The l3mbtl1 gene is located on the long arm of chromosome 20 (q12), within a region commonly deleted in several myeloid malignancies. L3MBTL1 is a human homolog of the Drosophila polycomb L(3)MBT tumor suppressor protein and thus a candidate tumor suppressor in del(20q12) myeloid disorders. We used the loss-of-function approach to explore the possible tumor suppressive mechanism of L3MBTL1 and found that depletion of L3MBTL1 from human cells causes replicative stress, DNA breaks, activation of the DNA damage response, and genomic instability. L3MBTL1 interacts with Cdc45, MCM2-7 and PCNA, components of the DNA replication machinery, and is required for normal replication fork progression, suggesting that L3MBTL1 causes DNA damage, at least in part, by perturbing DNA replication. An activated DNA damage response and genomic instability are common features in tumorigenesis and a consequence of overexpression of many oncogenes. We propose that the loss of L3MBTL1 contributes to the development of 20q − hematopoietic malignancies by inducing replicative stress, DNA damage, and genomic instability. T he l3mbtl1 gene is located on the long arm of chromosome 20q, within a region on 20q12 commonly deleted in several myeloid malignancies, including myeloproliferative neoplasms, myelodysplastic syndromes, and acute myeloid leukemia (1). It has been proposed that the 20q12 locus contains one or more tumor suppressors, which when lost contribute to the development of these disorders. L3MBTL1 is a human homolog of the Drosophila polycomb group (PcG) protein L(3)MBT. Homozygous mutations of the Drosophila l3mbt gene cause malignant transformation of the adult optic neuroblasts and ganglion mother cells in the larval brain (2). Somatic, focal deletions of other human L3MBTL family members, the l3mbtl2 and l3mbtl3 genes, have recently been found in human medulloblastoma (3). These findings suggest that L3MBTL1 is a candidate tumor suppressor gene in myeloid malignancies associated with 20q12 deletions.The L3MBTL1 protein contains three MBT repeats, which assume a three-bladed propeller-like architecture, as well as a Zn finger and an SPM dimerization domain (4, 5). We previously demonstrated that L3MBTL1 functions as an HDAC-independent transcriptional repressor (6) that binds preferentially to mono-and dimethylated lysines of histones via the second of its three MBT repeats (7,8). The three MBT domains of L3MBTL1 are sufficient to compact nucleosomal arrays. This compaction requires that the nucleosome contain a mono-or dimethylated lysine 26 on histone H1b or lysine 20 on histone H4 (H4K20) (7). L3MBTL1 binds to chromatin most prominently during the S phase of the cell cycle, concomitant with the appearance of the monomethylated H4K20 (H4K20me1) mark (8), suggesting that the biological function of L3MBTL1 may be related to DNA replication.The accurate duplication of DNA during replication is essential for maintaining genomic stability, as uncorrected errors made during this process can lead to DNA breaks, which generate mutat...