Radioiodine (RAI) therapy, used for treating thyroid cancers, hinges on the expression of the Sodium Iodide Symporter (NIS). The majority of differentiated thyroid cancers (DTCs) are papillary, with a BRAFV600E mutation. This mutation correlates with an absence of RAI uptake, due to low NIS expression and a low differentiation score. NADPH oxidase 4 (NOX4)-derived ROS contribute to NIS repression in BRAFV600E-mutated thyroid cancer cells. Depleting NOX4 enhances the reactivation of NIS. This reversibility implies an epigenetic mechanism's contribution. Our findings indicate that NOX4 generates oxidative DNA damage in BRAFV600E-mutated thyroid cancer cells. DNA repair proteins such as OGG1 and MSH2/MSH6 proteins, in cooperation with DNMT1, turn these damages into transcription-blocking damages. This prevents the binding of PAX8 and NKX2.1 - two key transcription factors involved in thyroid differentiation - to the chromatin. Co-inhibition of the MAPK pathway, which regulates MSH2/MSH6 and DNMT1 expressions, and the TGF-beta1 pathway, which regulates NOX4 expression, fortifies the recruitment of the two transcription factors to the chromatin. Collectively, our findings present a molecular basis for NOX4's role in thyroid dedifferentiation