Background: Breast cancer (BC) is one of the leading causes of cancer-related deaths. Chemoresistance of BC remains a major unmet clinical obstacle. TUG1 (Taurine upregulated gene 1), a long noncoding RNA (lncRNA), and microRNAs (miRNA) are implicated in therapeutic resistance. However, the interactions between TUG1 and miRNAs that regulate doxorubicin (Dox) resistance in BC remain elusive. Methods: Expression of TUG1 and miR-9 was measured by qRT-PCR (Quantitative real-time polymerase chain reaction). EIF5A2 (Eukaryotic translation initiation factor 5A-2) was detected by western blot. Transfection of siRNAs or miRNA inhibitors was applied to silence lncRNA TUG1, eIF5A2 or miR-9. Cell viability, proliferation, and apoptosis were determined by CCK-8 (Cell counting kit-8), flow cytometry, and EdU (5-ethynyl-2'-deoxyuridine) assays, respectively. The regulatory relationship between TUG1 and miR-9 was determined by a luciferase assay. Results: LncRNA TUG1 was highly expressed in BC tissues and positively associated with doxorubicin resistance in BC cell lines. SiRNA knockdown of TUG1 reversed doxorubicin resistance in MCF-7/ADR cells. Mechanistically, TUG1 acted as a 'sponge' for miR-9 and downregulated miR-9. Treatment with a miR-9 inhibitor blocked the effect of TUG1 siRNA, and knockdown of TUG1 inhibited the effects of miR-9. Furthermore, TUG1 inhibition of apoptosis induced by doxorubicin involved miR-9 targeting of eIF5A2. Conclusions: TUG1 modulates the susceptibility of BC cells to doxorubicin by regulating the expression of eIF5A2 via a miR-9-dependent mechanism. Background Breast cancer (BC) is one of the leading causes of cancer-related deaths, has the highest incidence of malignant tumors among women, and is a significant public health concern[1]. Doxorubicin (Dox) is an anthracycline drug that is commonly used in the effective treatment of breast cancer, and resistance to Dox is a major challenge in breast cancer treatment[2, 3]. Therefore, novel treatment approaches that enable clinicians and researchers to explore the potential mechanisms underlying BC chemoresistance and develop effective new strategies to enhance the efficacy of chemotherapy are Affiliations