Oxygen deprivation induces a range of cellular adaptive responses that enable to drive
cancer progression. Here, we report that
lysine-specific demethylase 1 (LSD1) upregulates
hypoxia responses by demethylating
RACK1 protein, a component of
hypoxia-inducible factor (HIF) ubiquitination machinery, and consequently suppressing the
oxygen-independent degradation of HIF-1α. This ability of LSD1 is attenuated during prolonged
hypoxia, with a decrease in the cellular level of
flavin adenine dinucleotide (
FAD), a metabolic cofactor of LSD1, causing HIF-1α downregulation in later stages of
hypoxia. Exogenously provided
FAD restores HIF-1α stability, indicating a rate-limiting role for
FAD in LSD1-mediated HIF-1α regulation. Transcriptomic analyses of patient tissues show that the HIF-1 signature is highly correlated with the expression of LSD1 target genes as well as the
enzymes of
FAD biosynthetic pathway in
triple-negative breast cancers, reflecting the significance of
FAD-dependent LSD1 activity in
cancer progression. Together, our findings provide a new insight into HIF-mediated
hypoxia response regulation by coupling the
FAD dependence of LSD1 activity to the regulation of HIF-1α stability.