The collective network of high-molecular-weight proteins, predominantly collagen and elastin, that forms the supportive framework, or scaffolding, for the extracellular matrix of various tissues, including skin, bone, cartilage, and vasculature. This framework provides tensile strength, resilience, and structural organization essential for tissue function and integrity. The quality and density of this scaffolding are major determinants of biological age and physical health.
Origin
This term is derived from tissue biology and materials science, where structural proteins are the building blocks of the extracellular matrix, and scaffolding is an engineering term describing a supportive framework. Its application in longevity medicine highlights the importance of maintaining this physical infrastructure against age-related degradation.
Mechanism
The scaffolding is dynamically maintained through a cycle of synthesis and degradation, primarily regulated by fibroblasts and other connective tissue cells. Anabolic hormones, such as growth hormone and sex steroids, are potent modulators, promoting the gene expression and synthesis of these proteins. Age-related decline in these hormones and chronic inflammation accelerate the enzymatic breakdown of the scaffolding proteins, leading to tissue weakness, such as dermal atrophy or bone fragility.
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