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. 2021 Feb 1;47(3):359–378. doi: 10.1111/nan.12689

TABLE 1.

Detection of senescence: senescence hallmarks, markers, biological consequences and limitations

Senescence hallmarks Markers Limitations Biological consequences
Cell‐cycle withdrawal Ki67 negativity, phopho‐histone H3 negativity, EdU exclusion Also in quiescence Irreversible cell‐cycle arrest
p21Cip1 positivity, CDKN1A upregulation Also in quiescence CDK2 inhibitor p21Cip1 accumulation
p16INK4a positivity, CDKN2A upregulation Express by non‐senescent cells (macrophages), not express by all senescent cells CDK4/6 inhibitor p16INK4A accumulation
p15INK4b positivity, CDK2B upregulation Other cyclin inhibitors accumulation
Cyclin‐A2 (CCNA2) and Cyclin‐E2 (CCNE2) downregulation Decreased expression of cyclins
Persistent activation of RB family proteins (e.g phosphorylation of RB1, p107, p130) Also in quiescence Stability of the senescent state
Heterochromatinization of E2F target genes
Macromolecular damage Telomere shortening DNA Damage
Persistent nuclear DNA damage foci
Expression of γ‐H2AX and PARP‐1
Phosphorylation of DNA‐PKcs and ATM
Ubiquitin proteasome system active Protein Damage
Autophagy
Fatty acids and free cholesterol increase/phospholipids and cholesteryl decrease High variability of the senescence‐associated lipid profile Lipid Damage
Secretory phenotype (SASP) NF‐κB, C/EBPβ, GATA4, mTOR and p38MAPK signaling pathways (phosphorylation of IkBa, p38,…) High Variability: duration, cell type, inducer stimuli, and cell‐to‐cell variability Activation of transcription factors
IL6; IL7; IL1; IL1B; IL13; IL15 ; TGFβ; GM‐CSE; G‐CSE; IFN‐γ; BLC; MIF Pro‐inflammatory cytokines release
IL8; GRO‐a, ‐b, ‐g; MCP‐2; MCP‐4; MIP‐1a; MIP‐3a; HCC‐4; eotaxin; eotaxin‐3; TECK; ENA‐78; I‐309; I‐TAC Chemokines production
Amphiregulin; epiregulin; heregulin; EGF; bFGF; HGF; KGF (FGF7); VEGF; angiogenin; SCF; CXCL12; PIGF; NGF; IGFBP2, IGFBP3, IGFBP4, IGFBP6, IGFBP7 Growth modulators, angiogenic factors
MMP‐1, ‐3, ‐10, ‐12, ‐13, ‐14; TIMP‐1; TIMP‐2; PAI‐1, ‐2; tPA; uPA; cathepsin B Proteases, matrix metalloproteinases
ICAM‐1, ‐3; OPG; sTNFRI; sTNFRII; TRAIL‐R3; Fas; uPAR; SGP130; EGF‐R ; Fibronectin; collagens; laminin Secretion of other factors
Deregulated metabolism Increase number, decreased membrane potential, increased proton leak Less functional mitochondria
PML nuclear bodies (isoform IV) Also during apoptosis Reactive oxygen species (ROS) production
Senescence‐associated beta‐galactosidasde (SA‐β‐gal) activity Not required for the senescent phenotype Lysosomes increase in number and size
Galactosidase, beta 1 (GLB1) upregulation
LAMP1, LAMP2, Lysozime C upregulation
Senescence‐associated epigenetic H4K16ac, H3.3, H4K20me3 and H3K9me3 Global increase in chromatin accessibility
Senescence‐associated heterochromatin foci (SAHFs)
Global loss of linker histone H1
Lamin B1 (LMNB1) loss and reduced nuclear integrity
Upregulation of specific miRNAs (e.g. miR‐504, miR‐605) Change in miRNAs expression
Resistance to apoptosis Increased expression of BCL‐2 family members Anti‐apoptotic protein upregulation
TRAIL‐Decoy Receptor DcR2 over expression Markers not present in mice Hiding from Immune system
NKG2D ligands over expression