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Sparavigna. Plast Aesthet Res 2020;7:14  I  http://dx.doi.org/10.20517/2347-9264.2019.73                                              Page 3 of 6

               Table 1. Extracellular matrix components can be divided into 3 main groups
               Structural proteins        Adhesion proteins      Glycosaminoglycans       Proteoglycans
               Collagen                     Fibronectin           Ialuronan                Biglican
               Elastin                      Fibrillin             Heparan-sulphate         Agregacan
                                            Laminin               Condroitn-sulphate       Versican
                                            Tenascine                                      Neurocan
                                            Vitronectine
                                            Osteonectine


































                                             Figure 1. Interactions extracellular matrix cell

               are also positively correlated with estrogen levels. Post-menopausal women with less estrogen, show a
               decreased expression of TGF-b1 in skin fibroblasts, which may hamper the ability of fibroblasts to produce
               collagen, elastin and proteoglycans.


               THE MATRISOME: SIGNIFICANCE AND FUNCTION
               In recent years, both antiaging and medical research have focused on ECM biochemistry and
               pathophysiology as well as matrix dysregulation which can lead to disease progression [14,15] . The ECM
               fills the intercellular space and is present in all connective tissues [Table 1]. Dermis and adipose, muscle,
               bone, cartilage, and the surrounding parenchyma of organs, are all connective tissue, which highlights
               the relevance of the ECM in maintaining tissue homeostasis. Within the intercellular space, phenomena
               like cellular polarization and migration, regulation of growth factors, activation of signaling molecules,
               and processes translating mechanical stimulation into a chemical signal through the involvement of
               mechanosensitive channels are all essential for the maintenance of ECM elasticity and physiological tissue
               stiffness [Figure 1]. Mechano-transduction in particular, is an increasingly well-studied process. When the
               fibroblast is located in a stiff microenvironment, it will be stimulated continuously to produce new ECM.
               In addition, basement membranes play a fundamental role in maintaining tissue homeostasis and the
               transmission of mechano-transduction signals to the underlying dermis.


               The molecular structure of the ECM is responsible for the above essential functions. The ECM is also
               comprised of a complex network of proteins defined as the “matrisome” [Table 1]. The matrisome is now
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