The HOX Code in Cancer: Exploring a Master Regulator Family with R2
Introduction In 1978, Edward Lewis described fruit flies with legs sprouting from their heads where antennae should be. The culprit was a mutated Hox gene — one of a conserved set of master regulators that tell every cell in a developing animal where it is in the body and what it should become. The discovery earned Lewis a Nobel Prize, and the gene family its name. Decades later, those same genes are drawing attention in oncology — not for growing legs in the wrong place, but for something arguably more dangerous: hijacking the developmental logic of human tumours. In humans, the HOX family comprises 39 genes arranged in four clusters — HOXA, HOXB, HOXC, and HOXD — spread across chromosomes 7, 17, 12, and 2 respectively. Their arrangement is not accidental. The genes are expressed in the same order along the chromosome as they are along the head-to-tail body axis during development. This principle — known as collinearity — is one of the most striking examples of genome organis...