Wrinkles thus form as a result of a continuous, uncompensated degradation of the dermal matrix.
This mechanism is closely linked to an increase in oxidative stress, notably through activation of intracellular signaling pathways that stimulate MMP production by fibroblasts and keratinocytes. Indeed, free radicals play a key role in wrinkle formation. When produced in excess, they activate intracellular signaling cascades, notably the MAP kinase pathway, leading to activation of transcription factors such as AP-1 and NF-κB. These, in turn, stimulate the expression of MMPs involved in the degradation of collagen and elastin, another structural fiber of the dermis. Elastin itself also undergoes several changes over time. Sun exposure, in particular, causes an accumulation of disorganized, nonfunctional elastic fibers, resulting in a loss of skin elasticity.
Sun exposure is one of the leading factors of skin aging due to the significant oxidative stress it induces. Applying sunscreen daily is therefore a key measure to prevent skin aging.
Furthermore, fibroblasts, the main cells responsible for producing the dermal matrix, depend closely on their mechanical interactions with surrounding collagen. In young skin, these interactions enable fibroblasts to maintain an elongated shape and optimal metabolic activity. With the progressive fragmentation of the extracellular matrix, fibroblast adhesion is impaired. These cells adopt a smaller morphology, associated with a reduced ability to produce collagen and an increased production of MMPs, which directly contributes to the structural degradation of the dermis.
Finally, glycosaminoglycans (GAGs) and proteoglycans, such as hyaluronic acid, contribute to the hydration, cohesion, and mechanical properties of the skin. With age, their distribution, structure, and interactions with the extracellular matrix change. These modifications can impair the dermis’s ability to retain water, absorb mechanical stresses, and maintain a supportive environment for cells. These alterations contribute to the progressive loss of volume, suppleness, and resilience of the skin, indirectly promoting wrinkle formation.