“…However, when present in high concentrations, ROS trigger oxidative stress damage, culminating in cell necrosis and apoptosis [ 126 ]. The cellular ROS level is intricately tied to the regulation of collagen metabolism; elevated ROS levels activate MMP-1, MMP-3, and MMP-9, initiating collagen degradation and, consequently, affecting the assembly and turnover of the ECM [ 127 ]. Under normal physiological conditions, the antioxidant defense system, composed of glutathione peroxidase (GPx), superoxide dismutase (SOD), peroxidase (POD), and catalase (CAT), is activated to control ROS accumulation, thereby averting excessive ROS production, which could otherwise lead to extensive lipid peroxidation damaging cell membranes and causing cell death.…”