Cellular senescence, a permanent state of cell cycle arrest accompanied by a complex phenotype, is an essential mechanism that limits tumorigenesis and tissue damage. In physiological conditions, senescent cells can be removed by the immune system, facilitating tumour suppression, wound healing and possibly embryonic development. However, as we age, senescent cells appear to accumulate in tissues, either because an aging immune system fails to remove them, the rate of senescent cell formation is elevated or both. If senescent cells persist and accumulate in tissues, they have the potential to paradoxically promote pathological conditions.