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. 2021 Jun 16;4:747. doi: 10.1038/s42003-021-02257-0

Table 1.

Main differences between dormant senescent and quiescent cancer cells and their roles in tumour relapse.

Quiescent cancer cell Senescent cancer cell References
Cell cycle arrest Reversible: G0-G1 phase arrest Irreversible: G1-G1 / S phase arrest / Cytokinetic block 32,33,46,47,63,139
Markers None

• p16INK4 expression / p53 activity

• SASP factors

• SA-β-gal staining

• DNA damage-response

• γH2AX foci and SAHF formation

46,49,58
Effectors p27 p53 (and p21) and / or p16INK4 mediated RB activation 4951
Metabolic activity Low (reduction in volume and size) Very active (increased biomass leading to SASP production) 33,51,56
Role of immune system Immune evasion Attract immune cells by SASP secretion 8,43,65,70
Mechanisms of relapse Re-enter cell cycle Microenvironment modulation and immune cell recruitment via SASP 21,30,44,68,70,100,101
Structural changes Chromatin compactation by methylation in H4K20 SAHF formation and γH2AX foci / Lysosomal compartment expansion 55,57,140

RB retinoblastoma protein, SA-β-gal senescence-associated β-galactosidase, SAHF senescence-associated heterochromatic foci, SASP senescence-associated secretory phenotype.