“…Though an array of senescence markers has been proposed and widely used in multiple cell types, no single one can reliably identify senescent cells either in vitro or in vivo. The most widely used markers of senescence include the senescence-associated β-galactosidase (SA-β-gal) reactivity [15,20,[35][36][37][38][39], increased expression of the cyclin-dependent kinase (CDK) inhibitor p16INK4a [15,30,[36][37][38][39][40], p21 (CIP1/WAF1) [36-39, 41, 42], p53 [36,37,41,42], induction of SASP factors [14,41,[43][44][45][46][47][48][49][50], mitochondrial DNA modifications [39,[50][51][52][53][54][55][56][57], and chromatin modifications [37,47,58,59] ( Figure 1). The limitation is that even a combination of multiple markers does not truly represent senescence but could also describe long-term cell arrest.…”