Post-translational modifications of histones by chromatin modifying enzymes regulate chromatin structure and gene expression. As deregulation of histone modifications contributes to cancer progression, inhibition of chromatin modifying enzymes such as histone demethylases is an attractive therapeutic strategy to impair cancer growth. Lysine-specific demethylase 1 (LSD1) removes mono-and dimethyl marks from lysine 4 or 9 of histone H3. LSD1 in association with the androgen receptor (AR) controls androgen-dependent gene expression and prostate tumor cell proliferation, thus highlighting LSD1 as a drug target. By combining protein structure similarity clustering and in vitro screening, we identified Namoline, a cpyrone, as a novel, selective and reversible LSD1 inhibitor. Namoline blocks LSD1 demethylase activity in vitro and in vivo. Inhibition of LSD1 by Namoline leads to silencing of AR-regulated gene expression and severely impairs androgen-dependent proliferation in vitro and in vivo. Thus, Namoline is a novel promising starting compound for the development of therapeutics to treat androgen-dependent prostate cancer.Prostate cancer is the second leading cause of cancer deaths in Western countries. As long as tumors are prostate confined, they can be efficiently treated by surgery and/or radiation therapy in a curative intent. In cases, however, where the tumor has already disseminated an androgen ablation therapy has to be applied. 1 Patients initially respond to androgen ablation, but tumors become androgen resistant within a period of 12-18 months, 2 after which no curative treatment exists. Thus, the urgent need to identify novel therapeutic targets for the treatment of androgen-resistant prostate cancer is evident.We recently identified lysine-specific demethylase 1 (LSD1), an amine oxidase, as a novel target for prostate cancer therapy. 3 Expression of LSD1 positively correlates with the malignancy of prostate tumors. 3,4 LSD1 functions as a histone demethylase that removes mono-and dimethyl, but not trimethyl marks from either lysine 4 or lysine 9 of histone H3 (H3K4 and H3K9, respectively). 3,5 As a component of corepressor complexes, LSD1 demethylates active methyl marks at H3K4. 5,6 In comparison, when associated with the androgen receptor (AR), the enzyme removes repressive methyl marks from H3K9, thereby enhancing AR-dependent gene expression and prostate tumor cell proliferation. 3 Thus, we hypothesized that selective LSD1 inhibitors are useful precursors for the development of novel drugs for prostate cancer therapy.Previous studies showed that inhibitors of other members of the amine oxidase family also impair the activity of LSD1. 7-13 However, these amine oxidase inhibitors including clorgyline, pargyline, tranylcypromine, polyamines and derivatives thereof, many of them do not selectively target LSD1 and therefore, limits their use as therapeutics owing to potential side effects. In this study, we found a novel and selective LSD1 inhibitor called Namoline by combining protein structure similar...