Target intelligence / Profile preview

Lysine-specific demethylase 6A (KDM6A (or UTX))

Target
KDM6A (or UTX)
Molecular classification
Enzyme, Histone demethylase, 2-oxoglutarate-dependent dioxygenase, Chromatin modifier, Histone modification
01

Overview

Lysine-specific demethylase 6A (KDM6A, also known as UTX) is an enzyme encoded by the KDM6A gene located on the X chromosome[2][5]. It is a histone demethylase that specifically demethylates di- and tri-methylated lysine 27 on histone H3 (H3K27me2/3), a key epigenetic modification implicated in chromatin structure and gene regulation[3][4][5]. By removing these methyl groups, KDM6A plays essential roles in transcriptional activation, cell differentiation, embryonic and tissue-specific development, and acts as a tumor suppressor in multiple cancer types[3][2]. Mutations in KDM6A cause Kabuki syndrome, a congenital malformation disorder, and are also found in various cancers such as bladder, breast, colon, and leukemia, where loss of function typically contributes to tumor development[2][3]. KDM6A acts independently of and in cooperation with other chromatin regulators, like MLL3/MLL4 and p300, to control transcription and enhancer activation[3]. KDM6A inhibition or loss of function, while under investigation as an anticancer strategy, poses risks because of its central role in normal development and gene regulation[3].

Other names
Ubiquitously transcribed tetratricopeptide repeat, X chromosomeUTXKDM6A_HUMANHistone demethylase UTXLysine (K)-specific demethylase 6AUbiquitously transcribed TPR gene on the X chromosomeUbiquitously-transcribed TPR protein on the X chromosomebA386N14.2KABUK2
02

Mechanism of action

Inhibition of H3K27 demethylase activity leads to altered chromatin structure and transcriptional silencing - Modulation of KDM6A can regulate gene expression patterns influencing cell proliferation and differentiation

03

Biological functions

Regulation of gene expressionHistone demethylation (specifically H3K27me2/3 demethylation)Cell differentiationDevelopment (embryonic and tissue-specific)Tumor suppressionTranscriptional regulationEnhancer activation
04

Disease associations

Cancer (tumor suppressor role, mutated in multiple cancers including bladder, breast, esophageal, colon, kidney, brain, myeloid leukemia, multiple myeloma)[2][3]Kabuki syndrome (causal mutations)[1][2][3]Developmental disorders
05

Safety considerations

Potential on-target effects on development and differentiation (due to KDM6A’s roles in embryogenesis and widespread expression)Possible disruption of normal gene regulation, with risk of developmental defects or unwanted cell fate changes[3]
06

Interacting drugs

There are currently no approved, highly selective small-molecule drugs directly targeting KDM6A in clinical practice (as of 2024), but inhibitors of histone demethylases targeting the Jumonji-C family (e.g. GSK-J4, which inhibits KDM6 subfamily including KDM6A and KDM6B) are used in research settings[3].
07

Biomarkers

KDM6A mutation status as a biomarker in certain cancers (e.g., bladder cancer, leukemia)H3K27me3 levels may serve as proxy biomarker for KDM6A activity[2][3]

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