Hyperglycemia in the focus of prevention of age-related skin changes

Defects in collagen synthesis and metabolism underlie the pathogenesis of various pathological conditions, including hereditary disorders (Ehlers-Danlos syndrome, osteogenesis imperfecta (brittle bone disease), Stickler syndrome) and acquired diseases (systemic scleroderma, rheumatoid arthritis, systemic lupus erythematosus, dermatomyositis, scurvy, liver fibrosis (cirrhosis), pulmonary fibrosis, cardiac fibrosis, renal fibrosis, keloid (hypertrophic) scars, osteoarthritis, osteoporosis, bullous epidermolysis, chronoand photoaging of the skin, cancer, etc.). Maintaining the physiological balance between the collagen synthesis and degradation processes is crucial for ensuring the structural integrity and functional activity of connective tissue. The review presents systematic data on the role of collagen in ensuring the structure and function of human body tissues, in particular, skin, as well as on collagen-associated mechanisms of skin aging in the nome and in hyperglycemic conditions accompanied by collagen glycation. The pharmacological justification of the use of glucagon-like peptide-1 (ArGPP-1) receptor agonists for the prevention of age-related skin changes is given. Understanding the mechanisms of collagen glycation is in the focus of anti-aging medicine and is critically important for developing strategies to slow skin aging. ArGPP-1 remains the object of close attention all over the world. The presented data on the positive effect of ArGPP-1 (Semavik®) on the ability to control hyperglycemia clearly demonstrate the enormous potential of these drugs in the prevention of age-related skin changes. Post-marketing studies of this group of drugs, especially newly appearing in the arsenal of the attending physician, in particular, Semavik®, will expand the range of practical approaches to their differentiated use and active implementation in clinical practice.