Non-Cochrane · other · PM41531674

Post-translational modifications of collagen type I in osteogenesis imperfecta: Systematic review and meta-analysis.

Patel Priyesh, Aksornthong Sirion, Komarova Svetlana V · Bone reports · 2026 · PubMed · doi:10.1016/j.bonr.2025.101894

Findings

Population Patients with osteogenesis imperfecta (OI) caused by collagen type I mutations

8 findings

OI collagen-I (patient-derived bone, fibroblast or dentine samples)Control (healthy) collagen-IRatio of hydroxylysine to hydroxyproline (HYL/HYP) in collagen-I
Collagen-I biochemistry of patient samples versus controls (random-effects, Hunter-Schmidt estimator)
Normalized mean difference 0.22 [0.19, 0.25]
GRADE not reported
10 studies · 96 participants
OI collagen-I (patient-derived bone, fibroblast or dentine samples)Control (healthy) collagen-IHydroxyproline (HYP) percentage in collagen-I
Collagen-I biochemistry of patient samples versus controls (random-effects, Hunter-Schmidt estimator) · Sample origin: dentine
Printed in Figure 3A as 0.01 [ 0.03, 0.01] (signs not legible); I2 6.0%, tau2 0.00; test for subgroup difference QM 3.37, df 1
GRADE not reported
3 studies · 62 participants
OI collagen-I (patient-derived bone, fibroblast or dentine samples)Control (healthy) collagen-IGlycosylation ratio (diglycosylated/monoglycosylated hydroxylysine, GGHYL/GHYL) in collagen-I
Collagen-I biochemistry of patient samples versus controls (random-effects, Hunter-Schmidt estimator)
Normalized mean difference 0.55 [0.38, 0.71]
GRADE not reported
5 studies · 17 participants
OI collagen-I (patient-derived bone, fibroblast or dentine samples)Control (healthy) collagen-IHydroxylysine (HYL) percentage in collagen-I
Collagen-I biochemistry of patient samples versus controls (random-effects, Hunter-Schmidt estimator) · Sample origin: dentine
Normalized mean difference 0.09 [-0.01, 0.19]
GRADE not reported
3 studies · 62 participants
OI collagen-I (patient-derived bone, fibroblast or dentine samples)Control (healthy) collagen-IHydroxyproline (HYP) percentage in collagen-I
Collagen-I biochemistry of patient samples versus controls (random-effects, Hunter-Schmidt estimator) · Sample origin: bone and fibroblast
Normalized mean difference 0.01 [-0.01, 0.03]
GRADE not reported
14 studies · 79 participants
OI collagen-I (patient-derived bone, fibroblast or dentine samples)Control (healthy) collagen-IHydroxyproline (HYP) percentage in collagen-I
Collagen-I biochemistry of patient samples versus controls (random-effects, Hunter-Schmidt estimator)
Normalized mean difference 0.00 [-0.02, 0.02]
GRADE not reported
17 studies · 141 participants
OI collagen-I (patient-derived bone, fibroblast or dentine samples)Control (healthy) collagen-IHydroxylysine (HYL) percentage in collagen-I
Collagen-I biochemistry of patient samples versus controls (random-effects, Hunter-Schmidt estimator)
Normalized mean difference 0.33 [0.21, 0.45]
GRADE not reported
20 studies · 150 participants
OI collagen-I (patient-derived bone, fibroblast or dentine samples)Control (healthy) collagen-IHydroxylysine (HYL) percentage in collagen-I
Collagen-I biochemistry of patient samples versus controls (random-effects, Hunter-Schmidt estimator) · Sample origin: bone and fibroblast
Normalized mean difference 0.37 [0.26, 0.49]
GRADE not reported
17 studies · 88 participants

Included primary studies 63

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Baldwin 1989
A single base mutation that converts glycine 907 of the α2(I) chain of type I procollagen to aspartate in a lethal variant of osteogenesis…
DOI:10.1016/s0021-9258(19)81713-1
1989this review onlynot statednot extracted yet
Bank 2000
Pyridinium Cross-Links in Bone of Patients with Osteogenesis Imperfecta: Evidence of a Normal Intrafibrillar Collagen Packing
DOI:10.1359/jbmr.2000.15.7.1330
2000this review onlyHydroxyproline (HYP) percentage in collagen-Inot extracted yet
Barnes 2006
Deficiency of Cartilage-Associated Protein in Recessive Lethal Osteogenesis Imperfecta
DOI:10.1056/nejmoa063804
2006this review onlyHydroxylysine (HYL) percentage in collagen-Inot extracted yet
Barsh 1981
Reduced secretion of structurally abnormal type I procollagen in a form of osteogenesis imperfecta.
DOI:10.1073/pnas.78.8.5142
1981this review onlynot statednot extracted yet
Bateman 1984
Abnormal type I collagen metabolism by cultured fibroblasts in lethal perinatal osteogenesis imperfecta
DOI:10.1042/bj2170103
1984this review onlynot statednot extracted yet
Bateman 1987
Lethal perinatal osteogenesis imperfecta due to the substitution of arginine for glycine at residue 391 of the alpha 1(I) chain of type I…
DOI:10.1016/s0021-9258(18)48196-3
1987this review onlynot statednot extracted yet
Bateman 1987
A structural mutation of the collagen alpha 1(I)CB7 peptide in lethal perinatal osteogenesis imperfecta.
DOI:10.1016/s0021-9258(18)61213-x
1987this review onlynot statednot extracted yet
Bateman 1988
Biochemical Heterogeneity of Type I Collagen Mutations in Osteogenesis Imperfecta<sup>a</sup>
DOI:10.1111/j.1749-6632.1988.tb55321.x
1988this review onlynot statednot extracted yet
Bateman 1991
Characterization of a type I collagen α 2(I) glycine-586 to valine substitution in osteogenesis imperfecta type IV. Detection of the…
DOI:10.1042/bj2760765
1991this review onlynot statednot extracted yet
Bateman 1992
Lethal perinatal osteogenesis imperfecta due to a type I collagen α2(I) gly to arg substitution detected by chemical cleavage of an…
DOI:10.1002/humu.1380010109
1992this review onlynot statednot extracted yet
Bleckmann 1971
Glykosaminoglykan- und Kollagenanalysen bei Osteogenesis imperfecta
DOI:10.1007/bf00446347
1971this review onlyHydroxylysine (HYL) percentage in collagen-I; Hydroxyproline (HYP) percentage in collagen-I; Ratio of hydroxylysine to hydroxyproline (HYL/HYP) in collagen-Inot extracted yet
Brenner 1988
Biochemical Analysis of Bone Compacta in Osteogenesis Imperfecta
DOI:10.1111/j.1749-6632.1988.tb55322.x
1988this review onlyRatio of hydroxylysine to hydroxyproline (HYL/HYP) in collagen-Inot extracted yet
Brenner 1989
Biochemical analysis of callus tissue in osteogenesis imperfecta type IV. Evidence for transient overmodification in collagen types I and…
DOI:10.1172/jci114253
1989this review onlyRatio of hydroxylysine to hydroxyproline (HYL/HYP) in collagen-Inot extracted yet
Brenner 1993
Defective collagen fibril formation and mineralization in osteogenesis imperfecta with congenital joint contractures (Bruck syndrome)
DOI:10.1007/bf01955060
1993this review onlyRatio of hydroxylysine to hydroxyproline (HYL/HYP) in collagen-Inot extracted yet
Byers 1988
A novel mutation causes a perinatal lethal form of osteogenesis imperfecta. An insertion in one alpha 1(I) collagen allele (COL1A1).
DOI:10.1016/s0021-9258(18)68576-x
1988this review onlynot statednot extracted yet
Cabral 2003
Type I Collagen Triplet Duplication Mutation in Lethal Osteogenesis Imperfecta Shifts Register of α Chains throughout the Helix and…
DOI:10.1074/jbc.m212523200
2003this review onlynot statednot extracted yet
Cetta 1983
Biochemical Investigations of Different Forms of Osteogenesis Imperfecta. Evaluation of 44 Cases
DOI:10.3109/03008208309004847
1983this review onlyGlycosylation ratio (diglycosylated/monoglycosylated hydroxylysine, GGHYL/GHYL) in collagen-Inot extracted yet
Constantinos 1989
Lethal osteogenesis imperfecta resulting from a single nucleotide change in one human pro alpha 1(I) collagen allele.
DOI:10.1073/pnas.83.16.6045
1986this review onlynot statednot extracted yet
De 1986
The molecular defect in an autosomal dominant form of osteogenesis imperfecta. Synthesis of type I procollagen containing cysteine in the…
DOI:10.1016/s0021-9258(19)84487-3
1986this review onlynot statednot extracted yet
Deak 1985
Altered Helical Structure of a Homotrimer of α1(I)Chains Synthesized by Fibroblasts from a Variant of Osteogenesis Imperfecta
DOI:10.1016/s0174-173x(85)80020-0
1985this review onlyHydroxylysine (HYL) percentage in collagen-I; Hydroxyproline (HYP) percentage in collagen-I; Ratio of hydroxylysine to hydroxyproline (HYL/HYP) in collagen-Inot extracted yet
Eastoe 1973
The amino-acid composition of human hard tissue collagens in osteogenesis imperfecta and dentinogenesis imperfecta
DOI:10.1007/bf02013724
1973this review onlyHydroxylysine (HYL) percentage in collagen-I; Hydroxyproline (HYP) percentage in collagen-I; Ratio of hydroxylysine to hydroxyproline (HYL/HYP) in collagen-Inot extracted yet
Fertala 1993
Two cysteine substitutions in procollagen I: a glycine replacement near the N-terminus of α1(I) chain causes lethal osteogenesis…
DOI:10.1042/bj2890195
1993this review onlynot statednot extracted yet
Gage 1988
Abnormal Amino Acid Analyses Obtained from Osteogenesis Imperfecta Dentin
DOI:10.1177/00220345880670080701
1988this review onlyHydroxylysine (HYL) percentage in collagen-I; Hydroxyproline (HYP) percentage in collagen-Inot extracted yet
Grange 1990
Analysis Of cultured chorionic villi in a case of osteogenesis imperfecta type II: Implications for prenatal diagnosis
DOI:10.1002/ajmg.1320360223
1990this review onlynot statednot extracted yet
Hawkins 1991
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Herbage 1982
Composition, cross-linking and thermal stability of bone and skin collagens in patients with osteogenesis imperfecta
DOI:10.1016/0221-8747(82)90022-4
1982this review onlyHydroxylysine (HYL) percentage in collagen-I; Ratio of hydroxylysine to hydroxyproline (HYL/HYP) in collagen-Inot extracted yet
Kirsch 1981
Disorder of collagen metabolism in a patient with osteogenesis imperfecta (lethal type): increased degree of hydroxylation of lysine in…
DOI:10.1111/j.1365-2362.1981.tb01763.x
1981this review onlyHydroxylysine (HYL) percentage in collagen-I; Hydroxyproline (HYP) percentage in collagen-I; Ratio of hydroxylysine to hydroxyproline (HYL/HYP) in collagen-Inot extracted yet
Kirsch 1983
Analysis of cyanogen bromide peptides of type I collagen from a patient with lethal osteogenesis imperfecta. Overhydroxylation of lysine…
DOI:10.1042/bj2110599
1983this review onlyHydroxylysine (HYL) percentage in collagen-I; Hydroxyproline (HYP) percentage in collagen-I; Ratio of hydroxylysine to hydroxyproline (HYL/HYP) in collagen-Inot extracted yet
Kirsch 1987
Compositional analysis of collagen from patients with diverse forms of osteogenesis imperfecta
DOI:10.1007/bf02555125
1987this review onlyHydroxylysine (HYL) percentage in collagen-Inot extracted yet
Lehmann 1995
Hydroxylation of collagen type I: evidence that both lysyl and prolyl residues are overhydroxylated in osteogenesis imperfecta
DOI:10.1111/j.1365-2362.1995.tb01706.x
1995this review onlyHydroxylysine (HYL) percentage in collagen-I; Hydroxyproline (HYP) percentage in collagen-Inot extracted yet
Lightfoot 1994
Substitution of serine for glycine 883 in the triple helix of the pro alpha 1 (I) chain of type I procollagen produces osteogenesis…
DOI:10.1016/s0021-9258(18)43820-3
1994this review onlynot statednot extracted yet
Makareeva 2018
Molecular Mechanism of α1(I)-Osteogenesis Imperfecta/Ehlers-Danlos Syndrome
DOI:10.1074/jbc.m511830200
2006this review onlyHydroxylysine (HYL) percentage in collagen-Inot extracted yet
Marini 1989
Osteogenesis imperfecta type IV
DOI:10.1016/s0021-9258(18)80150-8
1989this review onlynot statednot extracted yet
Marini 1993
Serine for glycine substitutions in type I collagen in two cases of type IV osteogenesis imperfecta (OI). Additional evidence for a…
DOI:10.1016/s0021-9258(18)53826-6
1993this review onlynot statednot extracted yet
Maroteaux 1988
Clinical and Genetical Heterogeneity of Osteogenesis Imperfecta
DOI:10.1111/j.1749-6632.1988.tb55312.x
1988this review onlyHydroxylysine (HYL) percentage in collagen-I; Hydroxyproline (HYP) percentage in collagen-I; Glycosylation ratio (diglycosylated/monoglycosylated hydroxylysine, GGHYL/GHYL) in collagen-Inot extracted yet
Meigel 1975
Disturbance in the Regulation of the Type of Collagen Synthesized in a Form of Osteogenesis Imperfecta
DOI:10.1111/j.1432-1033.1975.tb02429.x
1975this review onlyHydroxyproline (HYP) percentage in collagen-Inot extracted yet
Nicholls 1991
Substitution of cysteine for glycine at residue 415 of one allele of the alpha 1(I) chain of type I procollagen in type III/IV…
DOI:10.1136/jmg.28.11.757
1991this review onlynot statednot extracted yet
Pace 2001
Deletions and duplications of Gly-Xaa-Yaa triplet repeats in the triple helical domains of type I collagen chains disrupt helix formation…
DOI:10.1002/humu.1193
2001this review onlynot statednot extracted yet
Pace 2001
Disruption of one intra-chain disulphide bond in the carboxyl-terminal propeptide of the proα1(I) chain of type I procollagen permits slow…
DOI:10.1136/jmg.38.7.443
2001this review onlynot statednot extracted yet
Pace 2002
A single amino acid substitution (D1441Y) in the carboxyl-terminal propeptide of the proα1(I) chain of type I collagen results in a lethal…
DOI:10.1136/jmg.39.1.23
2002this review onlynot statednot extracted yet
Rao 1989
Decreased Thermal Denaturation Temperature of Osteogenesis Imperfecta Mutant Collagen is Independent of Post-translational…
DOI:10.1016/s0021-9258(18)94257-2
1989this review onlyHydroxylysine (HYL) percentage in collagen-I; Hydroxyproline (HYP) percentage in collagen-Inot extracted yet
Sarafova 1998
Three novel type I collagen mutations in osteogenesis imperfecta type IV probands are associated with discrepancies between…
DOI:10.1002/(sici)1098-1004(1998)11:5<395::aid-humu7>3.0.co;2-4
1998this review onlynot statednot extracted yet
Sippola 1984
A heterozygous defect for structurally altered pro-alpha 2 chain of type I procollagen in a mild variant of osteogenesis imperfecta. The…
DOI:10.1016/s0021-9258(18)89861-1
1984this review onlynot statednot extracted yet
Starman 1989
Osteogenesis imperfecta. The position of substitution for glycine by cysteine in the triple helical domain of the pro alpha 1(I) chains of…
DOI:10.1172/jci114286
1989this review onlynot statednot extracted yet
Steinmann 1984
Clinical variability of osteogenesis imperfecta reflecting molecular heterogeneity: cysteine substitutions in the alpha 1(I) collagen…
DOI:10.1016/s0021-9258(19)84475-7
1986this review onlyHydroxylysine (HYL) percentage in collagen-I; Hydroxyproline (HYP) percentage in collagen-I; Glycosylation ratio (diglycosylated/monoglycosylated hydroxylysine, GGHYL/GHYL) in collagen-Inot extracted yet
Stoss 1986
Heterogeneity of osteogenesis imperfecta. Biochemical and morphological findings in a case of type III according to Sillence
DOI:10.1007/bf00441849
1986this review onlyHydroxylysine (HYL) percentage in collagen-I; Hydroxyproline (HYP) percentage in collagen-I; Ratio of hydroxylysine to hydroxyproline (HYL/HYP) in collagen-Inot extracted yet
Superti-Furga 1988
Delayed Triple‐Helix Formation of Abnormal Type I Collagen Is Corrected by Reduced Temperature
DOI:10.1111/j.1749-6632.1988.tb55319.x
1988this review onlynot statednot extracted yet
Taga 2013
Site-specific Quantitative Analysis of Overglycosylation of Collagen in Osteogenesis Imperfecta Using Hydrazide Chemistry and SILAC
DOI:10.1021/pr400079d
2013this review onlynot statednot extracted yet
Tajima 1994
Production of Overmodified Type I Procollagen in a Case of Osteogenesis Imperfecta
DOI:10.1111/j.1346-8138.1994.tb01726.x
1994this review onlyHydroxylysine (HYL) percentage in collagen-I; Hydroxyproline (HYP) percentage in collagen-I; Glycosylation ratio (diglycosylated/monoglycosylated hydroxylysine, GGHYL/GHYL) in collagen-Inot extracted yet
Takagi 1980
Dentinogenesis imperfecta: evidence of qualitative alteration in the organic dentin matrix
DOI:10.1111/j.1600-0714.1980.tb00378.x
1980this review onlyHydroxylysine (HYL) percentage in collagen-I; Hydroxyproline (HYP) percentage in collagen-Inot extracted yet
Takeyari 2020
4-Phenylbutyric acid enhances the mineralization of osteogenesis imperfecta iPSC-derived osteoblasts
DOI:10.1074/jbc.ra120.014709
2021this review onlynot statednot extracted yet
Tenni 1988
Type I procollagen in the severe non-lethal form of osteogenesis imperfecta
DOI:10.1007/bf00366245
1988this review onlyHydroxylysine (HYL) percentage in collagen-I; Hydroxyproline (HYP) percentage in collagen-I; Glycosylation ratio (diglycosylated/monoglycosylated hydroxylysine, GGHYL/GHYL) in collagen-Inot extracted yet
Tenni 1988
Severe Nonlethal Osteogenesis Imperfecta: Biochemical Heterogeneity<sup>a</sup>
DOI:10.1111/j.1749-6632.1988.tb55317.x
1988this review onlynot statednot extracted yet
Tenni 1991
Phenotypic variability and abnormal type I collagen unstable at body temperature in a family with mild dominant osteogenesis imperfecta
DOI:10.1007/bf01800591
1990this review onlynot statednot extracted yet
Trelstad 1977
matched by author and year (probable)
NRthis review onlyHydroxylysine (HYL) percentage in collagen-Inot extracted yet
Valli 1990
Moderately Severe Osteogenesis Imperfecta: Biochemical Studies Showing Variable Defect Localization in the Triple-Helical Domain of Type I…
DOI:10.1016/s0934-8832(11)80169-1
1990this review onlynot statednot extracted yet
Valli 1993
Osteogenesis imprefecta and type‐I collagen mutations
DOI:10.1111/j.1432-1033.1993.tb17565.x
1993this review onlynot statednot extracted yet
Wallis 1990
Substitution of arginine for glycine at position 847 in the triple-helical domain of the alpha 1 (I) chain of type I collagen produces…
DOI:10.1016/s0021-9258(17)44798-3
1990this review onlynot statednot extracted yet
Wallis 1992
A tripeptide deletion in the triple-helical domain of the pro alpha 1(I) chain of type I procollagen in a patient with lethal osteogenesis…
DOI:10.1016/s0021-9258(19)74072-1
1992this review onlynot statednot extracted yet
Wenstrup 1986
Osteogenesis imperfecta type IV: evidence of abnormal triple helical structure of type I collagen
DOI:10.1007/bf00278784
1986this review onlynot statednot extracted yet
Wenstrup 1986
Osteogenesis imperfecta type IV. Biochemical confirmation of genetic linkage to the pro alpha 2(I) gene of type I collagen.
DOI:10.1172/jci112735
1986this review onlynot statednot extracted yet
Wenstrup 1988
Arginine for glycine substitution in the triple-helical domain of the products of one alpha 2(I) collagen allele (COL1A2) produces the…
DOI:10.1016/s0021-9258(18)68560-6
1988this review onlynot statednot extracted yet
Willing 1988
Heterozygosity for a large deletion in the alpha 2(I) collagen gene has a dramatic effect on type I collagen secretion and produces…
DOI:10.1016/s0021-9258(18)68491-1
1988this review onlynot statednot extracted yet

Review question

ElementPlanned (methods)Found (results)
PopulationPatients with osteogenesis imperfecta due to collagen-I mutations; animal studies and non collagen-I OI types excludedOI patients (269 patients in 70 studies; 150 in HYL, 141 in HYP and 17 in GLY meta-analyses)
InterventionCollagen-I from OI patients (bone, fibroblast, dentine) assessed for post-translational modificationsOI collagen-I from bone, fibroblast or dentine (n=25 meta-analysis studies)
ComparisonHealthy control collagen-IInternal healthy controls
OutcomesHydroxylysine (HYL), hydroxyproline (HYP), glycosylation (GLY); association with OI severityHYL (20 datasets), HYP (17), HYL/HYP ratio (10), GLY ratio (5); 36 qualitative studies all reported overmodified collagen-I
Study designsExperimental studies (case reports, case series, cohort studies) assessing collagen-I post-translational modifications36 qualitative, 9 quantitative not pooled, 25 quantitative pooled (13 case reports, 4 case series, 8 cohort studies)
TimingNot specifiedNot specified