Glycine for Collagen Synthesis

Collagen Synthesis — scientific infographic poster

Collagen is the most abundant protein in animals (Shoulders 2009), and its triple helix requires a glycine at every third position (Xiao 2011). This deep-dive covers why glycine is the residue that fits there, the 2009 hypothesis of Meléndez-Hevia and colleagues that the body's own synthesis plus a typical diet may supply less glycine than it uses, the trials of gelatin and collagen peptides on collagen markers, pressure ulcers, skin and joints — which tested whole collagen products, not glycine on its own — and the GlyNAC (glycine plus N-acetylcysteine) studies in older adults.


Table of Contents

  1. Collagen Is One-Third Glycine
  2. The Triple-Helix Structure (Why Only Glycine Fits)
  3. The 28 Collagen Types and Where Glycine Goes
  4. The Dietary Glycine Deficiency Hypothesis
  5. Muscle Meat vs Whole-Animal Eating
  6. Wound Healing and Pressure Ulcers
  7. Skin Aging and Collagen Peptide Trials
  8. Joints, Cartilage, and Tendon Repair
  9. Bone Broth, Gelatin, and Collagen Peptides
  10. GlyNAC, Sekhar, and the Aging Connection
  11. Cofactors: Vitamin C, Iron, and Copper
  12. Doses Used in the Studies
  13. Key Research Papers
  14. Connections
  15. Featured Videos

Collagen's chains are built on a repeating three-residue pattern, written Gly-X-Y, in which glycine is mandatory at every third position and the other two positions readily take the imino acids proline and hydroxyproline (Bhattacharjee 2005). In the fibrillar collagens this pattern runs, with glycine at every third position, for more than 1,000 amino acids (Byers 2001). Roughly one residue in three of the triple helix is therefore glycine.

That makes collagen synthesis one of the body's uses of glycine, alongside glutathione and the porphyrins, purines, creatine, sarcosine and bile salts for which glycine is a building block (McCarty 2018). How much glycine all of these uses need, and whether ordinary diets supply enough, is unsettled. A 2009 modelling study estimated that the body's own synthesis (about 3 g/day) plus a typical diet (1.5–3.0 g/day) may fall short of the amount needed for all metabolic uses, including collagen synthesis, by about 10 g per day for a 70 kg adult (Meléndez-Hevia 2009). That figure is a model estimate and a hypothesis, not a measured deficiency; it is described in The Dietary Glycine Deficiency Hypothesis below.

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The Triple-Helix Structure (Why Only Glycine Fits)

Collagen's defining structure is the triple helix: a right-handed bundle of three parallel, left-handed polyproline II-type helices (Shoulders 2009). The coiled-coil triple-helical model was first proposed by Ramachandran's group in Madras, and crystal structures of collagen-like peptides have since confirmed its essential correctness; hydroxyproline residues help stabilize it (Bhattacharjee 2005). The stability of a stretch of triple helix can be predicted from its amino-acid sequence, including the effect of changes at the X and Y positions (Persikov 2005).

Close packing of the three chains is the reason for the glycine requirement: glycine, whose side chain is a single hydrogen atom, is required as every third residue, and replacing even one glycine in the repeating sequence with a larger residue leads to a pathological condition (Xiao 2011).

The inherited brittle-bone disease osteogenesis imperfecta shows this directly. It is caused mainly by dominant mutations in the genes for type I collagen (Marini 2017). In a 2007 catalogue of 832 independent structural mutations in type I collagen that cause the disease, 682 substituted another amino acid for a glycine in the triple helix and 150 altered splice sites; one-third of the glycine substitutions in the alpha1(I) chain were lethal, especially when the substituting residue was charged or had a branched side chain (Marini 2007). Substitutions for glycine are among the most common effects of mutations in the fibrillar collagens generally (Byers 2001).

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The 28 Collagen Types and Where Glycine Goes

The collagen family has 28 members, each containing at least one triple-helical domain. Most are deposited in the extracellular matrix, where they form larger assemblies; four are membrane proteins that also exist in a soluble form; and some have a restricted tissue distribution and specific functions (Ricard-Blum 2011). In the fibrillar collagens, the three chains are assembled into several different molecules with tissue-specific distributions (Byers 2001). Type I collagen forms the prototypical collagen fibril (Shoulders 2009) and is the collagen whose mutations cause most osteogenesis imperfecta (Marini 2017).

Because every type is built on triple-helical domains, every type needs glycine at every third position of those domains.

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The Dietary Glycine Deficiency Hypothesis

The proposition that many people may be short of glycine was set out most fully by Enrique Meléndez-Hevia and colleagues in a 2009 paper in Journal of Biosciences titled "A weak link in metabolism: the metabolic capacity for glycine biosynthesis does not satisfy the need for collagen synthesis." Starting from the observation that making glycine from serine is limited by the chemistry of the enzyme involved, they compared all the reported rates at which an adult makes and uses glycine, and estimated that:

  1. synthesis from serine accounts for more than 85% of the glycine the body makes;
  2. synthesis provides about 3 g/day, and the diet 1.5–3.0 g/day;
  3. together these may fall short of the amount needed for all metabolic uses, including collagen synthesis, by about 10 g per day for a 70 kg person.

The authors concluded that this supports the view that glycine is a semi-essential amino acid, and wrote that it should be taken as a nutritional supplement (Meléndez-Hevia 2009). That conclusion is theirs; the figure is a model estimate and a hypothesis, not a measured deficiency, and trials testing whether extra glycine changes collagen turnover in people were not found in PubMed.

A 2018 review by Mark McCarty and colleagues made a related argument about glutathione rather than collagen. It reported that tissue glycine levels are below the level at which the glutathione-making enzyme works at half speed, and that urinary excretion of 5-oxoproline — a by-product that rises when glycine is too scarce for glutathione synthesis — is raised in vegetarians and others eating relatively low-protein diets, which the authors took as strong evidence that dietary glycine can limit glutathione synthesis in normally fed people. The review concluded that clinical research is warranted (McCarty 2018).

Glycine is usually classed as a non-essential amino acid (Lizzo 2022), because the body can make it. The Meléndez-Hevia argument is that the body's maximum capacity to make it may fall short of total demand, which is a different question from whether it is technically essential.

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Muscle Meat vs Whole-Animal Eating

Because glycine fills every third position in collagen's triple helix, foods made from or rich in collagen — gelatin, skin, and cuts with tendon and cartilage — are the richest food sources of it. Per-100 g glycine figures from the USDA FoodData Central records are listed on the Glycine Sources page. Bone broth and slow-cooked connective-tissue cuts contain collagen and so glycine, but their content varies with the recipe and cooking time, and no standard figure is given here.

Proponents of the deficiency hypothesis argue that diets built on muscle meat, without the skin, bone and connective tissue that earlier cuisines used, supply less glycine. Dietary surveys comparing glycine intake between muscle-only and whole-animal eating patterns were not found.

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Wound Healing and Pressure Ulcers

The human trials found for this section tested collagen products — gelatin or collagen hydrolysate — rather than glycine on its own:

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Skin Aging and Collagen Peptide Trials

Reviews of skin aging describe collagen atrophy as a major factor in it, report a strong correlation between skin collagen loss and the fall in oestrogen at menopause, and note that oestrogen use after menopause increases skin collagen content, dermal thickness and elasticity (Calleja-Agius 2012).

Trials of oral collagen peptides on skin test these products as a whole, not glycine on its own, and many were run or funded by collagen manufacturers:

In hairless mice, oral collagen peptide for nine weeks reduced the loss of skin hydration and the wrinkling caused by ultraviolet B light and raised hyaluronic acid in the skin (Kang 2018); that is an animal result. Trials of free glycine on its own for skin outcomes were not found.

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Joints, Cartilage, and Tendon Repair

As with skin, the joint and tendon trials tested collagen hydrolysate, collagen peptides or gelatin, not glycine alone:

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Bone Broth, Gelatin, and Collagen Peptides

Three collagen-derived foods and products carry glycine together with proline and hydroxyproline:

Free glycine powder supplies glycine alone, without proline or hydroxyproline. Trials comparing free glycine with collagen peptides or gelatin for collagen outcomes were not found. Per-food glycine figures are on the Glycine Sources page.

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GlyNAC, Sekhar, and the Aging Connection

Glutathione, the main antioxidant made inside cells, is built from glutamate, cysteine and glycine, so it draws on the same glycine supply as collagen. A research group at Baylor College of Medicine led by Rajagopal Sekhar proposes that deficiencies of glutathione and of its precursors glycine and cysteine contribute to oxidative stress and mitochondrial decline in aging, and calls the combination of glycine and N-acetylcysteine (NAC) GlyNAC (Sekhar 2021). Because these studies gave the two precursors together, they cannot show how much glycine alone contributed. Nearly all of the human GlyNAC evidence comes from this one group:

The one trial from outside the group gave different results. Lizzo 2022, a randomized, controlled trial run by researchers employed by a nutrition company that markets glycine-and-NAC products, gave 114 healthy older volunteers GlyNAC at 2.4, 4.8 or 7.2 g/day or placebo for 2 weeks. GlyNAC was safe and well tolerated but did not meet its primary endpoint: it did not raise total glutathione or the ratio of reduced to oxidized glutathione. A post-hoc analysis found more glutathione generation in a subgroup with high oxidative stress and low starting glutathione who took the medium or high dose.

None of these studies measured collagen. The full GlyNAC record is on the Glutathione Synthesis page.

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Cofactors: Vitamin C, Iron, and Copper

Glycine is one raw material for collagen; several enzyme steps that turn the new chains into stable fibres depend on other nutrients:

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Doses Used in the Studies

The amounts below are those the studies on this page used; they describe the research, not a regimen. Most tested collagen products, whose glycine content was not reported in the abstracts.

The 2009 estimate of a glycine shortfall of about 10 g per day (Meléndez-Hevia 2009) has not been tested in intake trials.

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Key Research Papers

  1. Meléndez-Hevia E, De Paz-Lugo P, Cornish-Bowden A, Cárdenas ML (2009). A weak link in metabolism: the metabolic capacity for glycine biosynthesis does not satisfy the need for collagen synthesis. Journal of Biosciences 34(6):853-72. — PubMed PMID: 20093739
  2. McCarty MF, O'Keefe JH, DiNicolantonio JJ (2018). Dietary glycine is rate-limiting for glutathione synthesis and may have broad potential for health protection. Ochsner Journal 18(1):81-87. (Review.) — PubMed PMID: 29559876
  3. Shoulders MD, Raines RT (2009). Collagen structure and stability. Annual Review of Biochemistry 78:929-58. (Review.) — PubMed PMID: 19344236
  4. Bhattacharjee A, Bansal M (2005). Collagen structure: the Madras triple helix and the current scenario. IUBMB Life 57(3):161-72. (Review.) — PubMed PMID: 16036578
  5. Xiao J, Cheng H, Silva T, Baum J, Brodsky B (2011). Osteogenesis imperfecta missense mutations in collagen: structural consequences of a glycine to alanine replacement at a highly charged site. Biochemistry 50(50):10771-80. — PubMed PMID: 22054507
  6. Byers PH (2001). Folding defects in fibrillar collagens. Philosophical Transactions of the Royal Society of London B 356(1406):151-7. (Review.) — PubMed PMID: 11260795
  7. Persikov AV, Ramshaw JA, Brodsky B (2005). Prediction of collagen stability from amino acid sequence. Journal of Biological Chemistry 280(19):19343-9. — PubMed PMID: 15753081
  8. Marini JC, Forlino A, Cabral WA, et al. (2007). Consortium for osteogenesis imperfecta mutations in the helical domain of type I collagen: regions rich in lethal mutations align with collagen binding sites for integrins and proteoglycans. Human Mutation 28(3):209-21. — PubMed PMID: 17078022
  9. Marini JC, Forlino A, Bächinger HP, Bishop NJ, Byers PH, Paepe A, et al. (2017). Osteogenesis imperfecta. Nature Reviews Disease Primers 3:17052. (Review.) — PubMed PMID: 28820180
  10. Ricard-Blum S (2011). The collagen family. Cold Spring Harbor Perspectives in Biology 3(1):a004978. (Review.) — PubMed PMID: 21421911
  11. Shaw G, Lee-Barthel A, Ross ML, Wang B, Baar K (2017). Vitamin C-enriched gelatin supplementation before intermittent activity augments collagen synthesis. American Journal of Clinical Nutrition 105(1):136-143. — PubMed PMID: 27852613
  12. Lee SK, Posthauer ME, Dorner B, Redovian V, Maloney MJ (2006). Pressure ulcer healing with a concentrated, fortified, collagen protein hydrolysate supplement: a randomized controlled trial. Advances in Skin & Wound Care 19(2):92-6. — PubMed PMID: 16557055
  13. Sugihara F, Inoue N, Venkateswarathirukumara S (2018). Ingestion of bioactive collagen hydrolysates enhanced pressure ulcer healing in a randomized double-blind placebo-controlled clinical study. Scientific Reports 8(1):11403. — PubMed PMID: 30061579
  14. Calleja-Agius J, Brincat M (2012). The effect of menopause on the skin and other connective tissues. Gynecological Endocrinology 28(4):273-7. (Review.) — PubMed PMID: 21970508
  15. Proksch E, Segger D, Degwert J, Schunck M, Zague V, Oesser S (2014). Oral supplementation of specific collagen peptides has beneficial effects on human skin physiology: a double-blind, placebo-controlled study. Skin Pharmacology and Physiology 27(1):47-55. — PubMed PMID: 23949208
  16. Proksch E, Schunck M, Zague V, Segger D, Degwert J, Oesser S (2014). Oral intake of specific bioactive collagen peptides reduces skin wrinkles and increases dermal matrix synthesis. Skin Pharmacology and Physiology 27(3):113-9. — PubMed PMID: 24401291
  17. Asserin J, Lati E, Shioya T, Prawitt J (2015). The effect of oral collagen peptide supplementation on skin moisture and the dermal collagen network: evidence from an ex vivo model and randomized, placebo-controlled clinical trials. Journal of Cosmetic Dermatology 14(4):291-301. — PubMed PMID: 26362110
  18. Kim DU, Chung HC, Choi J, Sakai Y, Lee BY (2018). Oral intake of low-molecular-weight collagen peptide improves hydration, elasticity, and wrinkling in human skin: a randomized, double-blind, placebo-controlled study. Nutrients 10(7):826. — PubMed PMID: 29949889
  19. de Miranda RB, Weimer P, Rossi RC (2021). Effects of hydrolyzed collagen supplementation on skin aging: a systematic review and meta-analysis. International Journal of Dermatology 60(12):1449-1461. — PubMed PMID: 33742704
  20. Myung SK, Park Y (2025). Effects of collagen supplements on skin aging: a systematic review and meta-analysis of randomized controlled trials. American Journal of Medicine 138(9):1264-1277. — PubMed PMID: 40324552
  21. Kang MC, Yumnam S, Kim SY (2018). Oral intake of collagen peptide attenuates ultraviolet B irradiation-induced skin dehydration in vivo by regulating hyaluronic acid synthesis. International Journal of Molecular Sciences 19(11):3551. (Animal study.) — PubMed PMID: 30423867
  22. Clark KL, Sebastianelli W, Flechsenhar KR, Aukermann DF, Meza F, Millard RL, et al. (2008). 24-Week study on the use of collagen hydrolysate as a dietary supplement in athletes with activity-related joint pain. Current Medical Research and Opinion 24(5):1485-96. — PubMed PMID: 18416885
  23. Bruyère O, Zegels B, Leonori L, Rabenda V, Janssen A, Bourges C, Reginster JY (2012). Effect of collagen hydrolysate in articular pain: a 6-month randomized, double-blind, placebo controlled study. Complementary Therapies in Medicine 20(3):124-30. — PubMed PMID: 22500661
  24. Kumar S, Sugihara F, Suzuki K, Inoue N, Venkateswarathirukumara S (2015). A double-blind, placebo-controlled, randomised, clinical study on the effectiveness of collagen peptide on osteoarthritis. Journal of the Science of Food and Agriculture 95(4):702-7. — PubMed PMID: 24852756
  25. Praet SFE, Purdam CR, Welvaert M, Vlahovich N, Lovell G, Burke LM, et al. (2019). Oral supplementation of specific collagen peptides combined with calf-strengthening exercises enhances function and reduces pain in Achilles tendinopathy patients. Nutrients 11(1):76. (Pilot study.) — PubMed PMID: 30609761
  26. Sekhar RV, McKay SV, Patel SG, Guthikonda AP, Reddy VT, Balasubramanyam A, Jahoor F (2011). Glutathione synthesis is diminished in patients with uncontrolled diabetes and restored by dietary supplementation with cysteine and glycine. Diabetes Care 34(1):162-7. — PubMed PMID: 20929994
  27. Kumar P, Liu C, Hsu JW, Chacko S, Minard C, Jahoor F, Sekhar RV (2021). Glycine and N-acetylcysteine (GlyNAC) supplementation in older adults improves glutathione deficiency, oxidative stress, mitochondrial dysfunction, inflammation, insulin resistance, endothelial dysfunction, genotoxicity, muscle strength, and cognition: results of a pilot clinical trial. Clinical and Translational Medicine 11(3):e372. (Open-label pilot, no placebo group.) — PubMed PMID: 33783984
  28. Kumar P, Liu C, Suliburk J, Hsu JW, Muthupillai R, Jahoor F, et al. (2023). Supplementing glycine and N-acetylcysteine (GlyNAC) in older adults improves glutathione deficiency, oxidative stress, mitochondrial dysfunction, inflammation, physical function, and aging hallmarks: a randomized clinical trial. Journals of Gerontology Series A 78(1):75-89. — PubMed PMID: 35975308
  29. Sekhar RV (2021). GlyNAC supplementation improves glutathione deficiency, oxidative stress, mitochondrial dysfunction, inflammation, aging hallmarks, metabolic defects, muscle strength, cognitive decline, and body composition: implications for healthy aging. Journal of Nutrition 151(12):3606-3616. (Review.) — PubMed PMID: 34587244
  30. Lizzo G, Migliavacca E, Lamers D, Frézal A, Corthesy J, Vinyes-Parès G, et al. (2022). A randomized controlled clinical trial in healthy older adults to determine efficacy of glycine and N-acetylcysteine supplementation on glutathione redox status and oxidative damage. Frontiers in Aging 3:852569. — PubMed PMID: 35821844
  31. Myllyharju J (2008). Prolyl 4-hydroxylases, key enzymes in the synthesis of collagens and regulation of the response to hypoxia, and their roles as treatment targets. Annals of Medicine 40(6):402-17. (Review.) — PubMed PMID: 19160570
  32. Salo AM, Myllyharju J (2021). Prolyl and lysyl hydroxylases in collagen synthesis. Experimental Dermatology 30(1):38-49. (Review.) — PubMed PMID: 32969070
  33. Vallet SD, Ricard-Blum S (2019). Lysyl oxidases: from enzyme activity to extracellular matrix cross-links. Essays in Biochemistry 63(3):349-364. (Review.) — PubMed PMID: 31488698

PubMed Topic Searches

  1. PubMed: glycine and collagen synthesis
  2. PubMed: collagen peptides and skin aging
  3. PubMed: gelatin and tendon adaptation
  4. PubMed: bone broth collagen content
  5. PubMed: collagen and wound healing

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Connections

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