A global control region defines a chromosomal regulatory landscape containing the HoxD cluster

Hyperexpression of locus C genes in the HOX network is strongly associated in vivo with human bladder transitional cell carcinomas

Bladder carcinogenesis remains unclear despite the identification of chemical, environmental and genetic factors. It has recently been reported that the chromosomal region 12q13-q15, containing crucial cancer genes such as MDM2, CDK4 and GLI, is amplified in bladder cancer. In the same region are also located the genes of the locus HOX C, flanked by keratin genes whose protein product may be a prognostic marker of bladder cancer. The HOX genes constitute a network of transcription factors controlling embryonal development and play an important role in crucial adult eukaryotic cell functions. The molecular organization of this 39-gene network is unique in the genome and probably acts by regulating phenotypical cell identity. We have analysed the expression of the whole HOX gene network in pairs of normal-tumour bladder and in tumoral biopsies. Comparison between normal urothelium and bladder tumour has identified dramatic variations of expression in a block of three genes (HOX C4, HOX C5 and HOX C6) localized in the HOX C locus on the chromosome 12q13 and in the paralogous group 11 HOX genes, involved during normal development in the formation of the urogenital system. These data suggest a key involvement of the HOX gene network, and especially the locus C, in bladder cancer.

Beyond homeosis—HOX function in morphogenesis and organogenesis

Hox genes encode conserved transcription factors expressed along the antero-posterior axis of vertebrates and invertebrates. In both phyla, HOX proteins control the formation of specific structures in the segments where they are expressed. Because of the global effect they have on segment morphology, the Hox genes are said to control segment identity. Here we review the data available on how HOX proteins regulate their downstream targets and how they mediate the formation of segment-specific structures. Within the segment, the information provided by HOX proteins, tissue-specific transcription factors, and signaling pathway effectors becomes integrated at the enhancer of the target genes, resulting in their localized activation. In general, HOX proteins regulate the morphogenesis of specific organs indirectly by activating networks of transcription factors and signaling molecules, but they can also directly regulate the so-called realizator genes: genes that control the cell behaviors that induce morphogenesis. Here we review some of the Hox-activated networks, the most interesting realizator genes known to date, and summarize how organogenesis is affected in Hox mutants. These examples reveal that only a fraction of the transformations caused by Hox mutations are in fact homeotic (leading to the morphological transformation of a structure present in one segment into that present in another segment). In the cases where Hox gene mutants do not cause homeotic transformations, the wild-type function of the Hox gene is to activate specific cell behaviors (cell proliferation, survival, shape changes, and rearrangements) that lead to the morphogenesis of particular organs. This second non-homeotic function is common to vertebrates and invertebrates, and we argue that it may actually constitute the original HOX function.

Organizing axes in time and space; 25 years of colinear tinkering

During vertebrate development, clustered genes from the Hox family of transcription factors are activated in a precise temporal and spatial sequence that follows their chromosomal order (the "Hox clock"). Recent advances in the knowledge of the underlying mechanisms reveal that the embryo uses a variety of strategies to implement this colinear process, depending on both the type and the evolutionary history of axial structures. The search for a universal mechanism has likely hampered our understanding of this enigmatic phenomenon, which may be caused by various and unrelated regulatory processes, as long as the final distribution of proteins (the HOX code) is preserved.

Coordinate regulation of an extended chromosome domain

Spitz et al (2003[this issue of Cell]) describe the properties of a novel cis-regulatory DNA element, the global control region (GCR), which regulates gene expression over distances of several hundred kilobases at the mouse HoxD complex. The GCR provides an explanation for the colinear genetic linkage and expression of individual Hox genes within developing limbs.