Age is the greatest risk factor for the development of epithelial cancers. In this minireview, we will examine key extracellular matrix and matricellular components, their changes with aging, and discuss how these alterations might influence the subsequent progression of cancer in the aged host. Because of the tight correlation between advanced age and the prevalence of prostate cancer, we will use prostate cancer as the model throughout this minireview.Most tissues undergo significant modification with age. For the purposes of this review, the term aged refers to hosts that have reached greater than 75% of their species life expectancy and that generally have a larger percentage of cells (relative to young hosts) defined as senescent in many of their tissues.1-4 Senescent cells, which have ceased replicating but remain metabolically active, as well as normal aged cells influence the microenvironment of tissues. The relative contribution of senescent cells versus normal aged cells in remodeling the microenvironment is speculative, especially in regard to the effect of specific cell types (e.g., endothelial, epithelial, fibroblasts). In this review, we will explore the possible effects of senescent cells as just one of many factors that can alter the microenvironment in an aged host, thereby influencing tumor progression.Whereas cells have been the focus of most research in tissue aging, it is increasingly appreciated that pervasive changes also occur in the components of the extracellular space. [5][6][7][8] Modifications in the local environment, in turn, impact cellular functions. As an example, loss of tissue architecture is a defining characteristic of epithelial cancer initiation and progression. Thus an extracellular environment that provides the correct cues can serve as a powerful tumor suppressor-placing cells containing preneoplastic as well as oncogenic mutations into a normal tissue architecture reverts those cells back to a normal phenotype (e.g., polarization of epithelial cancer cells) despite the continued presence of oncogenic mutations. Conversely an environment that is rich in growth promoting mediators can spur on cells containing mutations to develop into cancer.6-8 These processes continually alter the composition of the microenvironment and subsequently influence tumor progression in the aged host.Within this extracellular environment, the influence of various growth factors has been at the core of cancer research. However, there is increasing interest in the roles of other components during tumor progression. The term Ó microenvironmentÓ now includes the extracellular matrix (e.g., collagens, laminins), matricellular components, soluble factors (hormones, cytokines, growth factors, enzymes) that are released by resident and circulating cells or transmitted by other organs, and a myriad of cell types (e.g., various immune cell populations, endothelial cells, fibroblasts, epithelial cells).6,9 Cells use membrane receptors, such as integrins and syndecans, to physically attach to components ...