The post-translational modifications of pro-α chains are crucial for the formation of mature collagen molecules and their assembly into fibrils. Defects in these modifications have serious consequences, which ancient mariners frequently experienced. For example, ascorbic acid (vitamin C) is an essential cofactor for the hydroxylases responsible for adding hydroxyl groups to proline and lysine residues in pro-α chains. In cells deprived of ascorbate, as in the disease scurvy, the pro-α chains are not hydroxylated sufficiently to form stable triple-helical procollagen at normal body temperature, and the procollagen that forms cannot assemble into normal fibrils. Without the structural support of collagen, blood vessels, tendons, and skin become fragile. Fresh fruit in the diet can supply sufficient vitamin C to support the formation of normal collagen. Historically, British sailors were provided with limes to prevent scurvy, leading to their being called “limeys.” Mutations in lysyl hydroxylase genes also can cause connective-tissue defects.