Tandemly repeated ribosomal DNA (rDNA) arrays are among the most evolutionary dynamic loci of eukaryotic genomes. The loci code for essential cellular components, yet exhibit extensive copy number (CN) variation within and between species. CN might be partly determined by the requirement of dosage balance between the 5S and 45S rDNA arrays. The arrays are nonhomologous, physically unlinked in mammals, and encode functionally interdependent RNA components of the ribosome. Here we show that the 5S and 45S rDNA arrays exhibit concerted CN variation (cCNV). Despite 5S and 45S rDNA elements residing on different chromosomes and lacking sequence similarity, cCNV between these loci is strong, evolutionarily conserved in humans and mice, and manifested across individual genotypes in natural populations and pedigrees. Finally, we observe that bisphenol A induces rapid and parallel modulation of 5S and 45S rDNA CN. Our observations reveal a novel mode of genome variation, indicate that natural selection contributed to the evolution and conservation of cCNV, and support the hypothesis that 5S CN is partly determined by the requirement of dosage balance with the 45S rDNA array. We suggest that human disease variation might be traced to disrupted rDNA dosage balance in the genome.nucleolus | ribosome | gene dosage balance | concerted evolution | bisphenol A R epeated gene arrays have provided unique challenges to genetic and genome analyses, and have remained among the most elusive components of eukaryotic genomes (1, 2). Tandemly repeated loci of high copy number (CN) are labile, evolutionary dynamic, often subjected to concerted evolution of DNA sequences, and display abundant CN variation that emerges from high rates of repeat expansion and contraction (1). Moreover, natural selection contributes to the determination of gene CN, shaping rapid gene amplification in cancer, balanced gene loss after whole genome duplication, and optimal gene CN in locally adapted populations (3-5). For example, higher CN of the amylase gene is present in populations with starch-rich diets across organisms as diverse as humans, dogs, and fungi (3, 6, 7). Remarkably, gene CN may also be developmentally amplified in specific tissues to ensure rates of transcription in genes with high transcriptional demands (8,9). This is the case, for instance, of the chorion genes in Drosophila, which are amplified up to 80 fold in ovarian cells (10).The ribosomal DNA (rDNA) arrays display substantial CN variation within and between species (2, 11-16). The variation is functionally relevant with rDNA CN polymorphism modifying chromatin states and gene expression across the genome in humans and flies (17)(18)(19). In mammals, the rDNA arrays are dispersed across several chromosomes, and encode the four rRNAs that account for more than 60% of all transcription in the cell (20,21). Transcription of rDNA loci varies with cell and tissue type and is epigenetically regulated with allelic specificity (22, 23). The four rRNAs are indispensable structural and catalyti...