“…These pathophysiological changes are thought to be driven by aged and senescent cells that exhibit reduced energy metabolism, higher mitochondrial oxidative stress, and pronounced mitochondrial DNA (mtDNA) deletions (Isobe et al ., 1998; Lu et al ., 1999), reflecting characteristics of the mitochondrial free radical theory of aging (Harman, 1972). In agreement, the deletion of a free radical scavenger within the mitochondria, superoxide dismutase 2, from connective tissue results in premature skin aging (Treiber et al ., 2011; Velarde et al ., 2012) and depleting mtDNA in dermal fibroblasts mimics the gene profile of photoaging (Schroeder et al ., 2008). Conversely, treatment with PPAR agonists that stimulate mitochondrial metabolism and cell proliferation improves skin wound healing (Ham et al ., 2010) and retards age-related tissue degeneration (Dillon et al ., 2012).…”