[Aging of aorta and atherosclerosis--role of nonenzymatic glycation of collagen].

In order to clarify the role of the nonenzymatic glycation of the collagen matrix in aging of the aorta and atherogenesis, we studied the relation between ketoamine or advanced glycation end-products (AGEs) and the solubility of collagen in human skin and aorta. AGEs were measured as a collagen-linked fluorescence (excitation wavelength: 370 nm. emission wavelength: 440 nm). There was a positive correlation between the level of AGEs and subjects' age in skin and aortic media. Collagen became more insoluble with increase in the amount of ketoamine and AGEs. Collagen was more resistant to pepsin digestion in atherosclerotic intima than in other tissues including aortic media, lesion-free intima and skin. Diabetic rats showed an accumulation of collagen in aortic media at 28 weeks after an injection of streptozotocin. Moreover, they increased the percentage of insoluble collagen to total collagen and the amount of AGEs binding to insoluble collagen in aortic media. In contrast, the amount of ketoamine of insoluble collagen was increased in diabetic rats at 16 weeks as compared to control. There was no difference in DNA contents of cultured smooth muscle cells between glycolaldehyde-modified and non-modified matrices. However, the activity of type I collagenase (inactive form) of smooth muscle cells decreased on glycolaldehyde-modified type I collagen as compared to that on non-modified collagen. These results suggest that AGEs contribute to the accumulation of collagen in atherosclerotic lesions and aged aorta through the insolubility of collagen and the inhibition of collagenase activity of smooth muscle cells.