de Afonso Bonotto · Oxidative medicine and cellular longevity 2026 · narrative review · n=49 studies

Skin Aging and Mitochondrial Dysfunction: Structural Changes, Mechanistic Insights, and Therapeutic Perspectives.

Cited 0 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of mechanistic literature and early-stage studies

PubMed 42133650 · doi:10.1155/omcl/5140711 · record verified 2026-08-29

What was done

This narrative review analyzed 49 scientific articles published between 2015 and 2025 retrieved from PubMed, Scopus, and ScienceDirect. The authors synthesized mechanistic insights and evaluated emerging therapeutic interventions targeting mitochondrial dysfunction in skin aging, including NAD+ precursors, coenzyme Q10, senolytics, and mitochondrial quality control modulators.

What was found

The abstract reports no numerical effect sizes or quantitative outcome statistics. It reports that advancing age correlates with declines in mitochondrial DNA copy number and increased reactive oxygen species production, contributing to cellular senescence, inflammaging, and the senescence-associated secretory phenotype. Preclinical and early clinical studies of mitochondrial-targeted therapies show promising effects on skin aging parameters, though based on small trials with short follow-up.

Why it matters

The paper synthesizes how mitochondrial genome instability and oxidative stress drive cutaneous senescence, framing mitochondrial pathways as plausible therapeutic targets for skin aging.

Limits

As a narrative review, it lacks a systematic review methodology or meta-analytic pooling. Included human evidence is constrained by small sample sizes, brief follow-up periods, limited longitudinal safety data, and a lack of standardized clinical biomarkers.

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