“…Decrease of CS in aged sun-protected human skin, while KS and DS were increased, has been previously reported [34]; however, the other group reported that HA content was decreased in intrinsically aged skin in vivo, while no change in other GAG was found [35]. In addition, in cultured senescent fibroblasts, synthesis of total GAG was reported to be reduced, whereas synthesis of HS was reported to be increased [36,37], and other studies reported no change in DS and HS, increase in HA, and decrease in CS production in dermal fibroblasts of the elderly [38]. Recently, Tzellos et al [39] reported that mRNA expressions of several sulfated GAG-containing PGs, including versican, decorin, biglycan, perlecan, and syndecan-3 were less in aged sun-protected skin from behind ear lobe than in juvenile foreskin, implying that those less expression of PGs may result in less tsGAG amount in intrinsically aged skin.…”