Myosin VI is an unconventional motor protein and functions in a variety of intracellular processes such as cell migration, vesicular trafficking, and homeostasis of the Golgi complex. Previously, we found that myosin VI is up-regulated in RKO, LS174T, and H1299 cells by DNA damage in a p53-dependent manner and mediates the pro-survival function of p53. Here, we showed that the levels of myosin VI protein were markedly inhibited in MCF7 and LNCaP cells by topoisomerase I-II inhibitors. However, the levels of myosin VI transcript were decreased only by topoisomerase I inhibitors. We also found that the levels of myosin VI protein were markedly inhibited in MCF7 cells by wild-type p53 but not tumor-derived mutant p53. Surprisingly, we found that the level of myosin VI transcript was slightly increased instead of decreased in MCF7 cells by p53, suggesting that a mechanism other than transcriptional repression is involved. Additionally, we found that on the myosin VI promoter, the level of acetylated histone H3 was markedly decreased, whereas that of p53 and acetylated histone H4 was slightly increased in MCF7 cells upon treatment with topoisomerase I-II inhibitors. Finally, we showed that overexpression of myosin VI enhances, whereas knockdown of myosin VI decreases, DNA damage-induced stabilization of p53, and consequently, knockdown of myosin VI de-sensitizes MCF7 cells to DNA damage-induced apoptosis. Taken together, as a mediator of the p53 pro-survival pathway and a marker of malignancy in some tumors, differential regulation of myosin VI in various tumor cells by topoisomerase inhibitors dictates whether knockdown of myosin VI inhibits, rather than enhances, the susceptibility of tumor cells to some therapeutic agents, which might be explored for designing a proper therapeutic strategy.Myosins are motor proteins to move cargos along actin filaments using the energy derived from ATP hydrolysis by actinactivated Mg 2ϩ -dependent ATPase activity (1-3). Myosins are categorized into 18 distinct classes according to variations of their amino acid sequence in the motor domain. The differences in motor and tail domains are linked to their specific biological functions in the cell (4 -5). Myosin VI is an unconventional actin-based motor protein and carries out a diverse set of functions such as maintenance of the Golgi complex, cargo sorting and vesicle formation, protein secretion, endocytosis, cell migration, spindle orientation, spermatogenesis, and cell-cell contacts (1, 6 -10). In addition, myosin VI was shown to enhance RNA polymerase II-dependent transcription through physical interaction with RNA polymerase II (11), suggesting that myosin VI has a critical function in the nucleus as well as in the cytoplasm and on the plasma membrane.Myosin VI was found to be overexpressed in high-grade ovarian carcinoma cells and knockdown of myosin VI led to impediment of cell spreading, migration, and dissemination (12). Myosin VI was also found to be one of the highly expressed genes in clinical prostate specimens and knock...