“…Most importantly, senescent cells present a specific secretome, mainly consisting of soluble chemokines, growth factors, pro-inflammatory mediators, bioactive lipids, MMPs and insoluble ECM components, the “senescence-associated secretory phenotype” (SASP). SASP is regulated by several signaling pathways [e.g., p53, p38 mitogen-activated protein kinase (MAPK), nuclear factor κB (NF-κB), cyclic GMP-AMP synthase/stimulator of interferon genes (cGAS/STING) and mammalian target of rapamycin (mTOR)] and is the mediator through which senescent cells exert most of their biological effects on adjacent cells and ECM [ 21 , 22 , 23 ]. Collectively, and based on all above-stated senescence-associated cellular modifications, to be firmly characterized as senescent, cells should assemble many of the following traits: overexpression of p16 INK4a , p21 WAF1 and p53, increased β-galactosidase activity (senescence-associated β-galactosidase, SA-β-Gal), accumulation of the by-product of oxidized proteins, lipids and metals (known as lipofuscin), accumulation of phosphorylated histone H2A.X and senescence-associated heterochromatin foci, down-regulation of lamin B1 or high mobility group box 1, increased oxidative load and altered expression of SASP factors towards a pro-inflammatory and catabolic phenotype [ 22 ].…”