Altered expression of RNA-binding proteins modulates gene expression in association with mRNAs encoding many protooncogenes, cytokines, chemokines, and proinflammatory factors. Hu antigen R (HuR), a ubiquitously expressed protein, controls a range of cellular functions such as tumor progression, apoptosis, invasion, and metastasis by stabilizing the AU-rich element located at the 3-untranslated region (UTR) of target mRNAs. Although significant progress has been made in understanding HuR regulation in gene expression, little is known about how HuR undergoes post-translational modifications and recruits target mRNAs during hypoxic stress. Here, we report that during CoCl 2 -induced hypoxic stress, HuR is significantly overexpressed and undergoes caspase-dependent cleavage in head and neck squamous cell carcinoma cells. Unexpectedly, the HuR-cleavage product 1 (HuR-CP1) was found to strongly associate with the 3-UTR of c-myc mRNA and block mRNA translation. The binding efficiency of HuR to the 3-UTR of c-myc mRNA was confirmed using ribonucleoprotein immunoprecipitation and site-directed mutagenesis at the AU-rich element sequences of the c-myc mRNA. Overexpression of a non-cleavable isoform, HuR-D226A, revealed a potent dominant-negative effect, repressing cleavage of endogenous HuR and promoting cell viability. Surprisingly, under hypoxia, siRNA knockdown of HuR elevated c-Myc protein expression. These findings suggest an important role for HuR in hypoxia, and we may have revealed a novel post-transcriptional mechanism that controls c-Myc expression in oral cancer progression.Gene expression is controlled by multiple biological networks, and post-transcriptional gene regulation determines mRNA fate in association with RNA-binding proteins and microRNAs (1, 2). Several RNA-binding proteins associate with the 3Ј-untranslated region (UTR) of target mRNAs and regulate their expression via alteration of the half-life and/or rate of translation of target mRNAs. An RNA-binding protein that increases mRNA stability through this mechanism is the Hu antigen R (HuR, 3 also named ELAVL1) (3). HuR is expressed ubiquitously in most cancers, including head and neck squamous cell carcinoma (HNSCC) (4, 5). HuR associates with AUand U-rich elements (AREs) in the 3Ј-UTR of target mRNAs to control transcript stability and protein translation (6). In addition, HuR has been shown to be involved in various cancer processes such as cellular proliferation, differentiation, invasion, metastasis, apoptosis, and angiogenesis in association with target mRNAs (7,8). HuR also increases the translation of certain mRNAs and represses the translation of other transcripts (9, 10). HuR is predominantly localized to the nucleus and, in response to cellular stress, is exported to the cytoplasm where it elicits its post-transcriptional influence on target mRNAs. During stress, HuR has been shown to undergo several post-translational modifications including phosphorylation (11, 12), methylation (13), and ubiquitination (14) and cleaved by caspase-3 (1...