Microcephalin (MCPH1) is one of the causative genes for the autosomal recessive disorder, primary microcephaly, characterized by dramatic reduction in brain size and mental retardation. MCPH1 also functions in the DNA damage response, participating in cell cycle checkpoint control. However, how MCPH1 is regulated in the DNA damage response still remains unknown. Here we report that the ability of MCPH1 to localize to the sites of DNA double-strand breaks depends on its C-terminal tandem BRCT domains. Although MCPH1 foci formation depends on H2AX phosphorylation after DNA damage, it can occur independently of MDC1. We also show that MCPH1 binds to a phospho-H2AX peptide in vitro with an affinity similar to that of MDC1, and overexpression of wild type, but not C-BRCT mutants of MCPH1, can interfere with the foci formation of MDC1 and 53BP1. Collectively, our data suggest MCPH1 is recruited to double-strand breaks via its interaction with ␥H2AX, which is mediated by MCPH1 C-terminal BRCT domains. These observations support that MCPH1 acts early in DNA damage responsive pathways.Cell cycle checkpoints are critical for detecting damaged DNA and delaying cell cycle progression to allow time for DNA repair. If the damage is too great, they can also trigger cell death. Increasing evidence has shown that defects within these DNA damage checkpoints can lead to genetic instability, a hallmark of cancer cells (1). The DNA damage response is a complex network of proteins that can sense DNA lesions and relay and amplify the signal to downstream effectors to promote accurate and safe transmission of genetic material to the next generation. This pathway is usually classified as having groups of proteins involved in different steps; that is, sensors, mediators, and effectors. Canonically, the DNA damage response is a signal transduction cascade triggered by a series of phosphorylation-dependent events that activate proteins involved in transducing the DNA damage signal (ionizing radiation (IR) 3 or stalled replication) to different effector proteins that evoke specific effects, namely halting cell cycle progression, activating DNA repair mechanisms and transcription, and triggering apoptosis. The phosphatidylinositol 3-kinase-like kinase ataxiatelangiectasia-mutated (ATM) becomes active upon IR and relocalizes to the sites of double-strand breaks and phosphorylates H2AX, a histone variant that marks sites of damaged DNA. This then allows for the recruitment of other mediator proteins like MDC1, BRCA1, and 53BP1. These proteins help promote the damage signal to Chk1 and Chk2, which can phosphorylate various substrates to modulate the cell cycle, DNA repair, and apoptosis. However, increasing evidence has shown that the DNA damage response is not a linear pathway; DNA damage proteins can also act both upstream and downstream of their respective functions and maintain cross-talk with other proteins. Instead of a linear pathway as previously thought, there is an intricate network of proteins that function independently and dependen...