DNA damage response (DDR) acts as a tumorigenesis barrier, and any defects in the DDR machinery may lead to cancer. SOX4 expression is elevated in many types of tumors; however, its role in DDR is still largely unknown. Here, we show that SOX4, a new DNA damage sensor, is required for the activation of p53 tumor suppressor in response to DNA damage. Notably, SOX4 interacts with and stabilizes p53 protein by blocking Mdm2-mediated p53 ubiquitination and degradation. Furthermore, SOX4 enhances p53 acetylation by interacting with p300/CBP and facilitating p300/CBP/p53 complex formation. In concert with these results, SOX4 promotes cell cycle arrest and apoptosis, and it inhibits tumorigenesis in a p53-dependent manner. Therefore, these findings highlight SOX4 as a potential key factor in regulating DDR-associated cancer.Mdm2 ͉ ubiquitination ͉ tumorigenesis D NA damage response (DDR), a highly conserved response to genotoxic stresses, is the guardian of genomic integrity (1, 2). It has been shown that DDR serves as a barrier to constrain tumor progression in its early stages by inducing cell cycle arrest, DNA repair, or apoptosis (3). A number of components are involved in cellular DDR machinery, in which ATM-Chk2-p53 and ATRChk1-p53 cascade are the key signaling pathways involved (2). A central component of DDR, p53, is one of the most important tumor suppressor proteins (4-8). The major consequence of p53 activation upon DNA damage is the induction of specific target genes, such as p21 WAF , Bax, and Puma, to initiate cell cycle arrest, apoptosis, and DNA repair (4). Cells lacking functional p53 exhibit a partial deficiency in DNA damage repair, resulting in uncontrolled cell proliferation and malignancy. Indeed, p53 gene is either lost or mutated in more than half of all human cancers (9). Around p53 there is a highly regulated network consisting of numerous proteins that interact with p53 and regulate its activity by protein stabilization, posttranscriptional modifications, protein-protein interaction, and protein subcellular localization (10), among which stabilization of p53 is presumed to play a major role in its activation. Under normal conditions, amount and activity of p53 are maintained at low levels by Mdm2, a ubiquitin E3 ligase, which binds to the N terminus of p53 and targets its C-terminal lysine residues for ubiquitination and degradation (11,12). However, in response to DNA damage, p53 protein is rapidly stabilized and activated mostly through multiple posttranslational modifications, such as phosphorylation and acetylation of specific residues in the N-terminal and C-terminal domains. DNA damage-induced p53 phosphorylation, which is mediated by ATM kinase (13, 14), contributes to p53 stability (15). Acetylation of p53 C-terminal lysine residues in p53 stabilizes the protein by preventing Mdm2-mediated ubiquitination of the same residues (16,17). In addition, the activity of p53 is also modulated by its recruitment of transcriptional coactivators or corepressors.SOX4 is a member of the SOX (SRY-re...