C8orf33 is a nuclear, predominantly nucleolar protein that functions as a determinant of DNA double-strand break (DSB) repair pathway choice, biasing repair toward non-homologous end joining (NHEJ) (PMID:41249114). Recruited to DSB sites in both nuclear and nucleolar chromatin, it facilitates 53BP1 accumulation and inhibits DNA end resection, thereby counteracting recruitment of the homologous recombination factors BRCA1 and RAD51 (PMID:41249114). Mechanistically, C8orf33 antagonizes chromatin association of the KAT8 acetyltransferase at break sites, lowering H4K16 acetylation; its loss enhances KAT8 binding and H4K16ac, shifting the balance toward HR factor recruitment and away from NHEJ (PMID:41249114). Consistent with this repair role, depletion destabilizes ribosomal DNA repeats and increases cell death, indicating a contribution to genome integrity (PMID:41249114). In hepatocellular carcinoma cells, C8orf33 supports proliferation, migration, and tumorigenicity while restraining apoptosis, in part through regulation of MIF and its receptor components CD74, CXCR4, and CD44 and associated tumor macrophage infiltration (PMID:41965457).