature (P30) tendons. The collagens had a similar expression pattern.
Tendons with altered collagen V and/or XI expression (Col5a1؊/؊ ) were analyzed at E18. All genotypes demonstrated a reduced fibril number and altered structure. This phenotype was more severe with a reduction in collagen XI. However, the absence of collagen XI with a reduction in collagen V was associated with the most severe fibril phenotype. The data demonstrate coordinate roles for collagens V and XI in the regulation of fibril nucleation and assembly during tendon development.Abnormal collagen fibril formation is characteristic of the classic form of Ehlers-Danlos syndrome (EDS).2 Patients with classic EDS (types I and II) have a broad spectrum of generalized connective tissue defects including hyper-extensible skin, fragile skin with wide, depressed, callused scarring, inguinal hernias, and rectal prolapse as well as aortic root dilation and valve prolapse (1, 2). In addition, laxity in the joints, leading to instability and easy dislocation as well as joint hyper-extensibility, is a characteristic feature resulting from dysfunctional tendons and ligaments. More than half of all instances of classic EDS have been linked to heterozygous mutations in the genes for collagen V (3-13). The most common mutation type in classic EDS is one that results in a functional loss of one Col5a1 allele (14, 15).Collagen V is a fibril-forming collagen. The fibril-forming collagen subfamily includes collagens I, II, III, V, XI, XXIV, and XXVII, and the genes cluster into three distinct clades (16). Collagens I, II, and III are the major components of all collagen fibrils. Collagens V and XI are quantitatively minor collagens found as heterotypic fibrils with collagens I, II, and III and have a regulatory function in fibrillogenesis (17). Collagens XXIV and XXVII have structural differences relative to collagens I, II III, V, and XI, and their specific roles remain to be elucida...