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Mitosis

Clonogenic

survival

DNA

damage

response

Cell cycles

Early cell death

Apoptosis, Necrosis

Normal cells:

lymphocytes,

spermatogonia, intestinal cells,

embryonal cells

Tumors

of haematopoetic origin

Mitotic

catastrophe

Late cell death

Apoptosis, Necrosis

Vast majority of

proliferating

normal cells

Most tumor cells

Adopted from Wouters 2009

When and why cells die after irradiation ?

Multiple cell cycles

senescence

= cells cease to divide