The senescence-associated β-galactosidase (SA-β-gal) assay is based on a senescenceinduced increase in levels of lysosomal β-galactosidase (Dimri et al., 1995). In nonsenescent cells, the lysosomal hydrolase β-galactosidase cleaves galactose from glycoproteins at an optimum pH of 4.0 to 4.5. Lysosomal β-galactosidase activity can be detected in most mammalian cells by performing a cytochemical assay at pH 4.0 in which cleavage of Xgal by β-galactosidase leads to the formation of a blue precipitate (Kurz et al., 2000). However, during senescence, there is an increase in lysosomal β-galactosidase protein levels and an overall increase in lysosomal size. The increase in β-galactosidase levels allows the detection of β-galactosidase activity at the suboptimal pH of 6.0 during senescence (Kurz et al., 2000). BASIC PROTOCOL ASSESSMENT OF CELLULAR SENESCENCE IN CULTURE USING THE SENESCENCE-ASSOCIATED β-GALACTOSIDASE ASSAY In this protocol, cells are first fixed with a formaldehyde/glutaraldehyde mixture and then incubated together with the β-gal substrate in an acidic buffer. The development of a perinuclear blue color, which is indicative of senescent cells, can be followed using a standard light microscope (without phase; Fig. 18.9.1).