ArticlePloS one2026
Dupuytren's disease cords are weakened ex vivo by injection of recombinant collagenase G - A proof-of-concept study.
Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
objectivesDupuytren's disease is a fibroproliferative disorder that is characterized by collagen-rich cords that cause progressive flexion contractures. Collagenase from Clostridium histolyticum is an established nonsurgical therapy. Herein, we evaluated whether a recombinant form of collagenase G (ColG), expressed in Escherichia coli, weakens Dupuytren's cords ex vivo.
methodsCords from Dupuytren's disease patients were excised during surgery. Using a 30G needle, 0.5 mL of 4 mg/ml ColG or phosphate buffer Saline (PBS) was injected into the cord center. Samples were incubated in saline at 37 °C and mounted via size-1 Prolene Krackow sutures on an Instron tensile testing system. Force vs. displacement curves were recorded.
resultsSix cords from five patients were tested (ColG n = 4; PBS n = 2). Representative force-displacement curves showed a reduced slope and lower peak force prior to rupture in ColG-treated samples compared with vehicle. The mean maximum rupture force was lower with ColG than with PBS (0.047 kN vs 0.069 kN), corresponding to ~32% reduction in the force required to tear the cord in this series.
conclusionsRecombinant ColG weakens the tensile strength of Dupuytren's cords ex vivo, consistent with potent collagenolytic activity. These proof-of-concept pilot data support further studies to define dose-response, optimize formulation and exposure time, and evaluate safety and clinical performance relative to current collagenase-based treatments.
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