DNA double-strand breaks are associated with various endogenous proces
ses, such as transcription, recombination, replication, and with the p
rocess of active cell death, which aims to eliminate cells. In additio
n, DNA double-strand breaks can be induced by irradiation, exposure to
chemicals, increased formation of reactive oxygen species, and, indir
ectly, during repair of other types of DNA damage or as a consequence
of extranuclear lesions. In addition to the neutral filter elution of
DNA, the recently introduced pulsed-field gel electrophoresis is capab
le of determining DNA double-strand breaks with higher accuracy and se
nsitivity and is expected to increase our knowledge on the frequency a
nd the role of DNA breakage. Parallel determination of parameters for
cytotoxicity is necessary to elucidate the causal primary lesion. Alth
ough the repair of DNA double-strand breaks is a complex task, cells a
re capable of repairing - with or without errors and up to a certain e
xtent - and surviving this DNA lesion. Gene translocations, rearrangem
ents, amplifications, and deletions arising during repair and misrepai
r of double-strand breaks may contribute to cell transformation and tu
mor development.