Translation of mRNAs that encode peptide sequences with consecutive prolines (polyproline) requires the conserved and essential elongation factor eIF5A to facilitate the formation of peptide bonds. It has been shown that upon eIF5A depletion, yeast ribosomes stall in polyproline motifs, but also in tripeptide sequences that combine proline with glycine and charged amino acids. Mammalian collagens are enriched in putative eIF5A-dependent Pro-Gly-containing tripeptides. Here we show that depletion of active eIF5A in mouse fibroblasts reduced collagen 1 (Col1a1) content, which concentrated around the nuclei. Moreover, it provoked the up-regulation of endoplasmic reticulum (ER)-stress markers suggesting retention of partially synthesized Col1 in the ER. We confirmed that eIF5A is needed for heterologous collagen synthesis in yeast, and using a double luciferase reporter system we showed that eIF5A depletion interrupts translation at Pro-Gly-collagenic motifs. A dramatically lower level of Col1α1 protein was also observed in functional eIF5A-depleted human hepatic stellate cells treated with the profibrotic cytokine TGF-β1. In sum, our results show that collagen expression requires eIF5A and imply its potential as a target for regulating collagen production in fibrotic diseases.