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August 27, 2026Tissue Barriers

Decoding the multidimensional landscape of skin aging: molecular pathways and next-generation diagnostics & therapeutics

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Authors

MSMegha SharmaSCSonam Chawla

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Overview

Narrative review details the molecular drivers of intrinsic and extrinsic skin aging, highlighting novel diagnostic tools and targeted therapeutic strategies for precision dermatology.

Key Points

  • To synthesize the cellular, molecular, and biomechanical mechanisms underlying intrinsic and extrinsic skin aging while evaluating next-generation diagnostic and therapeutic modalities.
  • Reviewed intrinsic and extrinsic drivers of skin aging, including telomere attrition, DNA photolesions, mitochondrial decline, and skin dysbiosis.
  • Assessed diagnostic tools such as Cutometer elasticity mapping, corneometry, and artificial intelligence-assisted histopathology for measuring biological skin age.
  • Analyzed emerging therapeutic approaches, including senolytics, epigenetic reprogramming, postbiotics, and nanoformulation delivery systems.
  • Delineated key signaling cascades driving structural degradation, notably ROS-induced MAPK/NF-κB activation, PI3K/Akt-mTOR dysregulation, and TGF-β/Smad impairment.
  • Identified microenvironmental collapse characterized by collagen fragmentation, lipid barrier dysfunction, and senescence-associated secretory phenotype (SASP)-driven inflammaging.
  • Highlighted translation barriers in next-generation dermato-therapeutics, particularly regarding stability, delivery efficiency, and target specificity.

Cite This Study

Sharma et al. (2026) studied this question.

synapsesocial.com/papers/6a8fea0d10c91c1e926221dfhttps://doi.org/10.1080/21688370.2026.2721715
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Advances in skin aging: integrating epigenetic, cellular, and immune mechanisms for targeted therapy2026
  2. 2Research progress on mechanisms of skin aging and anti-aging strategies2026
  3. 3The Coupled Physico-Biochemical Mechanisms of Skin Aging: From Dermal Fluid Dynamics and Mechanotransduction to Nutrient-Sensing Dysfunction2026
  4. 4Skin as a sentinel and modulator of systemic aging: a translational framework for evidence-based gerotherapeutics2026 · 2 citations
  5. 5Advances in the application of multi-omics analysis in skin aging2025