García-Muse, TatianaAguilera, Andrés2023-02-082023-02-082019-10-10http://hdl.handle.net/10668/14678DNA-RNA hybrids play a physiological role in cellular processes, but often, they represent non-scheduled co-transcriptional structures with a negative impact on transcription, replication and DNA repair. Accumulating evidence suggests that they constitute a source of replication stress, DNA breaks and genome instability. Reciprocally, DNA breaks facilitate DNA-RNA hybrid formation by releasing the double helix torsional conformation. Cells avoid DNA-RNA accumulation by either preventing or removing hybrids directly or by DNA repair-coupled mechanisms. Given the R-loop impact on chromatin and genome organization and its potential relation with genetic diseases, we review R-loop homeostasis as well as their physiological and pathological roles.enChromatinDNADNA BreaksDNA RepairDNA ReplicationGenomic InstabilityHomeostasisHumansNucleic Acid ConformationR-Loop StructuresRNATranscription, GeneticR Loops: From Physiological to Pathological Roles.research article31607512open access10.1016/j.cell.2019.08.0551097-4172http://www.cell.com/article/S0092867419310062/pdf