Abstract: In order to assess the biological effectiveness of protons and heavy ions, a mechanistic model of cellular survival following radiation-induced chromosome aberrations was proposed. DNA damage repair module of nanodosimetry biophysical Monte Carlo simulation code (NASIC) was developed to simulate chromosome aberrations in nucleus induced by different types of particles at different linear densities of energy transfer (LET). Based on the analysis of radiation-induced chromosome aberration, a mechanistic model of cellular survival following radiation-induced chromosome aberrations was proposed. The parameters of the model could be obtained by fitting the experimental data of cell survival curves. For V79 cells exposed to X-rays and protons at different LET, the cell survivals calculated with the proposed model are in good agreement with the experimental data, and the correlation coefficient is 0.985 3. The proposed model was validated by experimental data of V79 cells exposed to ⁴He ions and the correlation coefficient of the cell survival calculated with the proposed model, and the experimental data is 0.931 1. The results show that the proposed model can distinguish the difference of cell survival for cells exposed to different types of particles at different LET.