Genome stability is of primary importance for the survival and proper funct
ioning of all organisms. Double-stranded breaks in DNA are important threat
s to genome integrity because they can result in chromosomal aberrations th
at can affect, simultaneously, many genes, and lead to cell malfunctioning
and cell death. These detrimental consequences are counteracted by two mech
anistically distinct pathways of double-stranded break repair: homologous r
ecombination and non-homologous end-joining. Recently, unexpected links bet
ween these double-stranded break-repair systems, and several human genome i
nstability and cancer predisposition syndromes, have emerged. Now, interact
ions between both double-stranded break-repair pathways and other cellular
processes, such as cell-cycle regulation and replication, are being unveile
d.