{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:13:05Z","timestamp":1791263585762,"version":"4.1.0"},"reference-count":46,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,8,13]],"date-time":"2013-08-13T00:00:00Z","timestamp":1376352000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:p>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>\n                          The aims of this paper were to review the published literature on the role of\n                          <jats:styled-content style=\"fixed-case\">\n                            <jats:italic>HOX<\/jats:italic>\n                          <\/jats:styled-content>\n                          genes in the development of the normal prostate gland and in prostate cancer and to discuss the potential role of the\n                          <jats:styled-content style=\"fixed-case\">\n                            <jats:italic>HOX<\/jats:italic>\n                          <\/jats:styled-content>\n                          family member,\n                          <jats:styled-content style=\"fixed-case\">\n                            <jats:italic>E<\/jats:italic>\n                          <\/jats:styled-content>\n                          <jats:italic>ngrailed\u20102<\/jats:italic>\n                          (\n                          <jats:styled-content style=\"fixed-case\">\n                            <jats:italic>EN2<\/jats:italic>\n                          <\/jats:styled-content>\n                          ), as a diagnostic test of\n                          <jats:styled-content style=\"fixed-case\">PCa<\/jats:styled-content>\n                          .\n                        <\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\n                          <jats:styled-content style=\"fixed-case\">\n                            <jats:italic>Hox<\/jats:italic>\n                          <\/jats:styled-content>\n                          genes were first described in the fruit fly\n                          <jats:styled-content style=\"fixed-case\">\n                            <jats:italic>D<\/jats:italic>\n                          <\/jats:styled-content>\n                          <jats:italic>rosphila melanogaster<\/jats:italic>\n                          , where they specify the body plan and control the formation of body segments. They belong to a family of homeodomain\u2010containing transcription factors that determine cell and tissue identity during normal embryonic development. They have been shown to be re\u2010expressed by several different types of cancers.\n                        <\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\n                          Studies have shown that different\n                          <jats:styled-content style=\"fixed-case\">\n                            <jats:italic>Hox<\/jats:italic>\n                          <\/jats:styled-content>\n                          genes are responsible for the development of the separate lobes of the prostate gland, the seminal vesicles and the epididymis. All\n                          <jats:styled-content style=\"fixed-case\">\n                            <jats:italic>HOX13<\/jats:italic>\n                          <\/jats:styled-content>\n                          paralogues are expressed in the adult human prostate, suggesting the possibility of similarities between the function and expression of\n                          <jats:styled-content style=\"fixed-case\">\n                            <jats:italic>HOX<\/jats:italic>\n                          <\/jats:styled-content>\n                          genes within urological structures at similar anterior\u2013posterior positions.\n                        <\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\n                          The oncogenic and tumour suppressor signalling pathways associated with\n                          <jats:styled-content style=\"fixed-case\">PCa<\/jats:styled-content>\n                          converge on the\n                          <jats:styled-content style=\"fixed-case\">\n                            <jats:italic>HOX<\/jats:italic>\n                          <\/jats:styled-content>\n                          gene network, which ultimately controls gene expression, affecting tumour formation and metastatic progression.\n                        <\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\n                          The\n                          <jats:styled-content style=\"fixed-case\">\n                            <jats:italic>E<\/jats:italic>\n                          <\/jats:styled-content>\n                          <jats:italic>ngrailed<\/jats:italic>\n                          genes (\n                          <jats:styled-content style=\"fixed-case\">\n                            <jats:italic>EN1<\/jats:italic>\n                          <\/jats:styled-content>\n                          \u2005\n                          <jats:italic>and<\/jats:italic>\n                          \u2005\n                          <jats:styled-content style=\"fixed-case\">\n                            <jats:italic>EN2<\/jats:italic>\n                          <\/jats:styled-content>\n                          ) from the\n                          <jats:styled-content style=\"fixed-case\">\n                            <jats:italic>HOX<\/jats:italic>\n                          <\/jats:styled-content>\n                          gene family show a very high degree of functional conservation during embryonic development.\n                        <\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\n                          Urinary\n                          <jats:styled-content style=\"fixed-case\">EN2<\/jats:styled-content>\n                          is being investigated as a potential diagnostic marker of early\n                          <jats:styled-content style=\"fixed-case\">PCa<\/jats:styled-content>\n                          . It is secreted into the urine by\n                          <jats:styled-content style=\"fixed-case\">PCa<\/jats:styled-content>\n                          cells but not by normal prostatic tissue. A recent study has shown an association between urinary\n                          <jats:styled-content style=\"fixed-case\">EN2<\/jats:styled-content>\n                          levels and cancer volume in radical prostatectomy specimens. The ability to predict tumour volume could inform the treatment decision\u2010making process for patients with localized\n                          <jats:styled-content style=\"fixed-case\">PCa<\/jats:styled-content>\n                          choosing between active surveillance and radical treatment options.\n                        <\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.1111\/bju.12269","type":"journal-article","created":{"date-parts":[[2013,6,5]],"date-time":"2013-06-05T08:41:07Z","timestamp":1370421667000},"page":"535-540","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":53,"title":["Importance of\n                    <scp>\n                      <i>HOX<\/i>\n                    <\/scp>\n                    genes in normal prostate gland formation, prostate cancer development and its early 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