“…Anti-apoptotic and pro-survival pathways are upregulated in SnCs ( Zhu et al, 2015 ). Multiple factors are involved in this pathophysiological process such as BCL-2, BCL-W, and BCL-XL in the BCL-2 protein family, and p53, p21 CIP1 , phosphatidylinositol 3-kinase (PI3K), AKT, FOXO4, tyrosine kinase, and heat shock protein 90 (HSP90) ( von Kobbe, 2019 ; Martel et al, 2020 ). Pro-survival pathways can protect SnCs from their own SASP effect ( Romashkan et al, 2021 ), and these survival networks mainly include PI3K-AKT pathway, BCL-2/BCL-Xl pathway, p53/p21 CIP1 , different kinases, etc.…”