Model for DNA replication restart in the context of a repeated DNA segment such as pun in either a BLM-dependent or -independent manner. Presented is the occurrence of DNA damage that blocks lagging-strand DNA replication at the first repeat of DNA duplication, though similar models can be drawn for damage in the second repeated DNA element or that affect leading-strand synthesis. Complementary parental DNA strands (dark red and blue) and their nascently replicated leading and lagging strands (light blue and light red, respectively) are shown. DNA replication is indicated by a half arrowhead, DNA damage as a purple circle, and the repeated DNA elements by outlined black arrows. (A) Following damage-induced stalling of the replication fork, regression can occur (or template switching) by annealing the nascent strands to form a “chicken foot” structure possibly mediated by BLM (in parentheses, as other proteins such as Werner helicase can promote this activity). Using the nascent leading strand as a template, the lagging strand can now be extended beyond the DNA lesion found on the blue parental DNA strand. (B) Topological rearrangement. The “chicken foot” structure is topologically the same as a Holliday junction (HJ). (C, D) HJ branch migration (C), which can be mediated by BLM helicase, among others, can reverse the regressed fork, allowing replication restart (D). Of note, this mechanism would inhibit repeat duplication deletion, would not involve sister chromatid exchange, and would be limited by the amount of leading strand template available to bypass the lesion present on the parental strand. (E) Alternatively, the annealed nascent strands at the regressed replication fork would have a 3′-end overhanging tail that can be used for RAD51-dependent strand invasion promoted by BRCA1, resulting in strand displacement (a “D-loop”) and, consequently, the production of two additional HJs once the D-loop is captured by the nascent lagging strand. If the 3′-end tail is complementary to the repeated DNA element, then there is the chance that it can invade into the “correct repeat” or the “incorrect repeat.” (F) Irrespective of which repeat is invaded, BLM can dissolve a double HJ (DHJ) by migrating two HJs toward each other. Depending on which DHJ is dissolved, either a regressed replication fork is reformed that can be resolved by HJ branch migration or the replication fork is restored, without any possibility of either chromatid exchanges or repeat deletions in either case. (G) An alterative means to dissolve a DHJ is by resolution. The orientation of HJ resolution (cutting red HJ/red HJ or blue HJ/blue HJ versus cutting red HJ/blue HJ) will dictate whether or not resolution results in strand exchange. Irrespective of the resolution orientation, invasion of the 3′-end tail into the “correct” or “incorrect” repeat will dictate the possibility of repeat deletion (e.g., pun reversion, in the case of our assay).