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Nuclear DNA leakage is categorized by its components, which mainly include cytosolic micronuclei, cytoplasmic chromatin fragments (CCFs) from senescent cells, retrotransposon [42]

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In this context, radio- and chemo-resistant GSCs present a metabolic adaptation presenting a reduced glucose dependence, an improved lipid catabolism, ROS, mitogen-activated protein kinases (MAPKs) activity, and NAD + level, and an amplified SIRT1/PGC1 axis that promotes autophagy, resulting in an increase in the maintenance and repair machinery (Ye et al., 2013)