e RAD51 is important for restarting stalled replication forks and for repairing DNA double-strand breaks (DSBs) through a pathway called homology-directed repair (HDR). However, analysis of the consequences of specific RAD51 mutants has been difficult since they are toxic. Here we report on the dominant effects of two human RAD51 mutants defective for ATP binding (K133A) or ATP hydrolysis (K133R) expressed in mouse embryonic stem (ES) cells that also expressed normal mouse RAD51 from the other chromosome. These cells were defective for restarting stalled replication forks and repairing breaks. They were also hypersensitive to camptothecin, a genotoxin that generates breaks specifically at the replication fork. In addition, these cells exhibited a wide range of structural chromosomal changes that included multiple breakpoints within the same chromosome. Thus, ATP binding and hydrolysis are essential for chromosomal maintenance. Fusion of RAD51 to a fluorescent tag (enhanced green fluorescent protein [eGFP]) allowed visualization of these proteins at sites of replication and repair. We found very low levels of mutant protein present at these sites compared to normal protein, suggesting that low levels of mutant protein were sufficient for disruption of RAD51 activity and generation of chromosomal rearrangements. R eplication fork maintenance is essential for maintaining the structural integrity of chromosomes, and replication defects were proposed to cause copy number variation (CNV) and complex genomic rearrangements (CGRs) (8,35). CNV is a natural change in the number of copies of one or more sections of DNA in the genome of a population ranging from one to thousands of kilobases and occurs between repeat segments (22, 23). CNV accounts for about 12% of the human genome and is important for murine (11) and primate (5, 46) evolution. CGRs cause genomic disorders and cancer in humans (13,23,74,75). They consist of at least two rearrangements with multiple breakpoints all closely aligned in the same chromosomal region, suggesting they derived from a single event. The genesis of structural chromosomal rearrangements is not known, yet compromised replication fork progression may evoke novel error-prone mechanisms, such as fork stalling and template switching (FoSTeS) (32) or microhomology-mediated break-induced replication (MMBIR) (22), which suppress broken replication forks but at the risk of structurally rearranging the genome. FoSTeS and MMBIR are not well understood at a mechanistic level but were proposed after sequencing of CGRs found in human genomic disorders and cancers. The sequence information showed that these events involved multiple chromosome segments and small levels of homology at some of the rearrangement junctions (22, 23). Therefore, defects in replication fork maintenance may promote CGRs and CNV.RAD51 is a RecA recombinase that is essential for replication fork maintenance. RAD51 performs two functions to suppress broken replication forks. First, RAD51 enables replication restart when a replica...