We report the identification and characterization of a potent regulator of genomic integrity, mouse and human FRAG1 gene, a conserved homolog of replication factor C large subunit that is homologous to the alternative replication factor C subunits Elg1, Ctf18͞Chl12, and Rad24 of budding yeast. FRAG1 was identified in a search for key caretaker genes involved in the regulation of genomic stability under conditions of replicative stress. In response to stress, Atr participates in the down-regulation of FRAG1 expression, leading to the induction of apoptosis through the release of Rad9 from damaged chromatin during the S phase of the cell cycle, allowing Rad9 -Bcl2 association and induction of proapoptotic Bax protein. We propose that the Frag1 signal pathway, by linking replication stress surveillance with apoptosis induction, plays a central role in determining whether DNA damage is compatible with cell survival or whether it requires cell elimination by apoptosis.genomic integrity ͉ Bcl2 ͉ Rad9 ͉ Atr ͉ Rb R eplicative stress causes replication fork stalling or arrest, which can occur in yeast at naturally occurring sequences, such as replication fork barriers and replication slow zones (1). When damage is severe or the natural order of DNA replication is perturbed, DNA double-strand breaks can occur (2). Such events can trigger cellular checkpoints, allowing time for repair of damage before cell cycle progression (2). When the breaks are fixed or the damage is compatible with cell survival, double-strand breaks can give rise to the fixed chromosomal aberrations observed in cancer cells, such as translocations, inversions, amplifications, and deletions. Accumulated aberrations of caretaker pathways in concert with alterations of gatekeeper tumor suppressors give rise to transformed cells that acquire selective growth and survival advantages (3). Thus, the pathology of stalled or collapsed replication forks is important for understanding the role of faithful regulation of replication in preventing carcinogenesis.Genotoxic stress-induced replication stalling activates checkpoint-signaling pathways that block cell cycle progression, control DNA repair, or trigger apoptosis (4) through membrane death receptors and the endogenous mitochondrial death pathways (5). Rad9 protein is involved in the control of the DNA damage-induced checkpoint (6). Studies in yeast and human cells have shown that Rad9 interacts with Hus1 and Rad1 in the 9-1-1 complex, which is a heterotrimeric complex and acts as a proliferating cell nuclear antigen-like sliding clamp (4, 7). In response to DNA damage, the 9-1-1 complex is loaded around DNA lesions by Rad17, which binds to chromatin before damage (8) and facilitates Atr-mediated phosphorylation and activation of Chk1 kinase to arrest cell cycle. Rad9 can participate in signaling apoptosis by interacting with antiapoptotic Bcl-2 family proteins Bcl-2 and Bcl-X L but not with proapoptotic Bax and Bad (9). The interaction of Bcl2 with Bax prevents Bax from inducing cytochrome c release and ce...