Novel tranylcypromine/hydroxylcinnamic acid hybrids 15a, b, and 19a-l were designed and synthesized by connecting tranylcypromine with hydroxylcinnamic acid, and their biological activities were evaluated. The in vitro assay of their inhibitory activities against lysine-specific demethylase 1 (LSD1) showed that most of the target compounds displayed high potency with IC 50 values ranging from submicromolar to single-digit micromolar levels. In particular, compound 19l had robust, selective LSD1 inhibitory activity, which was obviously higher than the inhibitory activity against homologues monoamine oxidase-A (MAO-A) and MAO-B, respectively. Furthermore, the most potent compound 19l selectively inhibited cancer cell but not nontumor colon cell proliferation in vitro. In addition, compound 19l also dose-dependently increased the expression of H3K4me2 at the cellular level. Our findings suggest that tranylcypromine/hydroxylcinnamic acid hybrids as LSD1 inhibitors may hold great promise as therapeutic agents for the treatment of human cancers.Key words synthesis; lysine-specific demethylase; inhibitory activity; tranylcypromine; hydroxylcinnamic acid; antitumor agent Epigenetic disregulation often leads to the aberrant gene expression programs characteristic of cancer.1,2) Transcriptional regulation through chromatin modification is reversible and dynamic such that enzymes implicated in the disregulation of chromatin represent a new class of protein targets for drug development. Lysine-specific demethylase 1 (LSD1) is an epigenetic enzyme that belongs to the amine oxidase protein superfamily, which oxidatively cleaves methyl groups of histone H3 at lysine 4 (H3K4me1 and H3K4me2) and lysine 9 (H3K9me1 and H3K9me2) through flavin adenine dinucleotide (FAD)-dependent enzymatic oxidation, and catalyzes methylated lysine substrates to generate hydrogen peroxide and formaldehyde as byproducts [3][4][5] (Fig. 1). LSD1 is also able to demethylate non-histone substrates, such as the tumor suppressor p53 and the cell cycle and apoptosis regulator E2F1.6,7) Furthermore, LSD1 is often overexpressed in various cancer cells and tissues: neuroblastoma, hepatocarcinomas, colon cancer, breast cancer, gastric cancer, and bladder cancer cells.8-12) LSD1 inhibition decreased expression of target genes in these cancers. Therefore, LSD1 has been considered an important and attractive target for the treatment of cancer. 13,14) LSD1 inhibitors are of interest not only as tools to elucidate the biological functions of the enzyme, but also as promising therapeutic agents.To date, a number of prior LSD1 inhibitors have been reported including monoamine oxidase (MAO) inhibitors such as tranylcypromine (1, PCPA, Fig. 2), pargyline (2), and derivatives thereof (3-6), polyamines (7), peptides (8), as well as guanidine derivatives (9). 4,[15][16][17][18][19][20] Among these LSD1 inhibitors, PCPA is a classical MAO inhibitor which has been well studied, and biological studies of PCPA have uncovered the important roles of LSD1 in several cancer dise...