Background/Aim: Schlafen 12 (SLFN12) expression correlates with survival in triple negative breast cancer (TNBC). SLFN12 slows TNBC proliferation and induces TNBC differentiation, but whether SLFN12 affects the tumoral response to chemotherapy or radiation is unknown. Materials and Methods: We over-expressed SLFN12 in MDA-MB-231 cells using two different lentiviral vectors. We assessed viable cell numbers via crystal violet assay after treatment with carboplatin, paclitaxel, olaparib, zoledronic acid, camptothecin, or cesium irradiation. CHK1 and CHK2 phosphorylation was assessed by western blot and the effects of inhibiting CHK1/CHK2 by AZD7762 were examined. Key findings were confirmed in Hs578t and BT549 TNBC cells after adenoviral SLFN12 over-expression. Results: SLFN12 over-expression increased TNBC sensitivity to radiation, carboplatin, paclitaxel, zoledronic acid, and camptothecin, but not to olaparib. SLFN12 over-expression decreased CHK1 and CHK2 phosphorylation after treatment with the DNA damaging agent camptothecin (CPT). The CHK1/CHK2 inhibitor diminished the significant cytotoxicity difference between over-expression and baseline SLFN12 levels in response to carboplatin. Conclusion: SLFN12 increases TNBC sensitivity to DNA-damaging agents at least in part by reducing CHK1/2 phosphorylation. This may contribute to improved survival in patients whose TNBC over-expresses SLFN12. Therefore, SLFN12 levels may be used to customize or predict radiotherapy and chemotherapy effects in TNBC.Breast cancer is the second most common cancer in women in the United States, afflicting 13% of women over their lifetime (1). Breast cancer can be categorized phenotypically by receptor expression and biology. Surgical excision remains the sine qua non of treatment, but many cases of breast cancer can be further adjunctively treated specifically by hormonal agents like tamoxifen or by targeting HER-2/neu. In contrast, triple negative breast cancer (TNBC) is not only uniquely aggressive (2) but is also unresponsive to endocrine or targeted therapy because it lacks estrogen and progesterone receptors and does not express HER-2/neu (3, 4). Therefore, TNBC can only be treated by less specific and more toxic interventions such as cytotoxic chemotherapy or radiation. However, TNBC is relatively chemoresistant and radioresistant as well (3-5), leading to a much worse prognosis than other breast cancers (3,4,6). TNBCs are rich in CD44 + CD24 − cells, breast cancer stem cells (BCSCs) that are themselves relatively chemoresistant and radiationresistant, and this abundance of cancer stem cells reinforces the aggressive nature of these tumors (4, 7, 8). Therefore, the search for alternatives to improve the prognosis for TNBC patients is crucial.The Schlafens (SLFN) are a family of genes encoding a novel set of proteins that are differently expressed in various species. These proteins are classified according to their structure and size to short, intermediate, and long (4, 9-12). The long human Schlafen proteins (SLFN5, SLFN11, and SL...