“…Human cells are constantly exposed to different DNA-damaging factors, both exogenous and endogenous, that induce DSBs ( Figure 1 ) and respond to the onset of damage by H2AX phosphorylation and the activation of the repair pathway [ 17 ]. Exogenous factors are represented by environmental and clinical factors including background radiation, radiation accidents, occupational exposure, chemical mutagens, heat, medical IR exposure, and chemotherapeutic drugs [ 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 ]. Endogenous factors include genome rearrangements such as V(D)J recombination or meiotic recombination, free radicals produced during oxidative stress, telomere shortening in senescent cells, DNA fragmentation during apoptosis, and hypoxia [ 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ].…”