Inhibiting KDM6A Demethylase Represses Long Non-Coding RNA Hotairm1 Transcription in MDSC During Sepsis
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Updated: Oct 3, 2025

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Published on: April 10, 2018
Isatou Bah1, Dima Youssef1, Zhi Q Yao1
1Department of Internal Medicine, East Tennessee State University College of Medicine, Johnson City, TN, United States.
Abstract:
Myeloid-derived suppressor cells (MDSCs) prolong sepsis by promoting immunosuppression. We reported that sepsis MDSC development requires long non-coding RNA Hotairm1 interactions with S100A9. Using a mouse model that simulates the immunobiology of sepsis, we find that histone demethylase KDM6A promotes Hotairm1 transcription by demethylating transcription repression H3K27me3 histone mark. We show that chemical targeting of KDM6A by GSK-J4 represses Hotairm1 transcription, which coincides with decreases in transcription activation H3K4me3 histone mark and transcription factor PU.1 binding to the Hotairm1 promoter. We further show that immunosuppressive IL-10 cytokine promotes KDM6A binding at the Hotairm1 promoter. IL-10 knockdown repletes H3K27me3 and reduces Hotairm1 transcription. GSK-J4 treatment also relocalizes nuclear S100A9 protein to the cytosol. To support translation to human sepsis, we demonstrate that inhibiting H3K27me3 demethylation by KDM6A ex vivo in MDSCs from patients with protracted sepsis decreases Hotairm1 transcription. These findings suggest that epigenetic targeting of MDSCs in human sepsis might resolve post-sepsis immunosuppression and improve sepsis survival.
Insights
Targeting KDM6A epigenetic activity in myeloid-derived suppressor cells (MDSCs) can reduce sepsis-induced immunosuppression. This approach represses Hotairm1 transcription, potentially improving sepsis survival and resolving post-sepsis immune dysfunction.
Area of Science:
- Immunology
- Epigenetics
- Molecular Biology
Background:
- Myeloid-derived suppressor cells (MDSCs) exacerbate sepsis by inducing immunosuppression.
- MDSC development in sepsis is linked to the long non-coding RNA Hotairm1 and S100A9.
- Epigenetic regulation of gene expression plays a critical role in immune cell function during sepsis.
Purpose of the Study:
- To investigate the role of histone demethylase KDM6A in regulating Hotairm1 transcription during sepsis.
- To evaluate the therapeutic potential of targeting KDM6A with GSK-J4 to modulate MDSC function in sepsis.
- To explore the translational relevance of KDM6A inhibition in human sepsis.
Main Methods:
- Utilized a mouse model simulating sepsis immunobiology.
- Employed chemical inhibition of KDM6A using GSK-J4.
- Analyzed histone modifications (H3K27me3, H3K4me3), transcription factor binding (PU.1), and cytokine levels (IL-10).
- Ex vivo experiments with MDSCs from human sepsis patients.
Main Results:
- KDM6A promotes Hotairm1 transcription by removing the repressive H3K27me3 mark.
- GSK-J4 treatment represses Hotairm1 transcription, reduces H3K4me3, and decreases PU.1 binding.
- IL-10 enhances KDM6A binding to the Hotairm1 promoter; IL-10 knockdown reverses these effects.
- GSK-J4 treatment causes S100A9 relocalization from the nucleus to the cytosol.
- Inhibiting KDM6A ex vivo in human sepsis MDSCs decreases Hotairm1 transcription.
Conclusions:
- KDM6A epigenetically regulates Hotairm1 transcription, a key factor in sepsis-induced MDSC immunosuppression.
- Targeting KDM6A with GSK-J4 offers a potential strategy to reverse MDSC-mediated immunosuppression in sepsis.
- Epigenetic modulation of MDSCs presents a promising therapeutic avenue for improving sepsis outcomes in humans.
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