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<article article-type="review-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/ms2025-338</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-9423</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КОСМЕТОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>COSMETOLOGY</subject></subj-group></article-categories><title-group><article-title>Эпигенетика старения кожи: от механизмов к поиску способов коррекции</article-title><trans-title-group xml:lang="en"><trans-title>Epigenetics of skin aging: from mechanisms to the search for methods of correction</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9323-4604</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тлиш</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Tlish</surname><given-names>M. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тлиш Марина Моссовна - д.м.н., профессор, заведующая кафедрой дерматовенерологии.</p><p>350063, Краснодар, ул. Митрофана Седина, д. 4</p></bio><bio xml:lang="en"><p>Marina M. Tlish - Dr. Sci. (Med.), Professor, Head of the Department of Dermatovenereology.</p><p>4, Mitrofan Sedin St., Krasnodar, 350063</p></bio><email xlink:type="simple">tlish_mm@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5776-6221</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шавилова</surname><given-names>М. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Shavilova</surname><given-names>M. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шавилова Марина Евгеньевна - к.м.н., ассистент кафедры дерматовенерологии.</p><p>350063, Краснодар, ул. Митрофана Седина, д. 4</p></bio><bio xml:lang="en"><p>Marina E. Shavilova - Cand. Sci. (Med.), Assistant of the Department of Dermatovenereology.</p><p>4, Mitrofan Sedin St., Krasnodar, 350063</p></bio><email xlink:type="simple">marina@netzkom.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Кубанский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kuban State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>30</day><month>09</month><year>2025</year></pub-date><volume>0</volume><issue>14</issue><fpage>193</fpage><lpage>200</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Тлиш М.М., Шавилова М.Е., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Тлиш М.М., Шавилова М.Е.</copyright-holder><copyright-holder xml:lang="en">Tlish M.M., Shavilova M.E.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/9423">https://www.med-sovet.pro/jour/article/view/9423</self-uri><abstract><p>Возрастные изменения в организме – это сложный биологический процесс, требующий проведения исследований на стыке различных научных дисциплин. Современная наука добилась существенного прогресса в изучении молекулярных, клеточных, генетических и биохимических механизмов старения. Это позволило сформулировать концепции, описывающие влияние внешних факторов на геном и открывающие перспективы для создания методов функционального омоложения. Особое место среди них занимают исследования, направленные на изучение системы регуляции генной активности, не связанной с изменением нуклеотидной последовательности ДНК, но оказывающей существенное влияние на экспрессию генов. Данными вопросами занимается активно развивающаяся научная дисциплина – эпигенетика. Эпигеномные процессы отражают взаимодействие генотипа и фенотипа, играя ключевую роль в адаптации процессов старения в ответ на воздействие окружающей среды. При этом кожа представляет собой уникальную модель для изучения данных механизмов благодаря своей сложной структуре, постоянному обновлению и непосредственному взаимодействию с внешними факторами. В статье приводится анализ современной концепции старения кожи, в которой идея о ведущей роли наследственности сочетается с новыми научными данными о значении эпигенетической регуляции. Рассматриваются ключевые эпигенетические изменения, такие как нарушения метилирования ДНК, модификации гистонов и дисрегуляция генов, опосредованная микроРНК. Подчеркивается, что изучение механизмов влияния факторов окружающей среды на эпигеном открывает перспективы для поиска терапевтических подходов, способствующих коррекции и профилактике возрастных изменений. Описывается влияние на эпигенетические процессы старения модификации образа жизни, методов физиотерапии и различных химических соединений. Отмечено, что коррекция молекулярных механизмов старения кожи способна обеспечить устойчивый клинический эффект и представляет особый интерес в разработке косметических средств для эпигенетического ухода за кожей. Акцентировано внимание на том, что интеграция эпигенетических исследований в эстетическую дерматологию позволяет не только корректировать внешние признаки старения, но и воздействовать на их глубинные биологические механизмы.</p></abstract><trans-abstract xml:lang="en"><p>Age-related changes in the body are a complex biological process that requires research at the intersection of various scientific disciplines. Modern science has made significant progress in the study of molecular, cellular, genetic and biochemical mechanisms of aging. This has allowed us to formulate concepts that describe the influence of external factors on the genome and open up prospects for creating methods of functional rejuvenation. A special place among them is occupied by studies aimed at studying the system of regulation of gene activity that is not associated with a change in the nucleotide sequence of DNA, but has a significant impact on gene expression. These issues are addressed by an actively developing scientific discipline – epigenetics. Epigenomic processes reflect the interaction of genotype and phenotype, playing a key role in the adaptation of aging processes in response to environmental influences. At the same time, the skin is a unique model for studying these mechanisms due to its complex structure, constant renewal and direct interaction with external factors. The article provides an analysis of the modern concept of skin aging, in which the idea of the leading role of heredity is combined with new scientific data on the importance of epigenetic regulation. Key epigenetic changes, such as DNA methylation disorders, histone modifications and gene dysregulation mediated by microRNA are considered. It is emphasized that the study of the mechanisms of the influence of environmental factors on the epigenome opens up prospects for finding therapeutic approaches that contribute to the correction and prevention of age-related changes. The effect of lifestyle modification, physiotherapy methods and various chemical compounds on the epigenetic processes of aging is described. It is noted that the correction of the molecular mechanisms of skin aging can provide a sustainable clinical effect and is of particular interest in the development of cosmetics for epigenetic skin care. Attention is focused on the fact that the integration of epigenetic research into aesthetic dermatology allows not only to correct the external signs of aging, but also to influence their deep biological mechanisms.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>эпигенетика</kwd><kwd>старение кожи</kwd><kwd>метилирование ДНК</kwd><kwd>коллаген</kwd><kwd>эпидермис</kwd></kwd-group><kwd-group xml:lang="en"><kwd>epigenetics</kwd><kwd>skin aging</kwd><kwd>DNA methylation</kwd><kwd>collagen</kwd><kwd>epidermis</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Guo J, Huang X, Dou L, Yan M, Shen T, Tang W, Li J. Aging and aging-related diseases: from molecular mechanisms to interventions and treatments. Sig Transduct Target Ther. 2022;7(1):391. https://doi.org/10.1038/s41392-02201251-0.</mixed-citation><mixed-citation xml:lang="en">Guo J, Huang X, Dou L, Yan M, Shen T, Tang W, Li J. Aging and aging-related diseases: from molecular mechanisms to interventions and treatments. Sig Transduct Target Ther. 2022;7(1):391. https://doi.org/10.1038/s41392-02201251-0.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Cohen AA, Ferrucci L, Fülöp T, Gravel D, Hao N, Kriete A et al. A complex systems approach to aging biology. Nat Aging. 2022;2(7):580–591. https://doi.org/10.1038/s43587-022-00252-6.</mixed-citation><mixed-citation xml:lang="en">Cohen AA, Ferrucci L, Fülöp T, Gravel D, Hao N, Kriete A et al. A complex systems approach to aging biology. Nat Aging. 2022;2(7):580–591. https://doi.org/10.1038/s43587-022-00252-6.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Agrawal R, Hu A, Bollag WB. The Skin and Inflamm-Aging. Biology. 2023;12(11):1396. https://doi.org/10.3390/biology12111396.</mixed-citation><mixed-citation xml:lang="en">Agrawal R, Hu A, Bollag WB. The Skin and Inflamm-Aging. Biology. 2023;12(11):1396. https://doi.org/10.3390/biology12111396.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Lee H, Hong Y, Kim M. Structural and functional changes and possible molecular mechanisms in aged skin. Int J Mol Sci. 2021;22:12489. https://doi.org/10.3390/ijms222212489.</mixed-citation><mixed-citation xml:lang="en">Lee H, Hong Y, Kim M. Structural and functional changes and possible molecular mechanisms in aged skin. Int J Mol Sci. 2021;22:12489. https://doi.org/10.3390/ijms222212489.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Arnal-Forne M, Molina-Garcia T, Ortega M, Marcos-Garces V, Molina P, Ferrandez-Izquierdo A et al. Changes in human skin composition due to intrinsic aging: a histologic and morphometric study. Histochem Cell Biol. 2024;162(4):259–271. https://doi.org/10.1007/s00418-024-02305-w.</mixed-citation><mixed-citation xml:lang="en">Arnal-Forne M, Molina-Garcia T, Ortega M, Marcos-Garces V, Molina P, Ferrandez-Izquierdo A et al. Changes in human skin composition due to intrinsic aging: a histologic and morphometric study. Histochem Cell Biol. 2024;162(4):259–271. https://doi.org/10.1007/s00418-024-02305-w.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Csekes E, Rackova L. Skin Aging, Cellular Senescence and Natural Polyphenols. Int J Mol Sci. 2021;22(23):12641. https://doi.org/10.3390/ijms222312641.</mixed-citation><mixed-citation xml:lang="en">Csekes E, Rackova L. Skin Aging, Cellular Senescence and Natural Polyphenols. Int J Mol Sci. 2021;22(23):12641. https://doi.org/10.3390/ijms222312641.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Russell-Goldman E, Murphy GF. The pathobiology of skin aging: new insights into an old dilemma. Am J Pathol. 2020;190(7):1356–1369. https://doi.org/10.1016/j.ajpath.2020.03.007.</mixed-citation><mixed-citation xml:lang="en">Russell-Goldman E, Murphy GF. The pathobiology of skin aging: new insights into an old dilemma. Am J Pathol. 2020;190(7):1356–1369. https://doi.org/10.1016/j.ajpath.2020.03.007.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Kumper M, Steinkamp J, Zigrino P. Metalloproteinases in dermal homeostasis. Am J Physiol Cell Physiol. 2022;323(4):C1290–C1303. https://doi.org/10.1152/ajpcell.00450.2021.</mixed-citation><mixed-citation xml:lang="en">Kumper M, Steinkamp J, Zigrino P. Metalloproteinases in dermal homeostasis. Am J Physiol Cell Physiol. 2022;323(4):C1290–C1303. https://doi.org/10.1152/ajpcell.00450.2021.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Liu M, Lu F, Feng J. Aging and homeostasis of the hypodermis in the agerelated deterioration of skin function. Cell Death Dis. 2024;15:443. https://doi.org/10.1038/s41419-024-06818-z.</mixed-citation><mixed-citation xml:lang="en">Liu M, Lu F, Feng J. Aging and homeostasis of the hypodermis in the agerelated deterioration of skin function. Cell Death Dis. 2024;15:443. https://doi.org/10.1038/s41419-024-06818-z.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Hou X, Wei Z, Zouboulis CC, Ju Q. Aging in the sebaceous gland. Front Cell Dev Biol. 2022;10:909694. https://doi.org/10.3389/fcell.2022.909694.</mixed-citation><mixed-citation xml:lang="en">Hou X, Wei Z, Zouboulis CC, Ju Q. Aging in the sebaceous gland. Front Cell Dev Biol. 2022;10:909694. https://doi.org/10.3389/fcell.2022.909694.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Wang K, Liu H, Hu Q, Wang L, Liu J, Zheng Z et al. Epigenetic regulation of aging: implications for interventions of aging and diseases. Sig Transduct Target Ther. 2022;7:374. https://doi.org/10.1038/s41392-02201211-8.</mixed-citation><mixed-citation xml:lang="en">Wang K, Liu H, Hu Q, Wang L, Liu J, Zheng Z et al. Epigenetic regulation of aging: implications for interventions of aging and diseases. Sig Transduct Target Ther. 2022;7:374. https://doi.org/10.1038/s41392-02201211-8.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Cai Y, Song W, Li J, Jing Y, Liang C, Zhang L et al. The landscape of aging. Sci China Life Sci. 2022;65(12):2354–2454. https://doi.org/10.1007/s11427022-2161-3.</mixed-citation><mixed-citation xml:lang="en">Cai Y, Song W, Li J, Jing Y, Liang C, Zhang L et al. The landscape of aging. Sci China Life Sci. 2022;65(12):2354–2454. https://doi.org/10.1007/s11427022-2161-3.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Song S, Tchkonia T, Jiang J, Kirkland JL, Sun Y. Targeting senescent cells for a healthier aging: challenges and opportunities. Adv Sci. 2020;7(23):2002611. https://doi.org/10.1002/advs.202002611.</mixed-citation><mixed-citation xml:lang="en">Song S, Tchkonia T, Jiang J, Kirkland JL, Sun Y. Targeting senescent cells for a healthier aging: challenges and opportunities. Adv Sci. 2020;7(23):2002611. https://doi.org/10.1002/advs.202002611.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Grönniger E, Max H, Lyko F. Skin Rejuvenation by Modulation of DNA Methylation. Exp Dermatol. 2024;33(10):e70005. https://doi.org/10.1111/exd.70005.</mixed-citation><mixed-citation xml:lang="en">Grönniger E, Max H, Lyko F. Skin Rejuvenation by Modulation of DNA Methylation. Exp Dermatol. 2024;33(10):e70005. https://doi.org/10.1111/exd.70005.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Vladimir K, Perisic MM, Storga M, Mostashari A, Khanin R. Epigenetics insights from perceived facial aging. Clinical Epigenetics.2023;15(1):176. https://doi.org/10.1186/s13148-023-01590-x.</mixed-citation><mixed-citation xml:lang="en">Vladimir K, Perisic MM, Storga M, Mostashari A, Khanin R. Epigenetics insights from perceived facial aging. Clinical Epigenetics.2023;15(1):176. https://doi.org/10.1186/s13148-023-01590-x.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Horvath S. DNA methylation age of human tissues and cell types. Genome Biol. 2013;14(10):3156. https://doi.org/10.1186/gb-2013-14-10-r115.</mixed-citation><mixed-citation xml:lang="en">Horvath S. DNA methylation age of human tissues and cell types. Genome Biol. 2013;14(10):3156. https://doi.org/10.1186/gb-2013-14-10-r115.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Boroni M, Zonari A, Oliveira C, Alkatib K, Ochoa Cruz EA, Brace LE, Carvalho J. Highly accurate skin-specific methylome analysis algorithm as a platform to screen and validate therapeutics for healthy aging. Clin Epigenetics. 2020;12(1):1–16. https://doi.org/10.1186/s13148-020-00899-1.</mixed-citation><mixed-citation xml:lang="en">Boroni M, Zonari A, Oliveira C, Alkatib K, Ochoa Cruz EA, Brace LE, Carvalho J. Highly accurate skin-specific methylome analysis algorithm as a platform to screen and validate therapeutics for healthy aging. Clin Epigenetics. 2020;12(1):1–16. https://doi.org/10.1186/s13148-020-00899-1.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Adhikari S, Curtis PD. DNA methyltransferases and epigenetic regulation in bacteria. FEMS Microbiology Reviews. 2016;40(5):575–591. https://doi.org/10.1093/femsre/fuw023.</mixed-citation><mixed-citation xml:lang="en">Adhikari S, Curtis PD. DNA methyltransferases and epigenetic regulation in bacteria. FEMS Microbiology Reviews. 2016;40(5):575–591. https://doi.org/10.1093/femsre/fuw023.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Li Y, Zhang Z, Chen J, Liu W, Lai W, Liu B et al. Stella safeguards the oocyte methylome by preventing de novo methylation mediated by DNMT1. Nature. 2018;564:136–140. https://doi.org/10.1038/s41586-018-0751-5.</mixed-citation><mixed-citation xml:lang="en">Li Y, Zhang Z, Chen J, Liu W, Lai W, Liu B et al. Stella safeguards the oocyte methylome by preventing de novo methylation mediated by DNMT1. Nature. 2018;564:136–140. https://doi.org/10.1038/s41586-018-0751-5.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Verma N, Pan H, Dore LC, Shukla A, Li QV, Pelham-Webb B et al. TET proteins safeguard bivalent promoters from de novo methylation in human embryonic stem cells. Nat Genet. 2018;50:83–95. https://doi.org/10.1038/s41588-017-0002-y.</mixed-citation><mixed-citation xml:lang="en">Verma N, Pan H, Dore LC, Shukla A, Li QV, Pelham-Webb B et al. TET proteins safeguard bivalent promoters from de novo methylation in human embryonic stem cells. Nat Genet. 2018;50:83–95. https://doi.org/10.1038/s41588-017-0002-y.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Ginno PA, Gaidatzis D, Feldmann A, Hoerner L, Imanci D, Burger L et al. A genome-scale map of DNA methylation turnover identifies site-specific dependencies of DNMT and TET activity. Nat Commun. 2020;11(1):2680. https://doi.org/10.1038/s41467-020-16354-x.</mixed-citation><mixed-citation xml:lang="en">Ginno PA, Gaidatzis D, Feldmann A, Hoerner L, Imanci D, Burger L et al. A genome-scale map of DNA methylation turnover identifies site-specific dependencies of DNMT and TET activity. Nat Commun. 2020;11(1):2680. https://doi.org/10.1038/s41467-020-16354-x.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Schübeler D. Function and information content of DNA methylation. Nature. 2015;517(7534):321–326. https://doi.org/10.1038/nature14192.</mixed-citation><mixed-citation xml:lang="en">Schübeler D. Function and information content of DNA methylation. Nature. 2015;517(7534):321–326. https://doi.org/10.1038/nature14192.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Yin Y, Morgunova E, Jolma A, Kaasinen E, Sahu B, Khund-Sayeed S et al. Impact of cytosine methylation on DNA binding specificities of human transcription factors. Science. 2017;356(6337):eaaj2239. https://doi.org/10.1126/science.aaj2239.</mixed-citation><mixed-citation xml:lang="en">Yin Y, Morgunova E, Jolma A, Kaasinen E, Sahu B, Khund-Sayeed S et al. Impact of cytosine methylation on DNA binding specificities of human transcription factors. Science. 2017;356(6337):eaaj2239. https://doi.org/10.1126/science.aaj2239.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Grönniger E, Weber B, Heil O, Peters N, Stab F, Wenck H et al. Aging and chronic sun exposure cause distinct epigenetic changes in human skin. PLoS Genetics. 2010;6(5):e1000971. https://doi.org/10.1371/journal.pgen.1000971.</mixed-citation><mixed-citation xml:lang="en">Grönniger E, Weber B, Heil O, Peters N, Stab F, Wenck H et al. Aging and chronic sun exposure cause distinct epigenetic changes in human skin. PLoS Genetics. 2010;6(5):e1000971. https://doi.org/10.1371/journal.pgen.1000971.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Liamry JN, Humardani F, Chandra G, Mulyanata LT, Kok T, Irawati F et al. Exploring the impact of diabetes on aging: insights from TERT and COL1A1 methylation. Turk J Biol. 2024;48(4):257–266. https://doi.org/10.55730/1300-0152.2701.</mixed-citation><mixed-citation xml:lang="en">Liamry JN, Humardani F, Chandra G, Mulyanata LT, Kok T, Irawati F et al. Exploring the impact of diabetes on aging: insights from TERT and COL1A1 methylation. Turk J Biol. 2024;48(4):257–266. https://doi.org/10.55730/1300-0152.2701.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Dermitzakis I, Kyriakoudi SA, Chatzianagnosti S, Chatzi D, Vakirlis E, Meditskou S et al. Epigenetics in skin homeostasis and ageing. Epigenomes. 2025;9(1):3. https://doi.org/10.3390/epigenomes9010003.</mixed-citation><mixed-citation xml:lang="en">Dermitzakis I, Kyriakoudi SA, Chatzianagnosti S, Chatzi D, Vakirlis E, Meditskou S et al. Epigenetics in skin homeostasis and ageing. Epigenomes. 2025;9(1):3. https://doi.org/10.3390/epigenomes9010003.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Shin N-H, Trang DT, Hong W-J, Kang K, Chuluuntsetseg J, Moon J-K et al. Increased histone acetylation and decreased expression of specific histone deacetylases in ultraviolet-irradiated and intrinsically aged human skin in vivo. Int J Mol Sci. 2020;21(1):260. https://doi.org/10.3390/ijms21010260.</mixed-citation><mixed-citation xml:lang="en">Shin N-H, Trang DT, Hong W-J, Kang K, Chuluuntsetseg J, Moon J-K et al. Increased histone acetylation and decreased expression of specific histone deacetylases in ultraviolet-irradiated and intrinsically aged human skin in vivo. Int J Mol Sci. 2020;21(1):260. https://doi.org/10.3390/ijms21010260.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Bielach-Bazyluk A, Zbroch E, Mysliwiec H, Rydzewska-Rosolowska A, Kakareko K, Flisiak I, Hryszko T. Sirtuin 1 and Skin: Implications in Intrinsic and Extrinsic Aging – A Systematic Review. Cells. 2021;10(4):813. https://doi.org/10.3390/cells10040813.</mixed-citation><mixed-citation xml:lang="en">Bielach-Bazyluk A, Zbroch E, Mysliwiec H, Rydzewska-Rosolowska A, Kakareko K, Flisiak I, Hryszko T. Sirtuin 1 and Skin: Implications in Intrinsic and Extrinsic Aging – A Systematic Review. Cells. 2021;10(4):813. https://doi.org/10.3390/cells10040813.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Reolid A, Munoz-Aceituno E, Abad-Santos F, Ovejero-Benito MC, Dauden E. Epigenetics in non-tumor immune-mediated skin diseases. Mol Diagn Ther. 2021;25(2):137–161. https://doi.org/10.1007/s40291-020-00507-1.</mixed-citation><mixed-citation xml:lang="en">Reolid A, Munoz-Aceituno E, Abad-Santos F, Ovejero-Benito MC, Dauden E. Epigenetics in non-tumor immune-mediated skin diseases. Mol Diagn Ther. 2021;25(2):137–161. https://doi.org/10.1007/s40291-020-00507-1.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Stafa K, Rella A, Eagle W, Dong K, Morris K, Layman D et al. miR-146a is a critical target associated with multiple biological pathways of skin aging. Front Physiol. 2024;15:1291344. https://doi.org/10.3389/fphys.2024.1291344.</mixed-citation><mixed-citation xml:lang="en">Stafa K, Rella A, Eagle W, Dong K, Morris K, Layman D et al. miR-146a is a critical target associated with multiple biological pathways of skin aging. Front Physiol. 2024;15:1291344. https://doi.org/10.3389/fphys.2024.1291344.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Morales S, Monzo M, Navarro A. Epigenetic regulation mechanisms of microRNA expression. Biomol Concepts. 2017;8(5-6):203–212. https://doi.org/10.1515/bmc-2017-0024.</mixed-citation><mixed-citation xml:lang="en">Morales S, Monzo M, Navarro A. Epigenetic regulation mechanisms of microRNA expression. Biomol Concepts. 2017;8(5-6):203–212. https://doi.org/10.1515/bmc-2017-0024.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Dasgupta N, Arnold R, Equey A, Gandhi A, Adams PD. The role of the dynamic epigenetic landscape in senescence: orchestrating SASP expression. npj Aging. 2024;10:48. https://doi.org/10.1038/s41514-024-00172-2.</mixed-citation><mixed-citation xml:lang="en">Dasgupta N, Arnold R, Equey A, Gandhi A, Adams PD. The role of the dynamic epigenetic landscape in senescence: orchestrating SASP expression. npj Aging. 2024;10:48. https://doi.org/10.1038/s41514-024-00172-2.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Chin T, Lee XE, Ng PY, Lee Y, Dreesen O. The role of cellular senescence in skin aging and age-related skin pathologies. Front Physiol. 2023;14:1297637. https://doi.org/10.3389/fphys.2023.1297637.</mixed-citation><mixed-citation xml:lang="en">Chin T, Lee XE, Ng PY, Lee Y, Dreesen O. The role of cellular senescence in skin aging and age-related skin pathologies. Front Physiol. 2023;14:1297637. https://doi.org/10.3389/fphys.2023.1297637.</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Birch J, Gil J. Senescence and the SASP: many therapeutic avenues. Genes Dev. 2020;34:1565–1576. https://doi.org/10.1101/gad.343129.120.</mixed-citation><mixed-citation xml:lang="en">Birch J, Gil J. Senescence and the SASP: many therapeutic avenues. Genes Dev. 2020;34:1565–1576. https://doi.org/10.1101/gad.343129.120.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Dal Pozzo L, Xu Z, Lin S, Wang J, Wang Y, Enechojo OS et al. Role of epigenetics in the regulation of skin aging and geroprotective intervention: a new sight. Biomed Pharmacother. 2024;174:116592. https://doi.org/10.1016/j.biopha.2024.116592.</mixed-citation><mixed-citation xml:lang="en">Dal Pozzo L, Xu Z, Lin S, Wang J, Wang Y, Enechojo OS et al. Role of epigenetics in the regulation of skin aging and geroprotective intervention: a new sight. Biomed Pharmacother. 2024;174:116592. https://doi.org/10.1016/j.biopha.2024.116592.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Carneiro VC, Lyko F. Rapid Epigenetic Adaptation in Animals and Its Role in Invasiveness. Integr Comp Biol. 2020;60(2):267–274. http://doi.org/10.1016/j.cell.2014.02.045.</mixed-citation><mixed-citation xml:lang="en">Carneiro VC, Lyko F. Rapid Epigenetic Adaptation in Animals and Its Role in Invasiveness. Integr Comp Biol. 2020;60(2):267–274. http://doi.org/10.1016/j.cell.2014.02.045.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Haykal D, Flament F, Mora P, Balooch G, Cartier H. Unlocking Longevity in Aesthetic Dermatology: Epigenetics, Aging, and Personalized Care. Int J Dermatol. 2025. https://doi.org/10.1111/ijd.17725.</mixed-citation><mixed-citation xml:lang="en">Haykal D, Flament F, Mora P, Balooch G, Cartier H. Unlocking Longevity in Aesthetic Dermatology: Epigenetics, Aging, and Personalized Care. Int J Dermatol. 2025. https://doi.org/10.1111/ijd.17725.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Тлиш ММ, Сашко МИ, Шавилова МЕ, Болтава АЮ, Псавок ФА. Отсроченное осложнение после контурной пластики губ препаратом на основе гиалуроновой кислоты: клинический случай. Consilium Medicum. 2025;27(6):333–336. https://doi.org/10.26442/20751753.2025.6.203309.</mixed-citation><mixed-citation xml:lang="en">Tlish MM, Sashko MI, Shavilova ME, Boltava AY, Psavok FA. Delayed complication after lip contour plasticity with a hyaluronic acid-based product: a case report. Consilium Medicum. 2025;27(6):333–336. (In Russ.) https://doi.org/10.26442/20751753.2025.6.203309.</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Тлиш ММ, Сашко МИ, Шавилова МЕ, Кац ЮИ, Псавок ФА. Ботулотоксин в современной косметологической практике: от высокой эффективности к проблеме осложнений (анализ клинического наблюдения). Врач. 2024;(4):67–71. https://doi.org/10.29296/25877305-2024-04-13.</mixed-citation><mixed-citation xml:lang="en">Tlish MM, Sashko MI, Shavilova MЕ, Katz YuI, Psavok FA. Botulinum toxin in modern cosmetology practice: from high efficiency to the problem of complications (analysis of clinical observation). Vrach. 2024;(4):67–71. (In Russ.) https://doi.org/10.29296/25877305-2024-04-13.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Haykal D, Will F, Cartier H, Dahan S. Epigenetic Modifications and the Role of Medical Lasers in Enhancing Skin Regeneration. Int J Dermatol. 2025;24(1):16780. https://doi.org/10.1111/jocd.16780.</mixed-citation><mixed-citation xml:lang="en">Haykal D, Will F, Cartier H, Dahan S. Epigenetic Modifications and the Role of Medical Lasers in Enhancing Skin Regeneration. Int J Dermatol. 2025;24(1):16780. https://doi.org/10.1111/jocd.16780.</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Тлиш ММ, Сашко МИ, Шавилова МЕ, Псавок ФА. Возможности комбинированного калий-титанилфосфатного и неодимового (КТР 532 нм и Nd:YAG 1064 нм) лазерного излучения в комплексной терапии акне. Лечащий врач. 2022;11(25):11–15. https://doi.org/10.51793/OS.2022.25.11.002.</mixed-citation><mixed-citation xml:lang="en">Tlish MM, Sashko MI, Shavilova ME, Psavok FA. Possibilities of combined (KTP 532 nm and Nd: YAG 1064 nm) laser radiation in complex acne therapy. Lechaschi Vrach. 2022;11(25):11–15. (In Russ.) https://doi.org/10.51793/OS.2022.25.11.002.</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Kokikian N, Arenzo J, Gasilla J, Shahabi L, Wanagat J, Kim J, Vandiver A. 857 Fractional non-ablative laser has a divergent impact on molecular markers of aging. J Invest Dermatol. 2024;144(8):S149. https://doi.org/10.1016/j.jid.2024.06.873.</mixed-citation><mixed-citation xml:lang="en">Kokikian N, Arenzo J, Gasilla J, Shahabi L, Wanagat J, Kim J, Vandiver A. 857 Fractional non-ablative laser has a divergent impact on molecular markers of aging. J Invest Dermatol. 2024;144(8):S149. https://doi.org/10.1016/j.jid.2024.06.873.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">Minoretti P, Emanuele E. Clinically Actionable Topical Strategies for Addressing the Hallmarks of Skin Aging: A Primer for Aesthetic Medicine Practitioners. Cureus. 2024;16 (1):e52548. https://doi.org/10.7759/cureus.52548.</mixed-citation><mixed-citation xml:lang="en">Minoretti P, Emanuele E. Clinically Actionable Topical Strategies for Addressing the Hallmarks of Skin Aging: A Primer for Aesthetic Medicine Practitioners. Cureus. 2024;16 (1):e52548. https://doi.org/10.7759/cureus.52548.</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Moskalev A, Chernyagina E, de Magalhães JP, Barardo D, Thoppil H, Shaposhnikov M et al. Geroprotectors.org: a new, structured and curated database of current therapeutic interventions in aging and age-related disease. Aging. 2015;7(9):616–628. https://doi.org/10.18632/aging.100799.</mixed-citation><mixed-citation xml:lang="en">Moskalev A, Chernyagina E, de Magalhães JP, Barardo D, Thoppil H, Shaposhnikov M et al. Geroprotectors.org: a new, structured and curated database of current therapeutic interventions in aging and age-related disease. Aging. 2015;7(9):616–628. https://doi.org/10.18632/aging.100799.</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Ummarino S, Hausman C, Gaggi G, Rinaldi L, Bassal MA, Zhang Y et al. NAD modulates DNA methylation and cell differentiation. Cells. 2021;10(11):2986. https://doi.org/10.3390/cells10112986.</mixed-citation><mixed-citation xml:lang="en">Ummarino S, Hausman C, Gaggi G, Rinaldi L, Bassal MA, Zhang Y et al. NAD modulates DNA methylation and cell differentiation. Cells. 2021;10(11):2986. https://doi.org/10.3390/cells10112986.</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Oblong JE. The evolving role of the NAD+/nicotinamide metabolome in skin homeostasis, cellular bioenergetics, and aging. DNA Repair. 2014;23:59–63. https://doi.org/10.1016/j.dnarep.2014.04.005.</mixed-citation><mixed-citation xml:lang="en">Oblong JE. The evolving role of the NAD+/nicotinamide metabolome in skin homeostasis, cellular bioenergetics, and aging. DNA Repair. 2014;23:59–63. https://doi.org/10.1016/j.dnarep.2014.04.005.</mixed-citation></citation-alternatives></ref><ref id="cit47"><label>47</label><citation-alternatives><mixed-citation xml:lang="ru">Majora M, Sondenheimer K, Knechten M, Uthe I, Esser C, Schiavi A et al. HDAC inhibition improves autophagic and lysosomal function to prevent loss of subcutaneous fat in a mouse model of Cockayne syndrome. Sci Transl Med. 2018;10(456):eaam7510. https://doi.org/10.1126/scitranslmed.aam7510.</mixed-citation><mixed-citation xml:lang="en">Majora M, Sondenheimer K, Knechten M, Uthe I, Esser C, Schiavi A et al. HDAC inhibition improves autophagic and lysosomal function to prevent loss of subcutaneous fat in a mouse model of Cockayne syndrome. Sci Transl Med. 2018;10(456):eaam7510. https://doi.org/10.1126/scitranslmed.aam7510.</mixed-citation></citation-alternatives></ref><ref id="cit48"><label>48</label><citation-alternatives><mixed-citation xml:lang="ru">Gouveri E, Papanas N. Τhe endless beauty of metformin: does it also protect from skin aging? A narrative review. Adv Ther. 2023;40(4):1347–1356. https://doi.org/10.1007/s12325-023-02434-z.</mixed-citation><mixed-citation xml:lang="en">Gouveri E, Papanas N. Τhe endless beauty of metformin: does it also protect from skin aging? A narrative review. Adv Ther. 2023;40(4):1347–1356. https://doi.org/10.1007/s12325-023-02434-z.</mixed-citation></citation-alternatives></ref><ref id="cit49"><label>49</label><citation-alternatives><mixed-citation xml:lang="ru">Yin Z, Guo X, Qi Y, Li P, Liang S, Xu X, Shang X. Dietary Restriction and Rapamycin Affect Brain Aging in Mice by Attenuating Age-Related DNA Methylation Changes. Genes. 2022;13(4):699. https://doi.org/10.3390/genes13040699.</mixed-citation><mixed-citation xml:lang="en">Yin Z, Guo X, Qi Y, Li P, Liang S, Xu X, Shang X. Dietary Restriction and Rapamycin Affect Brain Aging in Mice by Attenuating Age-Related DNA Methylation Changes. Genes. 2022;13(4):699. https://doi.org/10.3390/genes13040699.</mixed-citation></citation-alternatives></ref><ref id="cit50"><label>50</label><citation-alternatives><mixed-citation xml:lang="ru">Chung CL, Lawrence I, Hoffman M, Elgindi D, Nadhan K, Potnis M et al. Topical rapamycin reduces markers of senescence and aging in human skin: an exploratory, prospective, randomized trial. GeroScience. 2019;41(6):861–869. https://doi.org/10.1007/s11357-019-00113-y.</mixed-citation><mixed-citation xml:lang="en">Chung CL, Lawrence I, Hoffman M, Elgindi D, Nadhan K, Potnis M et al. Topical rapamycin reduces markers of senescence and aging in human skin: an exploratory, prospective, randomized trial. GeroScience. 2019;41(6):861–869. https://doi.org/10.1007/s11357-019-00113-y.</mixed-citation></citation-alternatives></ref><ref id="cit51"><label>51</label><citation-alternatives><mixed-citation xml:lang="ru">Quan T. Human Skin Aging and the Anti-Aging Properties of Retinol. Biomolecules. 2023;13(11):1614. https://doi.org/10.3390/biom13111614.</mixed-citation><mixed-citation xml:lang="en">Quan T. Human Skin Aging and the Anti-Aging Properties of Retinol. Biomolecules. 2023;13(11):1614. https://doi.org/10.3390/biom13111614.</mixed-citation></citation-alternatives></ref><ref id="cit52"><label>52</label><citation-alternatives><mixed-citation xml:lang="ru">Lovegrove A, Edwards CH, De Noni I, Patel H, El SN, Grassby T et al. Role of polysaccharides in food, digestion, and health. Crit Rev Food Sci Nutr. 2017;57(2):237–253. https://doi.org/10.1080/10408398.2014.939263.</mixed-citation><mixed-citation xml:lang="en">Lovegrove A, Edwards CH, De Noni I, Patel H, El SN, Grassby T et al. Role of polysaccharides in food, digestion, and health. Crit Rev Food Sci Nutr. 2017;57(2):237–253. https://doi.org/10.1080/10408398.2014.939263.</mixed-citation></citation-alternatives></ref><ref id="cit53"><label>53</label><citation-alternatives><mixed-citation xml:lang="ru">Feng X, Shang J, Wang Y, Chen Y, Liu Y. Exploring the Properties and Application Potential of β‐Glucan in Skin Care. Food Sci Nutr. 2025;13(4):e70212. https://doi.org/10.1002/fsn3.70212.</mixed-citation><mixed-citation xml:lang="en">Feng X, Shang J, Wang Y, Chen Y, Liu Y. Exploring the Properties and Application Potential of β‐Glucan in Skin Care. Food Sci Nutr. 2025;13(4):e70212. https://doi.org/10.1002/fsn3.70212.</mixed-citation></citation-alternatives></ref><ref id="cit54"><label>54</label><citation-alternatives><mixed-citation xml:lang="ru">Zonari A, Brace LE, Al-Katib K, Porto WF, Foyt D, Guiang M et al. Senotherapeutic peptide treatment reduces biological age and senescence burden in human skin models. NPJ Aging. 2023;9(1):10. https://doi.org/10.1038/s41514-023-00109-1.</mixed-citation><mixed-citation xml:lang="en">Zonari A, Brace LE, Al-Katib K, Porto WF, Foyt D, Guiang M et al. Senotherapeutic peptide treatment reduces biological age and senescence burden in human skin models. NPJ Aging. 2023;9(1):10. https://doi.org/10.1038/s41514-023-00109-1.</mixed-citation></citation-alternatives></ref><ref id="cit55"><label>55</label><citation-alternatives><mixed-citation xml:lang="ru">Jacczak B, Rubis B, Totoń E. Potential of Naturally Derived Compounds in Telomerase and Telomere Modulation in Skin Senescence and Aging. Int J Mol Sci. 2021;22(12):6381. https://doi.org/10.3390/ijms22126381.</mixed-citation><mixed-citation xml:lang="en">Jacczak B, Rubis B, Totoń E. Potential of Naturally Derived Compounds in Telomerase and Telomere Modulation in Skin Senescence and Aging. Int J Mol Sci. 2021;22(12):6381. https://doi.org/10.3390/ijms22126381.</mixed-citation></citation-alternatives></ref><ref id="cit56"><label>56</label><citation-alternatives><mixed-citation xml:lang="ru">Tarwadi KV, Agte VV. Effect of micronutrients on methylglyoxal-mediated in vitro glycation of albumin. Biol Trace Elem Res. 2011;143(2):717–725. https://doi.org/10.1007/s12011-010-8915-7</mixed-citation><mixed-citation xml:lang="en">Tarwadi KV, Agte VV. Effect of micronutrients on methylglyoxal-mediated in vitro glycation of albumin. Biol Trace Elem Res. 2011;143(2):717–725. https://doi.org/10.1007/s12011-010-8915-7</mixed-citation></citation-alternatives></ref><ref id="cit57"><label>57</label><citation-alternatives><mixed-citation xml:lang="ru">Raddatz G, Hagemann S, Aran D, Söhle J, Kulkarni PP, Kaderali L et al. Aging is associated with highly defined epigenetic changes in the human epidermis. Epigenetics Chromatin. 2013;6(1):36. https://doi.org/10.1186/1756-8935-6-36.</mixed-citation><mixed-citation xml:lang="en">Raddatz G, Hagemann S, Aran D, Söhle J, Kulkarni PP, Kaderali L et al. Aging is associated with highly defined epigenetic changes in the human epidermis. Epigenetics Chromatin. 2013;6(1):36. https://doi.org/10.1186/1756-8935-6-36.</mixed-citation></citation-alternatives></ref><ref id="cit58"><label>58</label><citation-alternatives><mixed-citation xml:lang="ru">Falckenhayn C, Bienkowska A, Söhle J, Wegner K, Raddatz G, Kristof B et al. Identification of dihydromyricetin as a natural DNA methylation inhibitor with rejuvenating activity in human skin. Front Aging. 2024;4:1258184. https://doi.org/10.3389/fragi.2023.1258184.</mixed-citation><mixed-citation xml:lang="en">Falckenhayn C, Bienkowska A, Söhle J, Wegner K, Raddatz G, Kristof B et al. Identification of dihydromyricetin as a natural DNA methylation inhibitor with rejuvenating activity in human skin. Front Aging. 2024;4:1258184. https://doi.org/10.3389/fragi.2023.1258184.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
