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Pathophysiology Nodes

5
5 shared nodes are defined in this module.
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Cell Types

2
Keratinocyte CL:0000312 Cell Ontology (CL) Relation: this mechanism module involves this cell type This mechanism module involves Keratinocyte (CL:0000312). CL:0000312 is a cell type from the Cell Ontology. Dermal Fibroblast CL:0000057 Cell Ontology (CL) Relation: this mechanism module involves this cell type This mechanism module involves Dermal Fibroblast (CL:0000057). CL:0000057 is a cell type from the Cell Ontology.
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Biological Processes

8
Response to UV GO:0009411 Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves Response to UV (GO:0009411). GO:0009411 is a biological process from the Gene Ontology. Reactive Oxygen Species Generation GO:0072593 ↑ INCREASED Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves increased Reactive Oxygen Species Generation (GO:0072593). GO:0072593 is a biological process from the Gene Ontology. Cellular Response to Oxidative Stress GO:0034599 ↑ INCREASED Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves increased Cellular Response to Oxidative Stress (GO:0034599). GO:0034599 is a biological process from the Gene Ontology. MAPK Cascade GO:0000165 ↑ INCREASED Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves increased MAPK Cascade (GO:0000165). GO:0000165 is a biological process from the Gene Ontology. NF-kappaB Signaling Activation GO:0043123 ↑ INCREASED Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves increased NF-kappaB Signaling Activation (GO:0043123). GO:0043123 is a biological process from the Gene Ontology. Collagen Catabolic Process GO:0030574 ↑ INCREASED Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves increased Collagen Catabolic Process (GO:0030574). GO:0030574 is a biological process from the Gene Ontology. Inflammatory Response GO:0006954 ↑ INCREASED Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves increased Inflammatory Response (GO:0006954). GO:0006954 is a biological process from the Gene Ontology. Extracellular Matrix Disassembly GO:0022617 ↑ INCREASED Gene Ontology (GO) Relation: this mechanism module involves this biological process This mechanism module involves increased Extracellular Matrix Disassembly (GO:0022617). GO:0022617 is a biological process from the Gene Ontology.
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Notes

Conserved mechanism, one rate-limiting hub. The key conformance target is the central_effector node "MAPK Signaling and AP-1/NF-kB Transcriptional Activation": every route from a UV/oxidative insult to matrix destruction funnels through MAP-kinase-driven AP-1 (and NF-kB) transcriptional activation. Conforming entries substitute the tissue- and stimulus-specific detail while keeping this spine: the UV waveband and dose (UVB vs UVA vs solar-simulated), the dominant reactive species, the specific MMPs induced (MMP-1 collagenase, MMP-3 stromelysin, MMP-9 gelatinase), and the inflammatory mediators (IL-1, IL-6, CXCL8/IL-8, PTGS2/COX-2). Not modeled here and left to the conforming entry or a sibling module: UV mutagenesis and photocarcinogenesis (a distinct DNA-damage/oncogenesis output), melanogenesis and dyspigmentation, and the intrinsic (chronological) aging arm, which converges on the same AP-1/MMP effector but is driven by senescence and inflammaging rather than UV (see the cellular_senescence and inflammaging modules). Chemistry (ROS, retinoids) is described in prose per module convention; a treatment therapeutic_agent carries the CHEBI id. Not an Xogenesis module: the terminal output is destruction and disorganization of a normal matrix, not formation of a discrete pathological structure (actinic/solar elastosis, an accumulation of abnormal elastotic material, is the closest structural correlate and is described in prose at the consequence node rather than anchored as Xogenesis).
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Experimental Models

1
Outer Biosciences long-term ex vivo human skin platform (UVB photodamage arm) PRIMARY_CELL_CULTURE
An ex vivo human skin platform used to model UVB photodamage and topical photoprotection within preserved tissue architecture. UVB (300 mJ/cm2) induced epidermal and dermal pathology (parakeratosis, dyskeratosis, collagen bundle fragmentation), raised lactate dehydrogenase release and IL-8 secretion, and activated inflammatory, stress, and remodeling programs (TNF-alpha/NF-kB, UV response, IL6/JAK/STAT3) with induction of IL1A, IL1B, CXCL8, PTGS2, and MMP1. Topically applied sunscreen substantially mitigated these responses.
UVB irradiation (300 mJ/cm2) UVB plus topical sunscreen (SPF 50) pre-treatment
Keratinocyte CL:0000312 Cell Ontology (CL) Relation: this experimental model uses this cell type This experimental model uses Keratinocyte (CL:0000312). CL:0000312 is a cell type from the Cell Ontology. Dermal Fibroblast CL:0000057 Cell Ontology (CL) Relation: this experimental model uses this cell type This experimental model uses Dermal Fibroblast, annotated with fibroblast (CL:0000057). CL:0000057 is a cell type from the Cell Ontology.
Organism
human NCBITaxon:9606 NCBI Taxonomy (NCBITaxon) Relation: this experimental model is built in this organism This experimental model is built in human, annotated with Homo sapiens (NCBITaxon:9606). NCBITaxon:9606 is an organism from the NCBI Taxonomy.
Tissue
skin UBERON:0002097 Uberon multi-species anatomy ontology (UBERON) Relation: this experimental model uses this anatomical location This experimental model uses skin, annotated with skin of body (UBERON:0002097). UBERON:0002097 is an anatomical location from the Uberon multi-species anatomy ontology.
Cell source
Primary full-thickness human skin explants (8 mm biopsies) from surgical excision of healthy donors
Culture
Air-liquid interface culture of native full-thickness skin on a 3D-printed high-porosity gyroid insert; UVB delivered at 300 mJ/cm2 over a 3-day study with or without topically applied sunscreen
Source is a bioRxiv preprint (DOI:10.64898/2026.04.30.721933), not yet peer-reviewed. Evidence snippets quote the cached abstract; figure-level detail is summarized in prose.
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Used By Disorder Entries

0
No disorder entries currently reference this module via conforms_to.
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Pathograph

Use the checkboxes to hide or show graph categories. Hover nodes for evidence-backed metadata.
Pathograph: causal mechanism network for Conserved Photoaging (UV-Induced Skin Damage) Module Interactive directed graph showing how this shared module's pathophysiology nodes connect.
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Pathophysiology

5
UVB Irradiation and Photo-oxidative Injury
trigger
Ultraviolet irradiation (chiefly UVB) absorbed by skin chromophores inflicts direct DNA photodamage and generates reactive oxygen species, and acts as a broad ligand-independent activator of keratinocyte and dermal-cell growth-factor and cytokine receptors. This photo-oxidative injury is the initiating insult of extrinsic skin aging.
Keratinocyte CL:0000312 Cell Ontology (CL) Relation: this pathophysiological event involves this cell type This pathophysiological event involves Keratinocyte (CL:0000312). CL:0000312 is a cell type from the Cell Ontology. Dermal Fibroblast CL:0000057 Cell Ontology (CL) Relation: this pathophysiological event involves this cell type This pathophysiological event involves Dermal Fibroblast, annotated with fibroblast (CL:0000057). CL:0000057 is a cell type from the Cell Ontology.
Response to UV GO:0009411 Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves Response to UV (GO:0009411). GO:0009411 is a biological process from the Gene Ontology. Reactive Oxygen Species Generation GO:0072593 ↑ INCREASED Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves increased Reactive Oxygen Species Generation, annotated with reactive oxygen species metabolic process (GO:0072593). GO:0072593 is a biological process from the Gene Ontology. Cellular Response to Oxidative Stress GO:0034599 ↑ INCREASED Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves increased Cellular Response to Oxidative Stress (GO:0034599). GO:0034599 is a biological process from the Gene Ontology.
Show evidence (2 references)
PMID:12208239 SUPPORT Other
"UV irradiation acts as a broad activator of cell surface growth factor and cytokine receptors."
Establishes UV as a broad ligand-independent activator of keratinocyte and dermal-cell receptors, the initiating injury of this node.
PMID:17108903 SUPPORT Other
"the skin is a major target for toxic insult by a broad spectrum of physical (i.e. UV radiation) and chemical (xenobiotic) agents"
A dermatology review grounding UV as an oxidative and toxic insult to skin, the photo-oxidative dimension of this node.
MAPK Signaling and AP-1/NF-kB Transcriptional Activation
central effector
UV-activated cell-surface receptors and reactive oxygen species drive MAP-kinase cascades (p38, ERK, JNK) that converge on the nucleus to induce c-Jun, which heterodimerizes with c-Fos to form the AP-1 transcription factor, and to activate NF-kB. This transcriptional hub is the disorder-agnostic, rate-limiting step that couples the UV/oxidative insult to matrix-degrading and inflammatory gene expression.
MAPK Cascade GO:0000165 ↑ INCREASED Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves increased MAPK Cascade (GO:0000165). GO:0000165 is a biological process from the Gene Ontology. NF-kappaB Signaling Activation GO:0043123 ↑ INCREASED Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves increased NF-kappaB Signaling Activation, annotated with positive regulation of canonical NF-kappaB signal transduction (GO:0043123). GO:0043123 is a biological process from the Gene Ontology.
Show evidence (2 references)
PMID:9732061 SUPPORT Other
"ultraviolet irradiation activates growth factor and cytokine receptors on keratinocytes and dermal cells, resulting in downstream signal transduction through activation of MAP kinase pathways"
Describes UV-driven ligand-independent receptor activation feeding MAP-kinase pathways, the upstream half of this hub.
PMID:9732061 SUPPORT Other
"These signaling pathways converge in the nucleus of cells to induce c-Jun, which heterodimerizes with constitutively expressed c-Fos to form activated complexes of the transcription factor AP-1."
Establishes the AP-1 (c-Jun/c-Fos) transcription factor as the convergent output of UV-activated MAP-kinase signaling.
MMP Upregulation and Inflammatory Mediator Induction
effector
Activated AP-1 and NF-kB induce the matrix metalloproteinases (collagenase MMP-1, stromelysin MMP-3, 92 kDa gelatinase MMP-9) and pro-inflammatory mediators (IL-1, IL-6, CXCL8/IL-8, COX-2/PTGS2), the effectors that dismantle the dermal matrix and sustain a low-grade inflammatory microenvironment.
Dermal Fibroblast CL:0000057 Cell Ontology (CL) Relation: this pathophysiological event involves this cell type This pathophysiological event involves Dermal Fibroblast, annotated with fibroblast (CL:0000057). CL:0000057 is a cell type from the Cell Ontology.
Collagen Catabolic Process GO:0030574 ↑ INCREASED Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves increased Collagen Catabolic Process (GO:0030574). GO:0030574 is a biological process from the Gene Ontology. Inflammatory Response GO:0006954 ↑ INCREASED Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves increased Inflammatory Response (GO:0006954). GO:0006954 is a biological process from the Gene Ontology.
Show evidence (2 references)
PMID:9732061 SUPPORT Other
"AP-1 induces expression of matrix metalloproteinases collagenase, 92 kDa gelatinase, and stromelysin, which degrade collagen and other proteins that comprise the dermal extracellular matrix"
Identifies the AP-1-induced MMPs (collagenase, gelatinase, stromelysin) as the effectors that degrade the dermal matrix.
PMID:12208239 SUPPORT Other
"Among genes whose expression is regulated by AP-1 are several matrix-metalloproteinase (MMP) family members and type I procollagen."
Confirms AP-1 as the transcriptional regulator of multiple MMP family members in the UV response.
Dermal ECM (Collagen and Elastin) Degradation
effector
MMP-mediated proteolysis, together with reduced procollagen synthesis (compounded by UV inhibition of TGF-beta signaling), fragments and depletes the dermal collagen and elastin extracellular matrix. Repeated cycles of degradation and imperfect repair accumulate as disorganized matrix, including the abnormal elastotic material of solar (actinic) elastosis.
Extracellular Matrix Disassembly GO:0022617 ↑ INCREASED Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves increased Extracellular Matrix Disassembly (GO:0022617). GO:0022617 is a biological process from the Gene Ontology. Collagen Catabolic Process GO:0030574 ↑ INCREASED Gene Ontology (GO) Relation: this pathophysiological event involves this biological process This pathophysiological event involves increased Collagen Catabolic Process (GO:0030574). GO:0030574 is a biological process from the Gene Ontology.
Show evidence (2 references)
PMID:12208239 SUPPORT Other
"skin aging is associated with increased AP-1 activity, increased MMP expression, impaired TGF-beta signaling, enhanced collagen degradation, and decreased collagen synthesis"
Ties AP-1/MMP activation and impaired TGF-beta signaling to enhanced collagen degradation with decreased synthesis, the net matrix loss modeled here.
PMID:25561721 SUPPORT Other
"The dermal collagenous extracellular matrix, which comprises the bulk of skin and confers strength and resiliency, undergoes gradual fragmentation, which deleteriously impacts skin mechanical properties and dermal cell functions."
Documents fragmentation of the dermal collagenous ECM and its functional consequences, the structural core of photoaging.
Photoaging
consequence
The cumulative clinical outcome: wrinkling, laxity, roughness, dyspigmentation, and solar elastosis of chronically sun-exposed skin. Photoaging is a cumulative process whose severity tracks lifetime UV dose and skin pigmentation, distinct from the passage-of-time-dependent intrinsic aging with which it shares the downstream AP-1/MMP effector.
Show evidence (2 references)
PMID:12437452 SUPPORT Other
"This sun-induced skin aging (photoaging), like chronological aging, is a cumulative process."
Defines photoaging as the cumulative sun-induced skin-aging endpoint of this pathway.
PMID:9732061 SUPPORT Other
"leading to accumulation of solar scarring, and ultimately visible photoaging"
Frames repeated dermal degradation and imperfect repair as accumulating into visible photoaging.
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Treatments

2
Topical retinoid (tretinoin / all-trans retinoic acid)
Pharmacotherapy NCIT:C15986 NCI Thesaurus (NCIT) Relation: this treatment is this clinical intervention This treatment is Pharmacotherapy (NCIT:C15986). NCIT:C15986 is a clinical intervention from the NCI Thesaurus.
Agent: tretinoin CHEBI:15367 Chemical Entities of Biological Interest (CHEBI) Relation: this treatment uses this therapeutic agent This treatment uses tretinoin, annotated with all-trans-retinoic acid (CHEBI:15367). CHEBI:15367 is a therapeutic agent from Chemical Entities of Biological Interest.
Platform: Small molecule
All-trans retinoic acid opposes the UV response upstream of matrix destruction by inhibiting UV-induced c-Jun and thereby AP-1-driven MMP induction, the peer-reviewed drug-target pattern for this module. Acts on the central AP-1/NF-kB node rather than the UV insult itself.
Mechanism target:
INHIBITS MAPK Signaling and AP-1/NF-kB Transcriptional Activation — Retinoic acid inhibits UV induction of c-Jun, blunting AP-1 activation and the ensuing MMP upregulation.
Evidence: 1
Topical sunscreen (photoprotection)
Agent: sunscreen NCIT:C851 NCI Thesaurus (NCIT) Relation: this treatment uses this therapeutic agent This treatment uses sunscreen (NCIT:C851). NCIT:C851 is a therapeutic agent from the NCI Thesaurus.
Platform: Other
Topical broad-spectrum sunscreen blocks UV from reaching skin chromophores, acting at the trigger node to prevent the initiating photo-oxidative injury. The primary evidenced-here demonstration is in the ex vivo human skin model below; the citation is a preprint.
Mechanism target:
INHIBITS UVB Irradiation and Photo-oxidative Injury — Sunscreen attenuates UV reaching the tissue, mitigating UVB-induced injury and the downstream inflammatory and remodeling response.
Evidence: 1