The state of structural and functional soundness of the elastin network within the extracellular matrix of the dermis and other connective tissues. This integrity is defined by the proper cross-linking and organized fiber architecture of the elastin protein, which provides the tissue with its characteristic resilience and recoil capacity. Compromised integrity is a key molecular signature of chronological and photo-aging, leading to skin laxity.
Origin
The term is a precise biophysical description, combining ‘elastin,’ the protein responsible for tissue elasticity, with ‘matrix,’ referring to the surrounding non-cellular scaffold, and ‘integrity,’ denoting wholeness or structural perfection. This concept is central to dermatology and tissue engineering, highlighting the mechanical properties of connective tissue.
Mechanism
Elastin is synthesized by fibroblasts as a soluble precursor, tropoelastin, which is then cross-linked into functional fibers by the enzyme lysyl oxidase, a process that requires copper. Hormones, notably estrogens, can modulate the expression and activity of these synthesizing and cross-linking enzymes, thus influencing the quality of the matrix produced. Over time, glycation and oxidative stress damage the existing fibers, reducing their integrity and leading to the loss of tissue elasticity.
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