The Connective Tissue Axis of Aging
Aging is often described as a gradual decline in function, but that view is too narrow to explain why some people remain resilient, repair well, and preserve autonomy deep into later life while others develop frailty, multimorbidity, and functional collapse. A more useful perspective is to see aging as a spectrum of trajectories. On one end is physiological adaptation, where structure and function stay coherent. On the other is pathogenetic aging , where regulation becomes unstable, repair loses precision, and local problems begin to spread across the body. At the center of this spectrum lies the connective tissue continuum , a system that does far more than provide mechanical support. It forms the body’s structural and regulatory matrix, linking organs, tissues, cells, vessels, nerves, and immune signals into one coordinated whole. This continuum is not merely a passive scaffold. It shapes how tissues respond to load, injury, inflammation, metabolism, and repair. In that sense, ...