The integrated capacity of a synovial joint, encompassing its articular cartilage, ligaments, tendons, and synovial fluid, to absorb and dissipate mechanical stress while maintaining its structural integrity and full range of motion over time. This resilience is fundamentally dependent on the health of the extracellular matrix and the appropriate signaling of inflammatory and anti-inflammatory cytokines. Hormonal balance, particularly the status of growth hormone and sex steroids, significantly influences the anabolic and catabolic processes within the joint.
Origin
The term combines “joint,” referring to the anatomical connection between bones, with “resilience,” emphasizing the ability to recover from or adjust easily to stress. In the context of longevity, it shifts the focus from treating joint disease to proactively maintaining joint function and structural durability.
Mechanism
Maintaining joint resilience involves a dynamic balance of cartilage matrix synthesis by chondrocytes and the controlled breakdown of old tissue. Growth factors and anabolic hormones stimulate the production of collagen and glycosaminoglycans, essential components of cartilage and synovial fluid. Chronic, low-grade systemic inflammation, often driven by metabolic dysregulation, accelerates the catabolic processes, leading to the degradation of articular cartilage and a loss of structural integrity.
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