Aquatic ecosystems are chronically exposed to natural radioactivity or to artificial radionuclides released by human activities (e.g., nuclear medicine and biology,nuclear industry, military applications). Should the nuclear industry expand in the future, radioactive environmental releases, under normal operating conditions or accidental ones, are expected to increase, which raises public concerns about possible consequences on the environment and human health. Radionuclide exposures may drive macromolecule alterations, and among macromolecules DNA is the major target for ionizing radiations. DNA damage, if not correctly repaired, may induce mutations, teratogenesis, and reproductive effects. As such, damage at the molecular level may have consequences at the population level. In this review, we present an overview of the literature dealing with the effects of radionuclides on DNA, development, and reproduction of aquatic organisms. The review focuses on the main radionuclides that are released by nuclear power plants under normal operating conditions, γ emitters and tritium. Additionally, we fitted nonlinear curves to the dose-response data provided in the reviewed publications and manuscripts, and thus obtained endpoints commonly associated with ecotoxicological studies, such as the EDR(10). These were then used as a common metric for comparing the values and data published in the literature.The effects of tritium on aquatic organisms were reviewed for dose rates that ranged from 29 nGy/day to 29 Gy/day. Although beta emission from tritium decay presents a rather special risk of damage to DNA, genotoxicity-induced by tritium has been scarcely studied. Most of the effects studied have related to reproduction and development. Species sensitivity and the form of tritium present are important factors that drive the ecotoxicity of tritium. We have concluded from this review that invertebrates are more sensitive to the effects of tritium than are vertebrates.Because several calculated EDR10 values are ten times lower than background levels of γ irradiation the results of some studies either markedly call into question the adequacy of the benchmark value of 0.24 mGy/day for aquatic ecosystems that was recommended by Garnier-Laplace et al. (2006), or the dose rate estimates made in the original research, from which our EDR(10) values were derived, were under estimated, or were inadequate. For γ irradiation, the effects of several different dose rates on aquatic organisms were reviewed, and these ranged from 1 mGy/day to 18 Gy/day. DNA damage from exposure to y irradiation was studied more often than for tritium, but the major part of the literature addressed effects on reproduction and development. These data sets support the benchmark value of 0.24 mGy/day, which is recommended to protect aquatic ecosystems. RBEs, that describe the relative effectiveness of different radiation types to produce the same biological effect, were calculated using the available datasets. These RBE values ranged from 0.06 to 14.9, depending on the biological effect studied, and they had a mean of 3.1 ± 3.7 (standard deviation). This value is similar to the RBE factors of 2-3 recommended by international organizations responsible for providing guidance on radiation safety. Many knowledge gaps remain relative to the biological effects produced from exposure to tritium and y emitters. Among these are: Dose calculations: this review highlights several EDR(10) values that are below the normal range of background radiation. One explanation for this result is that dose rates were underestimated from uncertainties linked to the heterogenous distribution of tritium in cells. Therefore, the reliability of the concept of average dose to organisms must be addressed. Mechanisms of DNA DBS repair: very few studies address the most deleterious form of DNA damage, which are DNA DBSs. Future studies should focus on identifying impaired DNA DBS repair pathways and kinetics, in combination with developmental and reproductive effects. The transmission of genetic damage to offspring, which is of primary concern in the human health arena. However, there has been little work undertaken to assess the potential risk from germ cell mutagens in aquatic organisms, although this is one of the means of extrapolating effects from subcellular levels to populations. Reproductive behavior that is linked to alterations of endocrine function. Despite the importance of reproduction for population dynamics, many key endpoints were scarcely addressed within this topic. Hence, there is, to our knowledge,only one study of courtship behavior in fish exposed to γ rays, while no studies of radionuclide effects on fish endocrine function exist. Recent technical advances in the field of endocrine disrupters can be used to assess the direct or indirect effects of radionuclides on endocrine function. Identifying whether resistance to radiation effects in the field result from adaptation or acclimation mechanisms. Organisms may develop resistance to the toxic effects of high concentrations of radionuclides. Adaptation occurs at the population level by genetic selection for more resistant organisms. To date, very few field studies exist in which adaptation has been addressed, despite the fact that it represents an unknown influence on observed biological responses.