The wrinkles correspond to visible changes in the surface of the skin, resulting from progressive and profound transformations of the structure of the skin. Classically, we distinguish dynamic wrinkles, or expression lines, linked to repeated facial muscle contractions, and static wrinkles, which persist even at rest and reflect a lasting alteration of the cutaneous tissues. Although their onset is multifactorial, their formation primarily relies on a progressive imbalance between the synthesis, organisation and degradation of the components of the extracellular matrix.
Among the most striking changes observed in ageing skin are quantitative and structural alterations of collagen fibres. In young skin, the collagen is abundant, densely packed and organised into intact fibrils, providing optimal mechanical support to the skin. With age, these fibres gradually become fragmented, thickened and disorganised, weakening the dermal architecture. Furthermore, the TGF-β pathway, which stimulates the production of collagen and other structural components, becomes progressively impaired, leading to reduced collagen synthesis and accentuating dermal density loss.
This phenomenon arises from a twofold imbalance: an increase in collagen degradation coupled with a decrease in its synthesis, resulting in a net loss of collagen in the dermis.
The degradation of collagen is largely mediated by matrix metalloproteinases (MMPs), a family of enzymes capable of cleaving extracellular matrix proteins. Some MMPs, notably MMP-1, initiate fragmentation of type I and III collagen fibres, which predominate in human skin. Once these fibres are fragmented, other MMPs take over to continue their breakdown. Several studies have indeed shown an overall increase in MMP expression with age, without a proportionate rise in their natural inhibitors, the TIMPs. This is particularly the case in the work carried out by QUAN and colleagues, who examined skin biopsies from 12 volunteers aged 25 to 30 and another 12 volunteers over 80 years old.