To investigate the mechanism of collagen accumulation in oral submucou
s fibrosis (OSF) tissues, we examined the biosynthesis of collagen in
fibroblast cultures established from OSF lesions. Fibroblasts obtained
from four of ten OSF specimens showed more than a 1.5-fold increase i
n the production of collagens compared with fibroblasts from age-, sex
-, and passage-matched normal controls (p < 0.05). When the relative a
mounts of collagen synthesis were estimated by SDS polyacrylamide,eel
electrophoresis, it was found that both OSF and control cells produced
about 85% type I collagen and 15% type III collagen. The ratio of alp
ha 1(I) to alpha 2(I) chains was about 3:1 in OSF cells instead of the
2:1 expected for type I collagen. The excess alpha 1(I) chains could
mean that collagen type I trimer was synthesized by the fibroblasts. T
hese findings suggest that collagen overproduction and a reduced degra
dation of the structure-stable collagen type I trimer synthesized by O
SF fibroblasts might contribute to the accumulation of collagen in OSF
lesions in vivo. The mechanism(s) of increased procollagen production
were analyzed by Northern blot, slot blot, and Southern blot. The OSF
fibroblast strains with elevated collagen production also contained h
igher-than-normal levels of procollagen mRNA, and the ratios of alpha
1(I), alpha 2(I), and alpha 1(III) procollagen mRNAs were compatible w
ith the results of corresponding procollagen alpha chains. The gene co
py number of pro alpha 2(I) collagen gene in OSF fibroblasts was about
1.05. No gene amplification was found. These results indicate that ex
pression of these procollagen genes in cultured fibroblasts is regulat
ed at the transcriptional level.