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Inhibiting LSD1 unlocks retinoid AP-1 programming to activate epithelial immunity and skin tumor suppression
Nina Kuprasertkul1,2, Alyssa F Moore1,2, Carina A D'souza1
1Department of Dermatology and.
The Journal of Clinical Investigation
|March 12, 2026
Summary
Lysine-specific demethylase 1 (LSD1) normally suppresses skin immunity. Inhibiting LSD1 activates anti-tumor responses by boosting retinoid signaling and CD4+ T cells, offering a new skin cancer therapy.
Area of Science:
- Immunology
- Dermatology
- Epigenetics
Background:
- Lysine-specific demethylase 1 (LSD1; KDM1A) regulates gene expression through chromatin modification.
- Its role in epithelial immunity, particularly in the skin, is not well understood.
Purpose of the Study:
- To investigate LSD1's function in epidermal immunity and its potential as a therapeutic target for skin cancer.
- To determine if LSD1 inhibition can enhance anti-tumor immune responses in the skin.
Main Methods:
- CUT&RUN profiling to map LSD1 binding sites and histone modifications.
- Single-cell spatial analyses to study cellular interactions and signaling pathways.
- In vivo studies using mouse models of cutaneous squamous cell carcinoma.
Main Results:
- LSD1 acts as a brake on retinoid and AP-1-driven enhancer activity in the epidermis.
- Topical LSD1 inhibition in adult skin is tolerated and activates immune signaling pathways.
- LSD1 inhibition suppresses skin tumors by enhancing keratinocyte-immune crosstalk, particularly CD4+ T cell responses.
Conclusions:
- LSD1 is a key repressor of epithelial immune competence in the skin.
- LSD1 inhibition represents a promising therapeutic strategy for skin cancer by activating anti-tumor immunity.
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