Skip to main content
NIHPA Author Manuscripts logoLink to NIHPA Author Manuscripts
. Author manuscript; available in PMC: 2024 Nov 6.
Published in final edited form as: J Mech Behav Biomed Mater. 2024 Aug 22;159:106697. doi: 10.1016/j.jmbbm.2024.106697

Mineral and cross-linking in collagen fibrils: The mechanical behavior of bone tissue at the nano-scale

Julia Kamml a, Claire Acevedo b, David S Kammer a,*
PMCID: PMC11539549  NIHMSID: NIHMS2030833  PMID: 39182252

Abstract

The mineralized collagen fibril is the main building block of hard tissues and it directly affects the macroscopic mechanics of biological tissues such as bone. The mechanical behavior of the fibril itself is determined by its structure: the content of collagen molecules, minerals, and cross-links, and the mechanical interactions and properties of these components. Advanced glycation end products (AGEs) form cross-links between tropocollagen molecules within the collagen fibril and are one important factor that is believed to have a major influence on the tissue. For instance, it has been shown that brittleness in bone correlates with increased AGEs densities. However, the underlying nano-scale mechanisms within the mineralized collagen fibril remain unknown. Here, we study the effect of mineral and AGEs cross-linking on fibril deformation and fracture behavior by performing destructive tensile tests using coarse-grained molecular dynamics simulations. Our results demonstrate that after exceeding a critical content of mineral, it induces stiffening of the collagen fibril at high strain levels. We show that mineral morphology and location affect collagen fibril mechanics: The mineral content at which this stiffening occurs depends on the mineral’s location and morphology. Further, both, increasing AGEs density and mineral content lead to stiffening and increased peak stresses. At low mineral contents, the mechanical response of the fibril is dominated by the AGEs, while at high mineral contents, the mineral itself determines fibril mechanics.

Keywords: Collagen, Cross-linking, AGEs (Advanced-Glycation Endproducts), Diabetes, Fracture, Strength, Mineralized collagen fibrils

1. Introduction

Type 2 Diabetes mellitus (T2DM) is widely recognized as a significant contributor to serious health complications in the human body. In addition to adverse effects on the cardiovascular system and other organs such as kidneys and eyes, researchers have found that individuals with T2DM have an increased risk of bone fractures (Strain and Paldánius, 2018; Milicevic et al., 2008; Prasad et al., 2012; Thomas et al., 2015; Poiana and Capatina, 2017; Oei et al., 2015). The standard clinical metric for assessing fracture risk is bone mineral density (BMD). Typically, decreased bone mineral density (BMD) correlates with conditions like osteoporosis or osteopenia, indicating a higher risk of fractures. The fracture risk in T2DM patients also remains elevated despite exhibiting a normal to slightly elevated BMD (Vestergaard, 2007; Yamamoto et al., 2009; Abdulameer et al., 2012; Montagnani et al., 2011). The potential explanation for this paradox could lie in the high content of Advanced-Glycation-Endproducts (AGEs) in T2DM individuals. AGEs are built via glycosylation within the collagen fibrils of tissue in the presence of sugars, a process also known as the Maillard reaction (Avery and Bailey, 2006). Due to increased glucose levels in the system, the prevalence of these molecules is increased in diabetic patients (Vlassara and Palace, 2002; Vlassara and Uribarri, 2014; Vlassara and Striker, 2013). This increased content of AGEs has been shown to correlate with an increased fracture risk and brittleness in bone at the macro-scale and with deterioration of the collagen fibril’s ability to deform at the nano-scale (Yamamoto and Sugimoto, 2016; Acevedo et al., 2018). However, the precise mechanisms through which AGEs influence bone mechanics have not been fully elucidated, including the extent to which AGEs contribute to the impairment of material behavior.

The hierarchical composite structure confers bone with unique material properties that are highly adapted to its function, such as providing support for movement and protection of vital organs (Rho et al., 1998; Ulrich Meyer, 2006; Weatherholt et al., 2012). Apart from the organic constituents, with the collagen fibril as the basic unit, bone also comprises a mineral phase and water. Collagen type I is the most abundant protein in the extracellular matrix of bone, comprising about 95% of the collagen content, which makes it the most important structural unit (Niyibizi and Eyre, 1994; Viguet-Carrin et al., 2006). Its basic building blocks are tropocollagen (TC) molecules bundled up to form the collagen fibrils, with a diameter between 20 to 500 nm and a length of about 100 μm (Henriksen and Karsdal, 2024; Hulmes, 2008, 2002). TC molecules consist of three coiled peptide helices with non-helical telopeptide areas at each end of the molecule (Hulmes, 2008). In the longitudinal direction, their structural built-up displays the collagen-specific staggered pattern with five gap and overlap zones per TC length (Wess, 2008). AGEs are usually formed at helical regions of the TC molecules, but very little is known about their exact location, which also depends on the AGE type. We distinguish between noncross-linking AGEs (AGEs adducts) attached to the TC molecules and cross-linking AGEs linking two neighboring TC molecules within the collagen fibril structure. The cross-linking AGEs are suspected of preventing the deformation behavior of the collagen fibril at the nano-scale level of tissue, but the exact mechanisms remain unknown (Fessel et al., 2014; Li et al., 2013; Acevedo et al., 2018; Rosenberg et al., 2023a,b; Vashishth, 2009; Gupta et al., 2006; Zimmermann et al., 2011). Since the collagen fibril is the main building component of bone, alterations in its deformation behavior resulting from elevated AGE contents are expected to influence the behavior of bone on the tissue level. However, the precise mechanisms remain unclear.

In previous studies, it has been shown that AGE cross-linking significantly changes the deformation and fracture behavior of the non-mineralized collagen fibril (Kamml et al., 2023a,b). In particular, it was observed that the strength and stiffness of the fibril increases with increasing AGE densities and AGEs’ loading energy capacity. The deformation behavior of the fibril presents a stiffening at high strain levels when the cumulative loading energy capacity of all AGEs exceeds the loading energy capacity of collagen bonds within the collagen molecules. Further, it was demonstrated that changes in the failure mechanism causing this stiffening eventually resulted in a more brittle failure, i.e., energy is rather absorbed via stretching than dissipated via inter-molecular sliding of the collagen molecules in the presence of high AGE contents. This leads to a more sudden energy release when the stretched bonds break. While these results have revealed the origin of brittle failure in non-mineralized collagen fibrils in the presence of AGEs, they do not provide direct and clear evidence for impaired bone tissue behavior since the collagen fibrils in bone are mineralized.

Mineralization of collagen fibrils occurs in a process in which mineral crystals are deposited onto the bone matrix, facilitating the development and strengthening of the bone (Dey and Dey, 2020). The addition of mineral content confers bone with exceptional elastic properties, mostly stiffness, leading to higher strength (Zimmermann and Ritchie, 2015). It has been shown that an increasing amount of mineral correlates with increasing elastic modulus and yield stress (Wachter et al., 2002). The mineral crystals are apatite, similar to hydroxyapatite (HAP) but have a less perfect structure. Still, it is generally referred to as HAP. Different theories exist regarding the exact location and distribution of minerals within bone tissue. It is generally believed that the nucleation of minerals starts in the gap zones of the collagen fibril (Arsenault, 1989; Weiner and Traub, 1992; Tong et al., 2003). Nevertheless, the precise arrangement remains a subject of ongoing debate given that the mineral represents about 65% of hydrated bone weight. However, the gap zones of the collagen fibril do not provide sufficient space to accommodate this large amount of material. It is extremely challenging to extract mineralized collagen fibrils from bone for mechanical tensile testing and the question of how minerals and their distribution and structure influence fibril mechanics on the small scale and tissue on the larger scale has not been answered yet. Some techniques using small-angle X-ray scattering (SAXS) during in situ tensile tests of bone samples have been applied to reveal the loss of collagen deformation capacity in the presence of high AGEs contents (Gupta et al., 2006; Acevedo et al., 2018). In addition to experiments, in-silico testing provides a valuable tool for investigating the mechanical behavior of collagen fibrils: Depalle et al. (2015, 2016) and Tavakol and Vaughan (2023) have used coarse-grained molecular dynamics to investigate the influence of different parameters such as enzymatic cross-linking and mineralization on the collagen fibril deformation behavior, but the effect of AGEs in the mineralized fibril has not been investigated so far.

Here, we aim to provide numerical evidence for the influence of both, AGEs cross-linking and minerals, on the mechanics of collagen fibrils. We perform in-silico destructive tensile tests on mineralized collagen fibril models with different AGEs densities and mineral contents using coarse-grained steered molecular dynamics simulations. We investigate the influence of mineral content and morphology and AGEs cross-linking on collagen fibril deformation and fracture behavior, revealing the effect of these parameters on the nano-scale mechanics of bone.

2. Material and methods

We use a 3D coarse-grained steered molecular dynamics model of a representative fibril during destructive tensile testing. The AGEs are inserted randomly between neighboring TC molecules in their helical regions. The model is based on our previous studies (Kamml et al., 2023b,a), where force-field parameters are obtained from Depalle et al. (2015, 2016). The specificity of the collagen fibrils considered here is their mineral content, for which the modeling approach is described in detail below.

2.1. Geometry implementation of the collagen fibril

We build the geometry of the mineralized collagen fibril representing the biological configuration of fibrils consisting of collagen type I molecules including minerals in the fibrillar structure. First, we create the collagen fibril geometry without mineralization, where we use the same approach as described in Kamml et al. (2023b,a). The TC molecules are arranged in the collagen-specific 5-staggering pattern with gap and overlap zones with a periodicity of D = 67 nm, with a gap size of 0.6 · D and an overlap of 0.4 · D (see Fig. 1a). The TC molecules are represented by a string of particles, where the bonded interactions between these particles represent the behavior of the TC molecules following a coarse-grained molecular dynamics approach (Buehler, 2006a,b; Depalle et al., 2015, 2016). The geometry of these TC molecules is obtained from Protein Data Bank entry 3HR2, the atomistic structure of TC extracted by X-ray crystallography (Orgel et al., 2006), and 218 particles are placed equidistantly along its longitudinal backbone. The fibril consists of 155 TC molecules per cross-section, resulting in a diameter of 200 nm. For smooth force transmission during tensile testing, the ends of the fibril are extended with 40 particles per TC molecule and the bonds between these particles are strengthened. After creating the geometry of this collagen fibril, the mineralization is performed.

Fig. 1.

Fig. 1.

Schematic overview of model implementation and evaluation of deformation mechanisms. (a) Hodge–Petruska Model for collagen fibril: Displaying characteristic banding pattern with gap and overlap zones of TC molecules. (b) Coarse grained molecular dynamics model: The mechanical behavior of the TC molecules is represented by a string of particles mimicking the mechanical response that has been extracted from full scale simulations (Depalle et al., 2015). Mineral particles are shown in red, and collagen in gray. AGEs cross-links orange. (c) Schematic representation of insertion of mineral particles: mineral content cmineral is defined as ml 100%. Red arrows show the direction of mineralization. (d) Changes in nucleation of minerals: Mineralization starts from the center of the gap region. (e) Changes in the mineral pattern. Decreasing and increasing mineral particle density. (f) Schematic representation of our implementation of a representative collagen fibril geometry: 5 gap and overlap zones; AGEs cross-links were randomly inserted between TC molecules (red) with different densities; fibril is strengthened at the ends (blue area) to guarantee smooth force transmission. (g) Definition of bond interactions (collagen bonds in TC molecules and AGEs cross-links): trilinear bond behavior, where the force depends on the distance r between two particles. The varied parameters in our simulations are k1 and rbreak; the loading energy capacity of a single bond, e.g., WAGE indicated by orange area. (h) Definition of non-bonded particle interactions due to van-der Waals forces: Soft-core Lennard-Jones Potential.

2.2. Mineralization of the collagen fibril

We insert mineral particles into the model to account for the mineralization of collagen fibrils in hard tissues like bone. The question of where mineral i.e. HAP-crystal, is exactly located in bone has not been answered to date and different opinions and theories exist at this point (see Discussion 4.1). Some claim that it is intrafibrillarly located between the TC molecules and in the gap zones (Arsenault, 1989; Siperko and Landis, 2001; Nudelman et al., 2010), while other experimental studies have shown that the mineral is also located extrafibrillar between the collagen fibrils (McNally et al., 2012; Tong et al., 2003; Landis et al., 1996; Su et al., 2003).

In our approach, the mineralization of the fibrils starts from the ends of the TC molecules at the sides of the gap zones and does not extend into the overlap region. This is similar to the approach of Nair et al. (2013), who performed full-atomistic simulations, with the mineral nearly exclusively located in the gap zones. This is in agreement with their experimental studies showing that the mineral phase is nucleated in the first section of the gap region after the transition from overlap to gap zones. We mineralize the gap zones by equidistantly placing HAP-particles starting from each overlap/gap transition point towards the inside of the gap (see Fig. 1c) at the equilibrium distance r0HAP(r0HAP=21/6σHAP). The distance at the collagen/mineral transition (between the last collagen and the first mineral particle) is the equilibrium distance r0colHAP(r0colHAP=21/6σcolHAP) where forces are 0, following the Lennard-Jones-Potential between collagen and HAP (see Fig. 1c, h and Table 1). This mineralization pattern is considered as the reference state of our mineralized collagen fibril. In addition, we created other models where mineral insertion was started from the center of the gap zones (see Fig. 1d) to evaluate the influence of the mineral nucleation position. Even more, for investigating how the morphology of minerals influences fibril mechanics, models with less mineral density were implemented. In these cases, either only every second particle position with respect to the reference state was occupied or two lines of mineral particles in an equidistant scaffold were added (see Fig. 1e). The mineral content is defined via the percentage of gap length that is occupied by mineral particles cmineral=m/l100% (see Fig. 1ce).

Table 1.

Parameters used in coarse-grained molecular dynamics mesoscale model of mineralized collagen fibrils (Depalle et al., 2015, 2016; Kamml et al., 2023b).

Components Parameters Value

Collagen molecules Equilibrium particle distance (r0, Å) 14.00
Critical hyperelastic distance (r1, Å) 18.20
Bond breaking distance (rbreak, Å) 21.00
Tensile stiffness parameter (k0, kcal mol−1 Å−2) 17.13
Tensile stiffness parameter (k1, kcal mol−1 Å−2) 97.66
Regularization factor (z, -) 0.05
Equilibrium angle (ϕ0, degree) 170.0 to 180.0
Bending stiffness parameter (kB, kcal mol−1rad−2) 14.98
Dispersive parameter (εcol, kcal mol−1) 6.87
Dispersive parameter (σcol, Å) 14.72
Soft core parameter (λ, -) 0.9
Mass of each mesoscale particle, atomic mass units 1548

Particles at ends of TC molecules Same parameters as collagen molecules except:
Bond breaking distance (rbreak, Å) 70.00

Hydroxyapatite Dispersive parameter (εHAP, kcal mol−1) 106.7
Dispersive parameter (σHAP, Å) 10.28
Soft core parameter (λ, -) 0.9
Cutoff radius (cHAP, Å) 13.85
Mass of each mesoscale particle, atomic mass units 1324

Interaction between collagen and hydroxyapatite Dispersive parameter (εcol-HAP, kcal mol−1) 137.1
Dispersive parameter (σcol-HAP, Å) 9.88
Soft core parameter (λ, -) 0.9
Cutoff radius (ccol-HAP, Å) 20.00

AGEs cross-links Equilibrium particle distance (r0, Å) 18.52
Critical hyperelastic distance (r1, Å) 22.72
Bond breaking distance (rbreak, Å) 31.72
Tensile stiffness parameter (k0, kcal, mol−1 Å−2) 0.1
Tensile stiffness parameter (k1, kcal, mol−1 Å−2) 8.00–16.0

2.3. Insertion of AGEs cross-links

The insertion process of AGEs cross-links is consistent with the one used in Kamml et al. (2023a,b). AGEs are inserted into the mineralized collagen fibril after the first equilibration of 20 ns. Aside from computational studies concentrating on individual AGEs (Collier et al., 2015; Gautieri et al., 2014), their exact location and where they act as crosslinking AGEs or simply as adducts is mostly unknown. AGEs bind to lysine and arginine along the tropocollagen molecules. We insert them randomly between the central 95% helical regions of the collagen fibril, but do not account for exact locations, since this question remains a field of ongoing research. The AGEs content NAGE is measured per TC molecules, where AGEs are inserted per TC molecules to avoid accumulation effects. Further, since AGEs types and contents have not been quantified in bone, the content we apply in our models cannot be verified with experimental data, and, hence, we vary the content to investigate its effect.

2.4. Definition of the particle interactions

We use coarse-grained Molecular Dynamics for simulating the destructive tensile tests on the collagen fibrils. The total energy of the system is defined as the sum of all force field terms. For our mineralized collagen fibril, this translates to

Etotal=Ebond+Eangle+Enonbonded=bondΦbond(r)+angleΦangle(ϕ)+nonbondedΦnonbonded(r), (1)

where Ebond is the bond energy due to stretching, Eangle the dihedral bond interactions energy due to bending, and Enonbonded the pairwise interaction energy due to molecular interactions such as Van-der-Waals forces.

The interactions between particles are expressed through forces, and these forces between particles are calculated via particle distance

F=Φ(r)r (2)

or angle

F=Φ(ϕ)ϕ (3)

as the negative derivative of the potential energy.

The bond energy Ebond includes collagen bonds between the particles of the TC molecules and AGEs cross-links. The bonds are modeled as trilinear springs with a regularization after bond breakage

Fbond(r)=k0rr0ifr<r1k1rr0ifr1r<rbreakzk1rr0ifrbreakr<rbreak+a0ifrrbreak+a (4)

where Fbond is the force acting between two particles that are connected with a bond, k0 and k1 are the respective spring constants of the bond deformation, r0 is the equilibrium distance between the two bond particles and a is defined as a=zrbreakr1, with z as the regularization factor to avoid any discontinuities and provide computational stability (see Fig. 1d).

We account for angle bending between a set of three particles with forces defined as

Fangleϕ=kBϕϕiϕ, (5)

where ϕi are the varying equilibrium angles obtained from the initial TC molecule geometry, and kB is the bending stiffness of the molecule (Depalle et al., 2015; Buehler and Wong, 2006; Buehler, 2006b).

Van-der-Waals forces Einter define the potential between the different kinds of non-bonded particles: The collagen-to-collagen (col) interaction, the mineral–mineral (HAP) interaction and the collagen– mineral interaction (colHAP) are modeled via a Lennard-JonesPotential with a soft core following

Fnon-bond(r)=FLJ(r)ifrλσLJFLJλσLJifr<λσLJ (6)

where

FLJr=1r48ϵLJσLJr1224ϵLJσLJr6. (7)

with ϵLJ as the well depth between two particles, σLJ is the distance at which the intermolecular potential between the two particles is zero and λ is the parameter to adjust the critical force associated to the soft core (see Fig. 1e).

The parameters applied in our simulations for calculating particle interaction are displayed in Table 1. For cross-link modeling, we use the mechanical properties of glucosepane, extracted from full-atomistic simulations with a reactive force field, since glucosepane is the most abundant cross-link in tissue and has been shown to influence mechanics of non-mineralized collagen fibrils (Kamml et al., 2023a). Additionally, to investigate the influence of AGEs cross-link mechanics, we increased the stiffness by a factor of 2. We emphasize that due to limited available information about physical parameters such as AGEs and mineral content and properties, our model can provide qualitative insight into the mechanisms governing fibrillar deformation and failure but the quantitative simulation results should be interpreted with care.

2.5. Simulations

We perform destructive tensile tests on the models of the mineralized collagen fibrils in LAMMPS (Plimpton, 1995). In the first step, different contents of mineral are inserted into the gaps of the collagen fibrils to account for mineralization, followed by an equilibration for 20 ns in an NPT ensemble (300 K, 0 Pa) simulating an infinitely long fibril with periodic boundary conditions. After the insertion of crosslinks, the tensile tests are performed, using steered molecular dynamics at a constant velocity of 0.0001 Å∕f s (= 10 m∕s) in an NVT ensemble at a temperature of 300 K. The time step is Δt=10 f s in equilibration and tensile test simulation. The ends are moved apart, and the required force is measured to calculate the engineering stress within the collagen fibril.

3. Results

3.1. Effect of mineral on collagen fibril deformation behavior and strength

With our first set of simulations, we investigate the effect of changing mineral content in the gap zone, expressed in gap-filling percentages (see Fig. 1c – reference state). We observe that the mechanical behavior of the collagen fibril changes drastically in various aspects with increasing mineral content (see Fig. 2a). All fibrils show the same elastic behavior for strains up to ε0.1 independent of their mineral content. Fibrils with low contents, i.e. cmineral10%, present a softening behavior after reaching the peak stress σpeak, eventually leading to zero strength. This behavior results from sliding between TC molecules, which is manifested in the observation that the collagen bonds within the TC molecules do not break (see Fig. 2b). The fibril with mineral content cmineral=15% presents a different behavior: after reaching the limit of linear deformation at ε00.15 the modulus decreases. After reaching peaks stress σpeak, it softens, and the behavior is characterized by a unique phenomenon within mineralized collagen fibrils — the socalled “sawtooth” effect (Depalle et al., 2016): The stress–strain curve is not smooth, but presents multiple relatively large stress-drops. These drops coincide with a slightly undulated behavior (see Fig. 2c) of the average gap length lgap, as defined in Fig. 1f, which is the length of the gap zone between the particles at the ends of two TC molecules. At the same time, the number of broken collagen bonds remains relatively constant (see Fig. 2b), which suggests that this sawtooth behavior is the result of (dynamic) sliding events between the TC molecules.

Fig. 2.

Fig. 2.

Mechanics of mineralized collagen fibril with varying contents of mineral. (a) Stress–strain curves of tensile tests until rupture of a representative collagen fibril with different mineral contents cmineral in [%]. (b) Number of broken bonds in TC molecules at fibril strain. (c) Average gap length at fibril strain (the average gap length is the average distance between the particles at the end of the TC molecules at both sides of the gap).

Fibrils with mineral contents of 20%cmineral40% show a slight decrease in modulus after reaching the limit of the elastic behavior at ε0, followed by stiffening with increasing stress, starting at ε0.3. These fibrils finally reach their peak stress at σpeak2.5 MPa. Fibrils with cmineral30% still show a sawtooth behavior, while at higher cmineral, the stress drops from σpeak directly to 0, which is a sign of brittleness. We also observe that higher contents of minerals lead to more broken bonds in the TC molecules (see Fig. 2b), where high drops in stress generally appear when a larger amount of bonds breaks. The bond breaking within the TC molecules indicates that the mineral blocks the sliding between the TC molecules. In general, mineral makes the fibril stronger i.e. increases the peak stress σpeak up to a mineral content of cmineral40% when σpeak reaches its saturation level. Mineral contents of cmineral40% do not lead to a further increase in σpeak. We also note that the strain at peak stress εpeak increases up to cmineral30% and then does not show any further significant changes. All of these results show that changes of cmineral have a stronger influence at lower mineral contents (cmineral30) than at higher content, where the behavior does not change significantly when the mineral contents change.

In the following, the fibril with cmineral=0% that neither contains mineral nor cross-links is considered as the state of pure collagen molecules sliding. When observing the changes in the average length of the gap zone lgap, this state of pure sliding shows a constant change of lgap. The slope of the curves is generally decreasing with increased cmineral, indicating that the TC molecules within the fibrils are stretched. When cmineral20%, the failure of the fibril and the larger amounts of broken collagen bonds in TC molecules coincide with the onset of a sudden change in slope at εpeak0.3. The higher cmineral, the less pronounced the changed modulus. This is an indicator that at a mineral content of cmineral=40%, the collagen molecules are barely sliding, but the fibril breaks via a condensed break of collagen molecules. This is another indicator for increased brittleness of the collagen fibril with increasing mineral content.

3.2. Effect of mineral nucleation position

We now investigate the effect of the position of the nucleation of the mineral. In the reference state presented in Section 3.1, nucleation of minerals starts at the respective ends of the gap zones. We compare this reference fibril to a fibril where the mineral nucleation starts in the center of the gap (see Fig. 1c). We observe that nucleation in the center intensifies the effect of the mineral on the collagen fibril mechanics. Specifically, the fibril demonstrates changes in mechanical behavior already at lower contents of the mineral when the mineral is nucleated from the center of the gap (see Fig. 3). With a mineral density of cmineral=15%, the fibril with mineral extending from the center of the gap exhibits a behavior similar to the fibril with cmineral=20% in the reference fibril. The peak stress σpeak reaches its saturation level already at a mineral content of cmineral20% (see Fig. 3a&b). Further, we consider the post-failure work WPF, which is defined as

WPF=εpeakεPF0σ(ε)dε (8)

with εpeak corresponding to the strain at peak stress σpeak and εPF0 being the strain when σ0 post fibril failure. We observe that WPF is generally smaller at the same mineral contents (see Fig. 3c). At the same cmineral, the mineral nucleated from the center reaches higher stresses faster, but also loses the sawtooth behavior, leading to a more abrupt failure. With increasing mineral content, this difference is getting smaller, since the fibril has an increased σpeak, but also more abrupt rupture, causing a decrease in WPF. Since the nucleation position has mostly quantitative but no qualitative effects on the fibril behavior, we can infer that the mineral content is more important than its position but our results do not provide direct evidence on the location of mineral in the collagen fibril.

Fig. 3.

Fig. 3.

Effect of different mineral nucleation points on the mechanical response of the collagen fibril. Mineralization starting from the edges of the gap and growing towards the center are depicted with dashed lines, and correspond to the reference case shown in Fig. 2. Mineralization starting from the gap center and growing outwards are depicted with solid lines. (a) Stress–strain response of the collagen fibrils with different nucleation procedures. Mineral contents in [%]. (b) Comparison of peak stress σpeak in collagen fibrils with different mineral nucleation starting points. (c) Comparison of post-failure work WPF in collagen fibrils with different mineral nucleation starting points.

3.3. Effect of mineral pattern

To account for different forms and distributions of minerals, we additionally compare the reference fibrils’ mechanical behavior with fibrils with other mineralization patterns. First, we decrease the mineral particle density in the gap zone, i.e., only every second mineral particle position from the reference state is occupied (see Fig. 1e). In this configuration, the stress–strain curves show a decrease in the effect of minerals (see Fig. 4a). The stiffening is only initiated at higher mineral contents of about 40%. We observe that the peak stress saturation level is not reached at mineral contents of cmineral40%, but only cmineral75% (see Fig. 4a&b). Due to reaching the level of abrupt failure only at very high mineral contents, the WPF is constantly high and only reaches its minimum at cmineral=100% (see Fig. 4c). This shows that when the mineral is not perfectly organized and defects, such as inclusions (here represented as empty mineral slots), exist, it still contributes quite efficiently to the strength of the collagen fibril but does not affect the fibril brittleness to the same degree.

Fig. 4.

Fig. 4.

The influence of mineral morphology on the mechanical response of the collagen fibril. Results from simulations with mineralization patterns with one continuous line of minerals are depicted with dashed lines and correspond to the reference case shown in Fig. 2. Simulation results with mineralization where every second mineral position is empty are depicted with solid lines. (a) Stress–strain response of the collagen fibrils with different mineral morphologies. Mineral contents in [%]. (b) Comparison of peak stress σpeak in collagen fibrils with different mineral morphologies. (c) Comparison of post-failure work WPF in collagen fibrils with different mineral morphology.

Second, we increase the mineral particle density by adding minerals in an equidistant scaffold in two rows (see Fig. 1e). We observe the opposite effect, where the fibrils stiffen already at a mineral content of cmineral15% (see Fig. 5a) and reach their peak stress saturation already with cmineral30% (see Fig. 5b). At mineral contents of cmineral50%, we see a drop in σpeak, and at cmineral100%, the stress–strain behavior does not significantly differ from the reference fibril.

Fig. 5.

Fig. 5.

The influence of mineral morphology on the mechanical response of the collagen fibril: Mineralization pattern with one solid line of mineral (dashed lines) – reference case, see Fig. 2 – and two solid lines of mineral (solid lines) (a) Stress–strain response of the collagen fibrils with different mineral morphologies. Mineral contents in [%]. (b) Comparison of peak stress σpeak in collagen fibrils with different mineral morphologies. (c) Comparison of post failure work WPF in collagen fibrils with different mineral morphology.

3.4. AGEs cross-linking in the mineralized collagen fibril

We investigate the influence of AGEs cross-linking on the collagen fibril mechanics at different mineral contents and varied not only AGEs density but additionally increased the stiffness of the AGEs by a factor of 2 to evaluate the influence of changing AGEs properties (see Fig. 6 and Table 1). Generally, when we observe AGEs and minerals separately, we observe that higher AGEs densities NAGE (without mineral) lead to higher peak stress σpeak and, depending on the AGEs properties, i.e. stiffness, leading to stiffening of the collagen fibril at the respective NAGE (at k1=8.0 stiffening is initiated at NAGE=40, at k1=16.0 at NAGE=10). The stiffening is initiated at ε0.25. At higher NAGE the failure of the fibril also is more abrupt, i.e. higher slope after reaching σpeak. When observing the influence of cmineral (see Section 3.1), the mineral has similar effects with increasing peak stress σpeak and initiating a second stiffening. The σpeak reaches its saturation level at 2.5 GPa. The difference the stress–strain curve demonstrates is a reduction of the modulus after the linear regime. At this point, the subsequent stiffening is initiated but remains less pronounced for higher cmineral. Further, the most striking difference is the sawtooth behavior: after reaching σpeak, at a mineral content of cmineral15. When cmineral is increased, the failure mechanism is more abrupt.

Fig. 6.

Fig. 6.

The influence of AGEs cross-link density and stiffness on the mechanical response of the mineralized collagen fibril. Stress–strain curves of mineralized collagen fibrils (and the non-mineralized fibril as reference (a&e)) at different mineral contents. (b&f) Mineral content of 15%. (c&g) Mineral content of 30%. (d&h) Mineral content of 100%.

In all fibril configurations, the elastic modulus as observed from the initial fibril stiffness is independent of cmineral and NAGE. Without minerals, AGEs cause the initiation of the second regime – the stiffening of the collagen fibril – which appears already at lower AGEs densities when the stiffness of the AGEs cross-links is increased (compare Fig. 6a&e).

When the mineral content cmineral of the fibril is at 15%, the peak stress σpeak increases further for all NAGE, when the stiffness of AGEs k1=8.0. In case of k1=16.0,σpeak only increases up to a NAGE10AGEs/TC. At this higher level of stiffness, the fibril reaches the saturation level of strength at σpeak=4.0MPa. We observe that insertion of AGEs does not lead to the so-called sawtooth effect compared to insertion of mineral: while at lower mineral contents cmineral20%, we see also that σpeak increases with higher cmineral, but the fibril shows this stick–slip behavior after having reached its peak stress. Insertion of AGEs at NAGE10 AGEs/TC still leads to a more abrupt failure after reaching the same σpeak. The higher the stiffness of the AGEs, the more pronounced the stiffening behavior of the fibril (compare Fig. 6b&f).

At a mineral content of cmineral30%, the influence of AGEs density on the mechanical behavior of the fibril is reduced compared to cmineral=15% (see Fig. 6c, d, g, h). The fibril stiffens and fails abruptly, but the mineral at this stage is the dominating factor governing the deformation and failure behavior. Still, at higher NAGE, the σpeak of the fibril is higher but reduces compared to the fibril at cmineral15. When cmineral=100%, we observe that AGEs do not affect the deformation behavior (see Fig. 6d&h).

Generally, we observe that AGE density influences collagen fibril mechanics at lower cmineral, where the extent of manifestation is dependent on AGE stiffness, but when the mineral content increases to cmineral30, the effect of AGEs reduces until no effect of AGEs can be observed (see Fig. 6d&h), independent of their stiffness.

When evaluating the breaking of bonds at different mineral contents cmineral and AGEs densities NAGE, we observe that the higher the mineral content, the more mineral is dominating the mechanical response: While at low cmineral, only at NAGE=40 AGES/TC collagen bonds in the TC molecules break and also just very few, the more mineral that is inserted, the more bonds in the collagen molecules break (see Fig. 7ad). At cmineral=100, around 500 collagen bonds are broken. With 155 TC molecules per cross-section of the fibril, this means that, on average, more than three fracture sites occur within every TC molecule. When we observe the breaking of AGEs cross-links, we see the opposite effect (see Fig. 7eh): with increasing cmineral, the number of AGEs cross-links breaking decreases massively, from a maximum of 3800 cross-links in fibrils with NAGE=40 AGEs/TC at cmineral=0% to about 750 crosslinks fractured at cmineral=100%, which mean that at cmineral=0%, more than 60% of the cross-links break, compared to only about 12% at cmineral=100%. This indicates that at high mineral contents, the mineral in the gap zones acts like glue, attaching the molecules at the end of the TC molecules to the gap. This is in agreement with the measurements of the length of the gap zones in Fig. 8. We observe that at cmineral=100% the average gap length at a fibril strain of 0.5 is only one-third of the gap length at cmineral=100% (compare Fig. 8a&d). The average gap length constantly decreases with increasing cmineral (see Fig. 8ad). Additionally, at increasing mineral, a sudden change of mineral length becomes more pronounced (see Fig. 8c) that finally disappears when the fibril reaches cmineral=100% where the average gap length is very low (see Fig. 8d).

Fig. 7.

Fig. 7.

Development of bond breaking of collagen bonds within TC molecules and AGEs at various fibril strain levels with different AGEs densities NAGE at different mineral contents of cmineral=0% (a&e), cmineral=15% (b&f), cmineral=30% (c&g), and cmineral=100% (d&h). The tensile stiffness of the cross-links is k1=8.0.

Fig. 8.

Fig. 8.

Measured length of gap region during tensile testing at different mineral contents cmineral including different AGEs densities. The tensile stiffness of the cross-links is k1=8.0.

4. Discussion

4.1. Limitations of numerical model

Our models of mineralized collagen fibrils allow us to observe the changes in mechanics and deformation behavior of the fibril as a function of changing mineral content and morphology, and varying AGEs cross-link density. While the models significantly overestimate the failure stresses compared to experimental observations (Svensson et al., 2018, 2013), they provide a groundwork for qualitatively assessing the influence of cross-linking and mineralization. However, various other parameters and environmental conditions might contribute to collagen fibril mechanical behavior, and some of these factors have not yet been quantified or determined. For example, the form and distribution of minerals within the gap zones of the collagen fibrils have not been determined precisely, and the mineralization process concerning mineral nucleation, location, and distribution within and between collagen fibrils and fibers is a question of ongoing debate: McNally et al. (2012) used transmission electron microscopy to study the topological distribution and relation of collagen and minerals. They state that 70% of the mineral occurs extrafibrillar being placed between and oriented parallel to the collagen fibril’s longitudinal direction, in agreement with other studies (Tong et al., 2003; Landis et al., 1996; Su et al., 2003). The remaining 30% are located in the gap zones. This is contradictory to other theories, stating that the mineral is also placed intrafibrillar between the TC molecules, extending to the overlap regions of the fibril (Arsenault, 1989; Siperko and Landis, 2001; Nudelman et al., 2010). Since the quantities and morphology of minerals have not been determined precisely, we used several different densities and patterns of mineral distributions in the gap zones. Still, by taking several factors and distributions into account, the fibril models are comprehensive enough to provide a reference for estimation of the influence of AGEs cross-links and mineral density in collagen fibrils in the future when parameters have been quantified.

Hydration has been shown to be an important factor regulating collagen fibril mechanics (Andriotis et al., 2018, 2023, 2019; Fielder and Nair, 2019; Grant et al., 2008; Heim et al., 2006), which we did not account for by modeling collagen fibrils without the influence of water molecules. The mechanical strength of cross-links is likely to be sensible to pH (Rennekamp et al., 2023), a fact that we do not account for in our simulations.

Although AGE cross-links occur in physical conditions only in the presence of enzymatic cross-links, we do not include them in the present study. We have shown in previous work that enzymatic crosslinks do not significantly change the mechanical response of the unmineralized collagen fibril (Kamml et al., 2023b). Still, it has been found that the function of enzymatic cross-links is more complex, especially of trivalent cross-links: one of their bonds might act as a sacrificial bond to maintain mechanical stability via energy dissipation and relaxation afterward, and bond breaking might activate tailored repair mechanisms before macroscopic failure (Rennekamp et al., 2023; Zapp et al., 2020). Further, in mineralized collagen fibrils, enzymatic cross-links, which are binding at the telopeptide ends of the tropocollagen molecules, might increase the effect of the mineral by additionally reducing sliding between the tropocollagens. Future work should investigate the combined effect of AGEs and enzymatic crosslinks in mineralized collagen fibrils. Apart from enzymatic cross-links, we did not account for different AGE types except by varying AGE cross-link stiffness since they have not been quantified in bone so far. Instead, we used the mechanical properties of glucosepane, the most abundant AGEs cross-link in tissue. Further, the distribution of AGEs was considered random. A future study should be performed on the influence of their locations accounting for the lysine and arginine side group locations (Gautieri et al., 2017).

In addition to these factors, AGEs might not only influence the mechanical behavior of the collagen fibril via cross-linking but also via changing other important physiological functions like the hydration mechanism (Andriotis et al., 2019) or via imposing tissue resorption activities (Dong et al., 2011; Khosravi et al., 2014).

In summary, many parameters influence the fibril’s mechanical behavior and better constraints on their value could contribute to a more comprehensive model of tissue at the nano-scale. For example, better information about the quantity, location, and mechanical properties of different AGEs types in various types of tissue would help in evaluating the influence of AGEs cross-linking on the collagen fibril behavior. More specifically, more detailed knowledge about AGEs content in the tissues of healthy, aged, or diabetic patients could help to isolate the contribution of AGEs on the impairment of tissue mechanical behavior. Moreover, the influence of diabetes on the mineral content at the fibril scale of hard tissues remains largely unknown because the information about the exact mineral content and location, i.e., being in the gap or between tropocollagen molecules, both for healthy and diseased tissues is missing.

4.2. Implications of the results

Our results indicate that up to a certain content of mineral cmineral, AGEs density NAGE influences the mechanical behaviour (cmineral30%), but after the cmineral has exceeded this value, the mineral is dominating the deformation behavior. This leads to the conclusion that the deformation mechanism within the fibril changes: mineral–collagen interactions are strong enough to retain many particles at the gap/collagen transition (the last particles before the gap). This leads to a change in the failure mechanism, where a higher amount of collagen bonds breaks due to the retaining of the gap particles.

The increase of the peak stress σpeak up to a certain value and the fact that at higher stiffness k1 at NAGE=40 it does not increase at cmineral=15% compared to cmineral=0% indicates that the transfer of forces to TC molecules via reduction of sliding reaches a saturation level where tropocollagen bonds break. The mineralized collagen fibril is probably a highly tuned biological system. Diabetes might not only influence collagen fibril mechanics via AGEs cross-linking but disturb the metabolic process of bone resorption (Montagnani et al., 2011): Indeed, studies show that the mineral content of bone in T2DM is increased (Hadzibegovic et al., 2008; Oei et al., 2013; Ma et al., 2012), raising the question of whether it is the increased AGEs crosslinking or the increased mineral content that is disturbing the tuned mechanical properties (or a combination of both). We demonstrate that beyond a threshold value of mineral content, the mechanical response of the collagen fibril is dominated by the mineral. We hypothesize that the underlying mechanism is the adhesive effect of the mineral within the collagen fibril structure inhibiting sliding between the tropocollagen molecules. In future work, this phenomenon could be investigated by varying the non-bonded interactions between the mineral and collagen. Furthermore, varying non-bonded interactions, also between collagen particles, in general, could be used to account for different environmental conditions, e.g. hydration, and how these affect the fibril’s deformation and failure mechanisms. Additionally, we observe that both increased AGE density and mineral content cause a more abrupt failure of the fibril. The stiffening of the fibrils is caused by changes in deformation mechanisms. The mineral content as well as AGEs block the sliding of the TC molecules. Finally, we note that further investigation on the presence of different AGEs types, i.e. AGEs with different mechanical properties, are needed for a comprehensive understanding of tissue mechanics at the nano-scale and for a more profound study on AGEs cross-linking in mineralized collagen fibrils.

5. Conclusion

With our model of the mineralized collagen fibril, we investigated the influence of both, mineral content and AGEs cross-link density on the mechanics of the fibril. We demonstrated that both of these components generally increase the strength of the fibril. Furthermore, increasing their quantity leads to the onset of another deformation regime characterized by stiffening of the fibril and resulting in a more abrupt failure. We showed that at higher mineral content, the mineral dominates the deformation and failure mechanism of the fibril. In contrast, at lower contents of minerals, AGEs dominate the mechanisms of deformation. These results indicate that distortions in either the deposition of mechanical components (e.g., increased or reduced mineral content, or increased AGEs cross-linking) or of their mechanical properties alter the mechanical behavior of tissue on a larger scale by changing the collagen fibril mechanics.

Funding

Research reported in this publication was supported by NIAMS of the National Institutes of Health, USA under award number 1R21AR077881.

Footnotes

Declaration of competing interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

CRediT authorship contribution statement

Julia Kamml: Formal analysis, Investigation, Visualization, Writing – original draft. Claire Acevedo: Conceptualization, Funding acquisition, Writing – review & editing. David S. Kammer: Conceptualization, Methodology, Funding acquisition, Writing – review & editing.

Data availability

The simulation data generated in this study have been deposited in the ETH Research Collection database https://doi.org/10.3929/ethz-b-000673917.

References

  1. Abdulameer SA, Syed Sulaiman SA, Hassali MAA, Subramaniam K, Sahib MN, 2012. Osteoporosis and type 2 diabetes mellitus: What do we know, and what we can do? Patient Prefer. Adherence 6, 435–448. 10.2147/PPA.S32745. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Acevedo C, Sylvia M, Schaible E, Graham JL, Stanhope KL, Metz LN, Gludovatz B, Schwartz AV, Ritchie RO, Alliston TN, Havel PJ, Fields AJ, 2018. Contributions of material properties and structure to increased bone fragility for a given bone mass in the UCD-T2DM rat model of type 2 diabetes. J. Bone Miner. Res. 33 (6), 1066–1075. 10.1002/JBMR.3393. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Andriotis OG, Desissaire S, Thurner PJ, 2018. Collagen fibrils: Nature’s highly tunable nonlinear springs. ACS Nano 12 (4), 3671–3680. 10.1021/ACSNANO.8B00837/SUPPL{_}FILE/NN8B00837{_}SI{_}002.AVI. [DOI] [PubMed] [Google Scholar]
  4. Andriotis OG, Elsayad K, Smart DE, Nalbach M, Davies DE, Thurner PJ, 2019. Hydration and nanomechanical changes in collagen fibrils bearing advanced glycation end-products. Biomed. Opt. Express 10.1364/BOE.10.001841. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Andriotis OG, Nalbach M, Thurner PJ, 2023. Mechanics of isolated individual collagen fibrils. Acta Biomater. 163, 35–49. 10.1016/j.actbio.2022.12.008. [DOI] [PubMed] [Google Scholar]
  6. Arsenault AL, 1989. A comparative electron microscopic study of apatite crystals in collagen fibrils of rat bone, dentin and calcified turkey leg tendons. Bone Miner. 6 (2), 165–177. 10.1016/0169-6009(89)90048-2. [DOI] [PubMed] [Google Scholar]
  7. Avery NC, Bailey AJ, 2006. The effects of the maillard reaction on the physical properties and cell interactions of collagen. Pathol. Biol. 54 (7), 387–395. 10.1016/J.PATBIO.2006.07.005. [DOI] [PubMed] [Google Scholar]
  8. Buehler MJ, 2006a. Atomistic and continuum modeling of mechanical properties of collagen: Elasticity, fracture, and self-assembly. J. Mater. Res. 21 (8), 1947–1961. 10.1557/jmr.2006.0236. [DOI] [Google Scholar]
  9. Buehler MJ, 2006b. Nature designs tough collagen: Explaining the nanostructure of collagen fibrils. Proc. Natl. Acad. Sci. USA 103 (33), 12285–12290. 10.1073/pnas.0603216103. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Buehler MJ, Wong S, 2006. Entropic elasticity controls nanomechanics of single tropocollagen molecules. In: Materials Research Society Symposium Proceedings. Vol. 975, Materials Research Society, pp. 17–26. 10.1557/proc-975-0975-dd02-04. [DOI] [Google Scholar]
  11. Collier TA, Nash A, Birch HL, de Leeuw NH, 2015. Preferential sites for intramolecular glucosepane cross-link formation in type I collagen: A thermodynamic study. Matrix Biol. 48, 78–88. 10.1016/J.MATBIO.2015.06.001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Depalle B, Qin Z, Shefelbine SJ, Buehler MJ, 2015. Influence of cross-link structure, density and mechanical properties in the mesoscale deformation mechanisms of collagen fibrils. J. Mech. Behav. Biomed. Mater 10.1016/j.jmbbm.2014.07.008. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Depalle B, Qin Z, Shefelbine SJ, Buehler MJ, 2016. Large deformation mechanisms, plasticity, and failure of an individual collagen fibril with different mineral content. J. Bone Miner. Res. 31 (2), 380–390. 10.1002/jbmr.2705. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Dey P, Dey P, 2020. Bone mineralisation. In: Contemporary Topics about Phosphorus in Biology and Materials. IntechOpen, 10.5772/INTECHOPEN.92065. [DOI] [Google Scholar]
  15. Dong XN, Qin A, Xu J, Wang X, 2011. In situ accumulation of advanced glycation endproducts (AGEs) in bone matrix and its correlation with osteoclastic bone resorption. Bone 49 (2), 174–183. 10.1016/J.BONE.2011.04.009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Fessel G, Li Y, Diederich V, Guizar-Sicairos M, Schneider P, Sell DR, Monnier VM, Snedeker JG, 2014. Advanced glycation end-products reduce collagen molecular sliding to affect collagen fibril damage mechanisms but not stiffness. PLoS ONE 9 (11), e110948. 10.1371/JOURNAL.PONE.0110948. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Fielder M, Nair AK, 2019. Effects of hydration and mineralization on the deformation mechanisms of collagen fibrils in bone at the nanoscale. Biomech. Model. Mechanobiol. 18 (1), 57–68. 10.1007/S10237-018-1067-Y/FIGURES/7. [DOI] [PubMed] [Google Scholar]
  18. Gautieri A, Passini FS, Silván U, Guizar-Sicairos M, Carimati G, Volpi P, Moretti M, Schoenhuber H, Redaelli A, Berli M, Snedeker JG, 2017. Advanced glycation end-products: Mechanics of aged collagen from molecule to tissue. Matrix Biol. 59, 95–108. 10.1016/J.MATBIO.2016.09.001. [DOI] [PubMed] [Google Scholar]
  19. Gautieri A, Redaelli A, Buehler MJ, Vesentini S, 2014. Age- and diabetes-related nonenzymatic crosslinks in collagen fibrils: Candidate amino acids involved in advanced glycation end-products. Matrix Biol. 34, 89–95. 10.1016/j.matbio.2013.09.004. [DOI] [PubMed] [Google Scholar]
  20. Grant CA, Brockwell DJ, Radford SE, Thomson NH, 2008. Effects of hydration on the mechanical response of individual collagen fibrils. 10.1063/1.2937001. [DOI]
  21. Gupta HS, Seto J, Wagermaier W, Zaslansky P, Boesecke P, Fratzl P, 2006. Cooperative deformation of mineral and collagen in bone at the nanoscale. Proc. Natl. Acad. Sci. USA 103 (47), 17741–17746. 10.1073/PNAS.0604237103. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Hadzibegovic I, Miskic B, Cosic V, Prvulovic D, Bistrovic D, 2008. Increased bone mineral density in postmenopausal women with type 2 diabetes mellitus. Ann. Saudi. Med 28 (2), 102–104. 10.5144/0256-4947.2008.102. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Heim AJ, Matthews WG, Koob TJ, 2006. Determination of the elastic modulus of native collagen fibrils via radial indentation. Appl. Phys. Lett. 89 (18), 181902. 10.1063/1.2367660/918966, URL: /aip/apl/article/89/18/181902/918966/Determination-of-the-elastic-modulus-of-native. [DOI] [Google Scholar]
  24. Henriksen K, Karsdal M, 2024. Type I collagen. In: Biochemistry of Collagens, Laminins and Elastin. Academic Press, pp. 1–11. 10.1016/B978-0-443-15617-5.00047-0. [DOI] [Google Scholar]
  25. Hulmes DJ, 2002. Building collagen molecules, fibrils, and suprafibrillar structures. J. Struct. Biol. 137 (1–2), 2–10. 10.1006/JSBI.2002.4450. [DOI] [PubMed] [Google Scholar]
  26. Hulmes D, 2008. Collagen diversity, synthesis and assembly. In: Collagen: Structure and Mechanics. Springer, Boston, MA, pp. 15–47. 10.1007/978-0-387-73906-9{_}2. [DOI] [Google Scholar]
  27. Kamml J, Acevedo C, Kammer DS, 2023a. Advanced-glycation endproducts: How cross-linking properties affect the collagen fibril behavior. J. Mech. Behav. Biomed. Mater. 148, 106198. 10.1016/J.JMBBM.2023.106198. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Kamml J, Ke CY, Acevedo C, Kammer DS, 2023b. The influence of AGEs and enzymatic cross-links on the mechanical properties of collagen fibrils. J. Mech. Behav. Biomed. Mater. 143 (January), 105870. 10.1016/j.jmbbm.2023.105870. [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. Khosravi R, Sodek KL, Faibish M, Trackman PC, 2014. Collagen advanced glycation inhibits its discoidin domain receptor 2 (DDR2)-mediated induction of lysyl oxidase in osteoblasts. Bone 58, 33–41. 10.1016/J.BONE.2013.10.001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Landis WJ, Hodgens KJ, Song MJ, Arena J, Kiyonaga S, Marko M, Owen C, McEwen BF, 1996. Mineralization of collagen may occur on fibril surfaces: Evidence from conventional and high-voltage electron microscopy and threedimensional imaging. J. Struct. Biol. 117 (1), 24–35. 10.1006/JSBI.1996.0066. [DOI] [PubMed] [Google Scholar]
  31. Li Y, Fessel G, Georgiadis M, Snedeker JG, 2013. Advanced glycation endproducts diminish tendon collagen fiber sliding. Matrix Biol. 32 (3–4), 169–177. 10.1016/J.MATBIO.2013.01.003. [DOI] [PubMed] [Google Scholar]
  32. Ma L, Oei L, Jiang L, Estrada K, Chen H, Wang Z, Yu Q, Zillikens MC, Gao X, Rivadeneira F, 2012. Association between bone mineral density and type 2 diabetes mellitus: A meta-analysis of observational studies. Eur. J. Epidemiol. 27 (5), 319–332. 10.1007/S10654-012-9674-X/TABLES/6. [DOI] [PMC free article] [PubMed] [Google Scholar]
  33. McNally EA, Schwarcz HP, Botton GA, Arsenault AL, 2012. A model for the ultrastructure of bone based on electron microscopy of ion-milled sections. In: Kreplak L (Ed.), PLoS ONE 7 (1), e29258. 10.1371/journal.pone.0029258. [DOI] [PMC free article] [PubMed] [Google Scholar]
  34. Milicevic Z, Raz I, Beattie SD, Campaigne BN, Sarwat S, Gromniak E, Kowalska I, Galic E, Tan M, Hanefeld M, 2008. Natural history of cardiovascular disease in patients with DiabetesRole of hyperglycemia. Diabetes Care 31 (Supplement_2), S155–S160. 10.2337/DC08-S240. [DOI] [PubMed] [Google Scholar]
  35. Montagnani A, Gonnelli S, Alessandri M, Nuti R, 2011. Osteoporosis and risk of fracture in patients with diabetes: An update. Aging Clin. Exp. Res. 23 (2), 84–90. 10.1007/BF03351073/METRICS. [DOI] [PubMed] [Google Scholar]
  36. Nair AK, Gautieri A, Chang SW, Buehler MJ, 2013. Molecular mechanics of mineralized collagen fibrils in bone. Nature Commun. 4 (1), 1–9. 10.1038/ncomms2720. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Niyibizi C, Eyre DR, 1994. Structural characteristics of cross-linking sites in type v collagen of bone: Chain specificities and heterotypic links to type I collagen. Eur. J. Biochem. 224 (3), 943–950. 10.1111/J.1432-1033.1994.00943.X. [DOI] [PubMed] [Google Scholar]
  38. Nudelman F, Pieterse K, George A, Bomans PH, Friedrich H, Brylka LJ, Hilbers PA, De With G, Sommerdijk NA, 2010. The role of collagen in bone apatite formation in the presence of hydroxyapatite nucleation inhibitors. Nat. Mater. 9 (12), 1004–1009. 10.1038/nmat2875, 2010 9:12. [DOI] [PMC free article] [PubMed] [Google Scholar]
  39. Oei L, Rivadeneira F, Zillikens MC, Oei EH, 2015. Diabetes, diabetic complications, and fracture risk. Curr. Osteoporos. Rep. 13 (2), 106–115. 10.1007/S11914-015-0260-5/METRICS. [DOI] [PMC free article] [PubMed] [Google Scholar]
  40. Oei L, Zillikens MC, Dehghan A, Buitendijk GH, Castaño-Betancourt MC, Estrada K, Stolk L, Oei EH, Van Meurs JB, Janssen JA, Hofman A, Van Leeuwen JP, Witteman JC, Pols HA, Uitterlinden AG, Klaver CC, Franco OH, Rivadeneira F, 2013. High bone mineral density and fracture risk in type 2 diabetes as skeletal complications of inadequate glucose ControlThe rotterdam study. Diabetes Care 36 (6), 1619–1628. 10.2337/DC12-1188. [DOI] [PMC free article] [PubMed] [Google Scholar]
  41. Orgel JP, Irving TC, Miller A, Wess TJ, 2006. Microfibrillar structure of type I collagen in situ. Proc. Natl. Acad. Sci. USA 103 (24), 9001–9005. 10.1073/pnas.0502718103. [DOI] [PMC free article] [PubMed] [Google Scholar]
  42. Plimpton S, 1995. LAMMPS molecular dynamics simulator. J. Comput. Phys. 117, 1–19. [Google Scholar]
  43. Poiana C, Capatina C, 2017. Fracture risk assessment in patients with diabetes mellitus. J. Clin. Densitom. 10.1016/j.jocd.2017.06.011. [DOI] [PubMed] [Google Scholar]
  44. Prasad A, Bekker P, Tsimikas S, 2012. Advanced glycation end products and diabetic cardiovascular disease. Cardiol. Rev. 20 (4), 177–183. 10.1097/CRD.0B013E318244E57C. [DOI] [PubMed] [Google Scholar]
  45. Rennekamp B, Karfusehr C, Kurth M, Ünal A, Monego D, Riedmiller K, Gryn’ova G, Hudson DM, Gräter F, 2023. Collagen breaks at weak sacrificial bonds taming its mechanoradicals. Nat. Commun. 14 (1), 1–11. 10.1038/s41467-023-37726-z, 2023 14:1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  46. Rho JY, Kuhn-Spearing L, Zioupos P, 1998. Mechanical properties and the hierarchical structure of bone. Med. Eng. Phys. 10.1016/S1350-4533(98)00007-1. [DOI] [PubMed] [Google Scholar]
  47. Rosenberg JL, Schaible E, Bostrom A, Lazar AA, Graham JL, Stanhope KL, Ritchie RO, Alliston TN, Lotz JC, Havel PJ, Acevedo C, Fields AJ, 2023a. Type 2 diabetes impairs annulus fibrosus fiber deformation and rotation under disc compression in the university of california davis type 2 diabetes mellitus (UCD-T2DM) rat model. PNAS Nexus 2 (12), 10.1093/PNASNEXUS/PGAD363. [DOI] [PMC free article] [PubMed] [Google Scholar]
  48. Rosenberg JL, Woolley W, Elnunu I, Kamml J, Kammer DS, Acevedo C, 2023b. Effect of non-enzymatic glycation on collagen nanoscale mechanisms in diabetic and age-related bone fragility. Biocell 47 (7), 1651. 10.32604/BIOCELL.2023.028014. [DOI] [PMC free article] [PubMed] [Google Scholar]
  49. Siperko LM, Landis WJ, 2001. Aspects of mineral structure in normally calcifying avian tendon. J. Struct. Biol. 135 (3), 313–320. 10.1006/JSBI.2001.4414. [DOI] [PubMed] [Google Scholar]
  50. Strain WD, Paldánius PM, 2018. Diabetes, cardiovascular disease and the microcirculation. Cardiovasc. Diabetol 17 (1), 1–10. 10.1186/S12933-018-0703-2, 2018 17:1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  51. Su X, Sun K, Cui FZ, Landis WJ, 2003. Organization of apatite crystals in human woven bone. Bone 32 (2), 150–162. 10.1016/S8756-3282(02)00945-6. [DOI] [PubMed] [Google Scholar]
  52. Svensson RB, Mulder H, Kovanen V, Magnusson SP, 2013. Fracture mechanics of collagen fibrils: Influence of natural cross-links. Biophys. J. 104 (11), 2476–2484. 10.1016/J.BPJ.2013.04.033. [DOI] [PMC free article] [PubMed] [Google Scholar]
  53. Svensson RB, Smith ST, Moyer PJ, Magnusson SP, 2018. Effects of maturation and advanced glycation on tensile mechanics of collagen fibrils from rat tail and achilles tendons. Acta Biomater. 70, 270–280. 10.1016/J.ACTBIO.2018.02.005. [DOI] [PubMed] [Google Scholar]
  54. Tavakol M, Vaughan TJ, 2023. A coarse-grained molecular dynamics investigation of the role of mineral arrangement on the mechanical properties of mineralized collagen fibrils. J. R. Soc. Interface 20 (198), 10.1098/rsif.2022.0803. [DOI] [PMC free article] [PubMed] [Google Scholar]
  55. Thomas MC, Brownlee M, Susztak K, Sharma K, Jandeleit-Dahm KA, Zoungas S, Rossing P, Groop PH, Cooper ME, 2015. Diabetic kidney disease. Nat. Rev. Dis. Primers 1 (1), 1–20. 10.1038/nrdp.2015.18, 2015 1:1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  56. Tong W, Glimcher MJ, Katz JL, Kuhn L, Eppell SJ, 2003. Size and shape of mineralites in young bovine bone measured by atomic force microscopy. Calcif. Tissue Int. 72 (5), 592–598. 10.1007/S00223-002-1077-7/METRICS. [DOI] [PubMed] [Google Scholar]
  57. Ulrich Meyer HPW, 2006. Bone and cartilage. Bone Cartil. Eng 7–46. 10.1007/3-540-33606-0{_}2. [DOI] [Google Scholar]
  58. Vashishth D, 2009. Advanced glycation end-products and bone fractures. IBMS boneKEy 6 (8), 268. 10.1138/20090390. [DOI] [PMC free article] [PubMed] [Google Scholar]
  59. Vestergaard P, 2007. Discrepancies in bone mineral density and fracture risk in patients with type 1 and type 2 diabetes - a meta-analysis. Osteoporos. Int 18 (4), 427–444. 10.1007/S00198-006-0253-4/TABLES/5. [DOI] [PubMed] [Google Scholar]
  60. Viguet-Carrin S, Garnero P, Delmas PD, 2006. The role of collagen in bone strength. pp. 319–336. 10.1007/s00198-005-2035-9. [DOI] [PubMed]
  61. Vlassara H, Palace MR, 2002. Diabetes and advanced glycation endproducts. J. Internal Med. 251 (2), 87–101. 10.1046/J.1365-2796.2002.00932.X. [DOI] [PubMed] [Google Scholar]
  62. Vlassara H, Striker GE, 2013. Advanced glycation endproducts in diabetes and diabetic complications. Endocrinol. Metab. Clin. North Am. 42 (4), 697–719. 10.1016/J.ECL.2013.07.005. [DOI] [PubMed] [Google Scholar]
  63. Vlassara H, Uribarri J, 2014. Advanced glycation end products (AGE) and diabetes: Cause, effect, or both? Curr. Diabetes Rep 14 (1), 1–10. 10.1007/S11892-013-0453-1/FIGURES/5. [DOI] [PMC free article] [PubMed] [Google Scholar]
  64. Wachter NJ, Krischak GD, Mentzel M, Sarkar MR, Ebinger T, Kinzl L, Claes L, Augat P, 2002. Correlation of bone mineral density with strength and microstructural parameters of cortical bone in vitro. Bone 31 (1), 90–95. 10.1016/S8756-3282(02)00779-2. [DOI] [PubMed] [Google Scholar]
  65. Weatherholt AM, Fuchs RK, Warden SJ, 2012. Specialized connective tissue: Bone, the structural framework of the upper extremity. J. Hand Ther 25 (2), 123–132. 10.1016/J.JHT.2011.08.003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  66. Weiner S, Traub W, 1992. Bone structure: from ångstroms to microns. FASEB J. 6 (3), 879–885. 10.1096/FASEBJ.6.3.1740237. [DOI] [PubMed] [Google Scholar]
  67. Wess TJ, 2008. Collagen fibrillar structure and hierarchies. Collagen: Struct. Mech. 49–80. 10.1007/978-0-387-73906-9{_}3. [DOI] [Google Scholar]
  68. Yamamoto M, Sugimoto T, 2016. Advanced glycation end products, diabetes, and bone strength. Curr. Osteoporos. Rep. 14 (6), 320–326. 10.1007/S11914-016-0332-1/FIGURES/1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  69. Yamamoto M, Yamaguchi T, Yamauchi M, Kaji H, Sugimoto T, 2009. Diabetic patients have an increased risk of vertebral fractures independent of BMD or diabetic complications. J. Bone Miner. Res. 24 (4), 702–709. 10.1359/JBMR.081207. [DOI] [PubMed] [Google Scholar]
  70. Zapp C, Obarska-Kosinska A, Rennekamp B, Kurth M, Hudson DM, Mercadante D, Barayeu U, Dick TP, Denysenkov V, Prisner T, Bennati M, Daday C, Kappl R, Gräter F, 2020. Mechanoradicals in tensed tendon collagen as a source of oxidative stress. Nat. Commun. 11 (1), 1–8. 10.1038/s41467-020-15567-4, 2020 11:1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  71. Zimmermann EA, Ritchie RO, 2015. Bone as a structural material. Adv. Healthc. Mater. 4 (9), 1287–1304. 10.1002/ADHM.201500070. [DOI] [PubMed] [Google Scholar]
  72. Zimmermann EA, Schaible E, Bale H, Barth HD, Tang SY, Reichert P, Busse B, Alliston T, Ager JW, Ritchie RO, 2011. Age-related changes in the plasticity and toughness of human cortical bone at multiple length scales. Proc. Natl. Acad. Sci. USA 108 (35), 14416–14421. 10.1073/pnas.1107966108. [DOI] [PMC free article] [PubMed] [Google Scholar]

Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Data Availability Statement

The simulation data generated in this study have been deposited in the ETH Research Collection database https://doi.org/10.3929/ethz-b-000673917.

RESOURCES