Schlafen 11 (SLFN11) is a member of the evolutionarily conserved Schlafen gene family and an interferon-stimulated early response gene that has emerged as a critical regulator of the DNA damage response (DDR) and replication stress . The SLFN11 protein possesses three distinct functional domains: an N-terminal endonuclease domain responsible for tRNA cleavage, a linker domain, and a C-terminal helicase/ATPase domain involved in binding to replication protein A (RPA)-coated single-stranded DNA at stalled replication forks . Upon exposure to DNA-damaging agents (DDAs) such as platinum compounds, topoisomerase inhibitors, and PARP inhibitors, SLFN11 is recruited early to stressed replication forks, where it irreversibly blocks replication by destabilizing nascent DNA strands and inhibiting homologous recombination repair . Consequently, high SLFN11 expression levels are strongly correlated with enhanced sensitivity to DDAs and PARP inhibitors across multiple cancer types, including small cell lung cancer, breast cancer, ovarian cancer, and various sarcomas . Conversely, SLFN11 downregulation—frequently mediated by epigenetic silencing mechanisms such as promoter methylation, histone deacetylation, and histone methylation—confers resistance to these therapies . Beyond its canonical role in chemosensitivity, SLFN11 also exhibits non-canonical functions, including antiviral defense, immune regulation, modulation of oncological behaviors, induction of apoptosis, and protection against proteotoxic stress . Notably, SLFN11 expression is dynamic and context-dependent, varying during tumorigenesis and under treatment pressure, which highlights its potential as both a predictive biomarker and a therapeutic target . Emerging strategies aimed at modulating SLFN11 expression—including epigenetic modulation and CRISPR-based activation—are being explored to overcome chemoresistance and advance precision oncology.