HOXD12 is a sequence-specific transcription factor belonging to the Abd-B homeobox family that plays a crucial role in developmental regulation by providing cells with specific positional identities along the anterior-posterior axis . It contains one homeobox DNA-binding domain and is primarily localized in the nucleus .
HOXD12 is part of the HOXD gene cluster located on chromosome 2, consisting of 9-11 genes arranged in tandem with other homeobox genes. This transcription factor is particularly important in embryonic development and tissue patterning . Deletions affecting the HOXD gene cluster, especially at the 5' end, have been associated with severe limb and genital abnormalities, highlighting HOXD12's developmental significance .
Recent research has also linked HOXD12 dysregulation to various pathological conditions, including cancer progression and developmental disorders, making it an important target for therapeutic research .
Based on current research tools, there are two primary types of HOXD12 antibodies available for laboratory applications:
Monoclonal Antibodies: These mouse-derived IgG antibodies (e.g., YP-mAb-15770) recognize specific epitopes of human and mouse HOXD12 protein. They typically target defined regions such as amino acids 191-240 of the human HOXD12 protein . Monoclonal antibodies offer high specificity and consistency between batches.
Polyclonal Antibodies: These rabbit-derived antibodies (e.g., AP20090b) typically target the C-terminal region (amino acids 211-237) of human HOXD12. They are generated by immunizing rabbits with KLH-conjugated synthetic peptides derived from the HOXD12 sequence .
The key differences between these antibody types are summarized in the following table:
| Characteristic | Monoclonal Antibodies | Polyclonal Antibodies |
|---|---|---|
| Source | Mouse | Rabbit |
| Target epitope | Specific (e.g., aa 191-240) | Usually C-terminal (aa 211-237) |
| Specificity | Higher (single epitope) | Broader (multiple epitopes) |
| Applications | WB, IHC, IF, ELISA | Primarily WB |
| Recommended dilutions | WB: 1/500-1/2000, IHC: 1/100-1/300, IF: 1/50-200 | WB: 1/1000 |
| Batch consistency | Higher | May vary between batches |
Both antibody types require proper validation for research applications to ensure specificity and reliability of experimental results .
HOXD12 antibodies can be utilized in several standard molecular biology applications:
Western Blotting (WB): Both monoclonal and polyclonal HOXD12 antibodies are validated for western blot applications, typically at dilutions of 1/500-1/2000 for monoclonal and 1/1000 for polyclonal antibodies. This technique allows researchers to detect the HOXD12 protein (observed band at approximately 28kD) in cell and tissue lysates .
Immunohistochemistry (IHC): Monoclonal HOXD12 antibodies can be used for IHC applications at dilutions of 1/100-1/300 to visualize HOXD12 protein distribution in tissue sections .
Immunofluorescence (IF): HOXD12 monoclonal antibodies can be employed in IF studies at dilutions of 1/50-200 to examine subcellular localization of the protein .
ELISA: HOXD12 antibodies can be used in enzyme-linked immunosorbent assays at dilutions up to 1/20000 for high-sensitivity quantitative detection .
Transcription Factor Activity Assays: Specialized assays can measure HOXD12 transcription factor activity in nuclear or cell lysates, providing insights into its functional status rather than mere presence .
Each application requires specific optimization protocols, including appropriate antigen retrieval methods for fixed tissues, blocking procedures to minimize non-specific binding, and validation controls to confirm antibody specificity .
Rigorous validation of HOXD12 antibodies is essential for generating reliable research data. Researchers should implement multiple validation strategies:
Western Blot Validation: Verify that the antibody detects a band of the predicted size for HOXD12 (approximately 28kD) in relevant tissue and cell lysates. A supportive score is typically given if bands of predicted size (±20%) are detected .
Orthogonal Validation: Compare antibody-based protein detection with RNA expression data from the same samples. High consistency between protein detection and RNA expression provides confidence in antibody specificity .
Independent Antibody Validation: Use multiple antibodies targeting different epitopes of HOXD12 and compare staining patterns. Concordant results from independent antibodies increase confidence in specificity .
Protein Array Analysis: Test antibody against arrays containing multiple antigens (including the target) to assess potential cross-reactivity. Depending on the interaction profile, antibodies may be scored as Supported, Approved, or Uncertain .
Negative Controls: Include tissues or cells known not to express HOXD12 as negative controls to detect non-specific binding.
Genetic Validation: Use cells with HOXD12 knockdown or knockout to confirm antibody specificity by demonstrating reduced or absent signal.
The Human Protein Atlas employs a systematic validation approach for antibodies, categorizing results as Enhanced, Supported, Approved, or Uncertain based on these validation methods .
Recent research has identified HOXD12 as defining an age-related aggressive subtype of oligodendroglioma, making HOXD12 antibodies valuable tools for investigating its role in cancer:
Expression Correlation Studies: HOXD12 antibodies can be used in IHC or western blot analyses to correlate HOXD12 protein levels with patient age, tumor grade, and survival outcomes. Studies have shown that elevated HOXD12 expression is associated with older patient age and shorter survival in oligodendroglioma patients (FDR < 0.01, FDR = 1e-5 in TCGA dataset) .
Cellular Subpopulation Analysis: Single-cell studies have revealed that HOXD12 activity is elevated in neoplastic tissue, particularly within cycling and OPC-like cells, and is associated with a stem-like phenotype. Researchers can employ HOXD12 antibodies in combination with other markers to identify and isolate these cellular subpopulations .
Molecular Pathway Investigation: HOXD12 expression is independently prognostic of NOTCH1 and PIK3CA mutations, loss of 15q, and MYC activation. Researchers can combine HOXD12 antibody staining with other molecular analyses to investigate these pathway interactions .
Epigenetic Regulation Studies: HOXD12 gene body hypermethylation is associated with older age, higher WHO grade, and shorter survival. Researchers can combine antibody-based protein detection with DNA methylation analyses to investigate this regulatory mechanism .
For these advanced applications, researchers should consider:
Using multiple antibody validation approaches to ensure specificity
Implementing quantitative image analysis for IHC or IF studies
Correlating protein expression with genomic and clinical data
Employing multiparameter analyses to study HOXD12 in the context of other cancer-related biomarkers
HOXD12 gene body hypermethylation has been linked to expression changes and clinical outcomes, making this an important area for investigation using HOXD12 antibodies:
Combined Methylation and Expression Analysis: Researchers should consider a dual approach:
DNA methylation analysis using specific probes (cg23130254, cg03964958, cg03371669) targeting the HOXD12 gene body
Protein expression analysis using validated HOXD12 antibodies
This combined approach can help establish relationships between methylation status and protein expression levels .
Methylation Threshold Determination: Studies have established specific thresholds for HOXD12 hypermethylation. For example, in TCGA data, a threshold of 0.3577 (mean beta value of three gene body probes) was used to classify samples as HOXD12 hypermethylated or hypomethylated .
Cell-Type Specific Analysis: Since HOXD12 activity varies across cell types (elevated in cycling and OPC-like cells), researchers should consider cell-type specific analyses combining antibody-based detection with cell type markers .
HOX Cluster Analysis: HOXD12 is part of a broader HOX regulatory network. Pan-HOX DNA methylation analysis has revealed an age and survival-associated HOX-high signature tightly associated with HOXD12. Researchers should consider analyzing HOXD12 in the context of other HOX genes .
Technical Controls: When combining methylation and antibody-based studies, researchers should:
Include appropriate methylation controls (fully methylated and unmethylated controls)
Validate antibody specificity in the context of different methylation states
Consider how fixation methods might affect epitope accessibility in methylated vs. unmethylated states
HOXD12 functions as a sequence-specific transcription factor, making transcription factor activity assays particularly valuable for functional studies:
Sample Preparation:
Assay Selection:
ELISA-based transcription factor activity assays can detect and qualitatively analyze endogenous levels of activated HOXD12
These assays are designed to reduce experiment time and ensure sensitivity for high-throughput screening
Typical assay time is approximately 4.5 hours with colorimetric detection at 450 nm
Validation Controls:
Include positive controls (cells/tissues known to express active HOXD12)
Include negative controls (cells/tissues with HOXD12 knocked down or known not to express HOXD12)
Consider competition assays with unlabeled DNA-binding sequences to confirm specificity
Data Interpretation:
Distinguish between HOXD12 protein presence (as detected by standard antibody techniques) and functional activity
Consider that post-translational modifications may affect HOXD12 activity without changing total protein levels
Correlate activity measurements with functional outcomes in your experimental system
Complementary Techniques:
Chromatin Immunoprecipitation (ChIP) using HOXD12 antibodies can identify DNA binding sites
Reporter assays with HOXD12 binding sites can validate functional activity
Mass spectrometry can identify HOXD12 interaction partners that may modify its activity
The transcription factor activity assay approach offers a more functional assessment than mere protein detection, making it particularly valuable for understanding HOXD12's role in developmental and pathological processes .
HOXD12 plays critical roles in embryonic development and tissue patterning. Researchers can use antibody-based approaches to study these processes:
Developmental Stage Analysis:
Use HOXD12 antibodies for immunohistochemistry or immunofluorescence on tissue sections from different developmental stages
Correlate HOXD12 expression patterns with morphological changes
Combine with markers of differentiation to track developmental trajectories
Tissue-Specific Expression Studies:
HOXD12 has been implicated in limb and genital development
Researchers should focus on these tissues during critical developmental windows
Use whole-mount immunostaining for embryonic specimens to visualize spatial distribution
Perturbation Studies:
After manipulating HOXD12 expression (knockdown/overexpression), use antibodies to verify expression changes
Combine with functional assays to link expression changes to developmental outcomes
Use antibodies to detect changes in downstream targets or pathway components
Co-localization Analysis:
Combine HOXD12 antibodies with antibodies against other developmental regulators
Use confocal microscopy for high-resolution co-localization studies
Employ proximity ligation assays to detect protein-protein interactions in situ
3D Organoid Models:
Apply HOXD12 antibodies in developmental organoid systems
Track HOXD12 expression changes during organoid maturation
Correlate with spatial organization and cellular differentiation
When designing these experiments, researchers should:
Validate antibody specificity in developmental tissues where expression levels may differ from adult tissues
Consider epitope accessibility in embryonic tissues, which may require optimization of fixation and antigen retrieval methods
Include appropriate developmental stage controls to account for normal expression variations
Researchers may encounter several technical challenges when working with HOXD12 antibodies:
Background Signal Issues:
Problem: High background in immunostaining or western blots
Solutions:
Optimize blocking conditions (5% BSA or 5% milk in TBST)
Increase washing steps (5× 5 minutes with TBST)
Titrate antibody concentration (try lower dilutions: 1/2000 for WB or 1/300 for IHC)
For IHC/IF, add a quenching step to reduce autofluorescence
Epitope Accessibility Challenges:
Problem: Weak or absent signal despite confirmed expression
Solutions:
Optimize antigen retrieval methods (heat-induced epitope retrieval with citrate buffer pH 6.0 or EDTA buffer pH 9.0)
Try different fixation methods that might better preserve the epitope
Consider using antibodies targeting different epitopes of HOXD12
Specificity Concerns:
Problem: Multiple bands on western blot or unexpected staining patterns
Solutions:
Validate with positive and negative controls
Perform peptide competition assays
Compare results with orthogonal methods (mRNA expression)
Consider post-translational modifications that might alter protein size
Reproducibility Issues:
Problem: Inconsistent results between experiments
Solutions:
Standardize protocols (fixation time, antibody incubation conditions)
Prepare aliquots of antibody to avoid freeze-thaw cycles
Use the same lot number when possible
Include internal controls in each experiment
Storage and Stability:
Problem: Decreased antibody performance over time
Solutions:
Store according to manufacturer recommendations (typically -20°C for long-term storage)
Prepare small aliquots to avoid repeated freeze-thaw cycles
Add stabilizing proteins (BSA) if diluting for storage
Check expiration dates and storage conditions regularly
Different sample types present unique challenges for HOXD12 antibody-based detection:
Formalin-Fixed Paraffin-Embedded (FFPE) Tissues:
Challenge: Epitope masking due to crosslinking
Optimization:
Extend antigen retrieval times (20-40 minutes)
Test multiple antigen retrieval buffers (citrate pH 6.0, EDTA pH 9.0)
Consider enzymatic retrieval for certain antibodies
Use signal amplification methods (tyramide signal amplification)
Frozen Tissues:
Challenge: Structural preservation and background
Optimization:
Optimize fixation (2-4% PFA for 10-20 minutes)
Increase blocking time (1-2 hours with 5-10% serum)
Use detergents (0.1-0.3% Triton X-100) to enhance antibody penetration
Optimize section thickness (10-14 μm typically works well)
Cell Lines with Low HOXD12 Expression:
Challenge: Weak signal detection
Optimization:
Use signal amplification methods
Increase antibody incubation time (overnight at 4°C)
Consider concentrating protein samples for western blot
Use more sensitive detection systems (Super Signal West Femto)
Brain Tissue (relevant for oligodendroglioma research):
Challenge: High lipid content and autofluorescence
Optimization:
Include lipid removal steps (delipidation with alcohols)
Add autofluorescence quenching steps (Sudan Black B treatment)
Extend washing steps to reduce background
Consider signal amplification methods
Single-Cell Analysis:
Challenge: Limited material and sensitivity
Optimization:
Use tyramide signal amplification or other amplification methods
Optimize fixation to preserve antigenicity while maintaining cellular morphology
Consider multiplexed approaches to maximize data from limited samples
Use high-sensitivity imaging systems
For all challenging samples, researchers should:
Always include appropriate positive and negative controls
Consider comparing multiple antibodies targeting different epitopes
Validate results with orthogonal methods when possible
Document all optimization steps for reproducibility
Researchers sometimes encounter discrepancies between HOXD12 protein levels detected by antibodies and mRNA expression data. Several methodological approaches can help address these inconsistencies:
Temporal Resolution Analysis:
Approach: Collect protein and RNA samples at multiple time points
Rationale: Protein expression often lags behind mRNA changes
Implementation: Design time-course experiments capturing both rapid and delayed responses
Analysis: Plot time-shifted correlations to identify optimal temporal alignment
Post-Transcriptional Regulation Assessment:
Approach: Investigate microRNA regulation and RNA stability
Rationale: HOXD12 mRNA might be subject to post-transcriptional regulation affecting protein production
Implementation: Perform microRNA prediction and validation studies
Analysis: Correlate microRNA levels with discrepancies between mRNA and protein levels
Post-Translational Modification Studies:
Approach: Investigate modifications affecting antibody detection or protein stability
Rationale: Modifications might mask epitopes or alter protein half-life
Implementation: Use modification-specific antibodies or mass spectrometry
Analysis: Determine if modifications correlate with detection discrepancies
Epigenetic Regulation Focus:
Approach: Correlate HOXD12 gene body methylation with protein expression
Rationale: Gene body hypermethylation has been associated with HOXD12 expression changes
Implementation: Analyze methylation at specific probes (cg23130254, cg03964958, cg03371669)
Analysis: Stratify samples by methylation status before comparing RNA and protein correlations
Technical Validation Approach:
Approach: Use multiple antibodies and RNA detection methods
Rationale: Technical artifacts might explain apparent discrepancies
Implementation: Compare results from independent antibodies and RNA quantification methods
Analysis: Identify consistent patterns across multiple technical approaches
Cell Type Heterogeneity Analysis:
Approach: Perform single-cell or cell-type specific analyses
Rationale: Bulk tissue might mask cell-type specific correlations
Implementation: Use single-cell RNA-seq and immunofluorescence on the same samples
Analysis: Correlate expression at single-cell level rather than bulk tissue level
Recent research has identified HOXD12 as defining an age-related aggressive subtype of oligodendroglioma, suggesting several promising research directions:
Prognostic Marker Development:
Approach: Develop IHC-based prognostic scoring systems incorporating HOXD12
Scientific Basis: Elevated HOXD12 expression is associated with shorter survival in oligodendroglioma patients (FDR = 1e-5 in TCGA data)
Methodology: Create standardized IHC protocols with validated antibodies and scoring systems
Validation: Perform retrospective and prospective studies comparing HOXD12-based predictions with patient outcomes
Molecular Subtyping Enhancement:
Approach: Integrate HOXD12 protein detection into molecular classification schemes
Scientific Basis: HOXD12 expression patterns correlate with other molecular features (NOTCH1 and PIK3CA mutations, loss of 15q, MYC activation)
Methodology: Develop multiplex IHC panels incorporating HOXD12 and other molecular markers
Validation: Compare accuracy of classification with and without HOXD12 inclusion
Liquid Biopsy Development:
Approach: Explore detection of HOXD12 protein or HOXD12-expressing cells in circulation
Scientific Basis: If HOXD12-expressing cells enter circulation, they might serve as biomarkers
Methodology: Adapt HOXD12 antibodies for CTCs (circulating tumor cells) detection
Validation: Correlate liquid biopsy findings with tissue-based detection and outcomes
Therapy Response Prediction:
Approach: Investigate HOXD12 as a predictor of response to specific therapies
Scientific Basis: HOXD12 correlates with specific molecular pathways that might influence therapy response
Methodology: Retrospective and prospective studies of therapy response stratified by HOXD12 status
Validation: Clinical correlation studies in therapy response cohorts
Combination with Methylation Analysis:
Approach: Develop combined diagnostic tools incorporating HOXD12 protein detection and DNA methylation
Scientific Basis: HOXD12 gene body hypermethylation correlates with expression and clinical outcomes
Methodology: Create integrated diagnostic algorithms using both data types
Validation: Compare accuracy of combined approach versus single-modality diagnostics
Each of these research directions would require careful antibody validation, standardization of protocols, and extensive clinical correlation studies to move from research findings to clinically applicable tools.
Several cutting-edge technologies offer opportunities to expand the research applications of HOXD12 antibodies:
Spatial Transcriptomics Integration:
Technology: Combining antibody-based protein detection with spatial RNA analysis
Application: Correlate HOXD12 protein localization with transcriptional profiles in spatial context
Advantage: Provides integrated view of protein expression and gene regulation in tissue architecture
Research Question: Do HOXD12 protein levels correlate with specific spatial transcriptional programs in development or disease?
Mass Cytometry (CyTOF) with HOXD12 Antibodies:
Technology: Metal-tagged antibodies for high-parameter single-cell analysis
Application: Incorporate HOXD12 detection into comprehensive cellular phenotyping
Advantage: Allows simultaneous detection of 40+ proteins without spectral overlap issues
Research Question: How does HOXD12 expression correlate with complex cellular phenotypes in heterogeneous tissues?
Proximity Proteomics with HOXD12:
Technology: BioID or APEX2 proximity labeling fused to HOXD12
Application: Identify proteins in the vicinity of HOXD12 in living cells
Advantage: Discovers context-specific protein interactions in native cellular environments
Research Question: What is the protein interaction network of HOXD12 in different developmental or disease contexts?
Super-Resolution Microscopy:
Technology: STED, STORM, or PALM imaging with HOXD12 antibodies
Application: Nanoscale localization of HOXD12 in nuclear microenvironments
Advantage: Provides insights into subnuclear organization beyond diffraction limit
Research Question: Does HOXD12 form specific subnuclear structures or associate with particular chromatin domains?
Antibody-based Chromatin Immunoprecipitation Sequencing (ChIP-seq):
Technology: High-throughput sequencing of HOXD12-bound genomic regions
Application: Genome-wide mapping of HOXD12 binding sites
Advantage: Identifies direct transcriptional targets of HOXD12
Research Question: What are the genomic binding patterns of HOXD12 in normal development versus pathological conditions?
Single-Cell Antibody-based Technologies:
Technology: Single-cell western blotting or microfluidic antibody-based assays
Application: Quantify HOXD12 protein levels in individual cells
Advantage: Reveals cell-to-cell variation in protein expression masked in bulk analyses
Research Question: How heterogeneous is HOXD12 expression at the single-cell level, and what are the functional consequences?
Incorporating these emerging technologies into HOXD12 research will require careful antibody validation for each specific application, but offers the potential for significant new insights into HOXD12 biology.
While HOXD12 has been primarily studied in the context of development and cancer, HOXD12 antibodies have potential applications in several other research areas:
Regenerative Medicine and Tissue Engineering:
Research Direction: Monitor HOXD12 expression during tissue regeneration processes
Scientific Rationale: As a developmental regulator, HOXD12 might be reactivated during regeneration
Methodology: Use HOXD12 antibodies to track expression in regenerating tissues or engineered constructs
Research Question: Does HOXD12 expression correlate with successful tissue regeneration outcomes?
Aging Research:
Research Direction: Investigate age-related changes in HOXD12 expression across tissues
Scientific Rationale: HOXD12 expression and methylation have shown age-related patterns in brain tumors
Methodology: Compare HOXD12 protein levels and localization in tissues from young versus aged organisms
Research Question: Do age-related changes in HOXD12 contribute to tissue-specific aging phenotypes?
Stem Cell Biology:
Research Direction: Examine HOXD12 expression during stem cell differentiation
Scientific Rationale: HOXD12 activity has been associated with stem-like phenotypes in certain contexts
Methodology: Use HOXD12 antibodies to track expression changes during differentiation protocols
Research Question: Can HOXD12 expression patterns predict differentiation potential or lineage choices?
Epigenetic Regulation Studies:
Research Direction: Investigate interactions between HOXD12 and epigenetic modifiers
Scientific Rationale: HOXD12 expression is linked to gene body methylation patterns
Methodology: Combine HOXD12 antibodies with antibodies against epigenetic marks in co-localization studies
Research Question: Does HOXD12 recruit specific epigenetic modifiers to target genes?
Evolutionary Developmental Biology:
Research Direction: Compare HOXD12 expression patterns across species
Scientific Rationale: HOX genes are highly conserved but can show species-specific expression patterns
Methodology: Validate HOXD12 antibodies for cross-species reactivity and compare expression patterns
Research Question: How have HOXD12 expression patterns diverged during evolution, particularly in relation to appendage development?
Reproductive Biology:
Research Direction: Study HOXD12 in gonadal and genital development
Scientific Rationale: HOXD gene cluster deletions affect genital development
Methodology: Track HOXD12 expression during reproductive organ development using validated antibodies
Research Question: What specific aspects of reproductive development are influenced by HOXD12 expression?
These diverse research applications would each require careful validation of HOXD12 antibodies in the specific biological context, but could significantly expand our understanding of HOXD12 biology beyond its currently studied roles.
When selecting a HOXD12 antibody for research, several critical factors should be considered to ensure optimal results:
Experimental Application Compatibility:
Species Reactivity:
Verify compatibility with your experimental model organism (human, mouse, etc.)
Check cross-reactivity data if working with non-validated species
Consider epitope conservation across species for evolutionary studies
Antibody Type and Target Epitope:
Validation Evidence:
Technical Specifications:
Application-Specific Considerations:
For immunohistochemistry: check compatibility with your fixation method
For western blot: verify detection of the expected molecular weight (28kD)
For functional studies: ensure the antibody doesn't interfere with protein activity if relevant
For live-cell applications: determine if the antibody works in non-denaturing conditions
Carefully evaluating these factors when selecting a HOXD12 antibody will maximize the likelihood of successful experiments and reliable results in your specific research context.
As antibody-based research tools for HOXD12 continue to improve, several significant advances in our understanding of HOXD12 biology can be anticipated:
Refined Structural-Functional Relationships:
Higher-resolution imaging techniques combined with epitope-specific antibodies will allow detailed mapping of HOXD12 protein domains to specific functions
Super-resolution microscopy with domain-specific antibodies may reveal previously undetected structural arrangements
These advances could clarify how HOXD12 structure relates to its transcriptional regulatory functions
Comprehensive Interactome Mapping:
Improved co-immunoprecipitation techniques with HOXD12 antibodies will expand our knowledge of protein interaction networks
Proximity labeling combined with HOXD12 antibodies will reveal context-specific protein associations
This could uncover novel regulatory mechanisms and signaling pathways involving HOXD12
Dynamic Regulation Insights:
Live-cell imaging with non-disruptive antibody-based technologies will reveal temporal dynamics of HOXD12 expression and localization
Single-cell analysis tools will uncover cell-to-cell variability in HOXD12 regulation
These approaches may clarify how HOXD12 responds to various cellular signals and stresses
Comprehensive Target Gene Networks:
ChIP-seq with improved HOXD12 antibodies will provide more complete maps of genomic binding sites
CUT&RUN and CUT&Tag approaches may offer higher resolution binding data with less background
Integration with other genomic data will yield more comprehensive views of HOXD12-regulated gene networks
Translational Applications:
Standardized diagnostic antibodies for HOXD12 could improve cancer classification and prognostication
The identification of HOXD12 as defining an aggressive oligodendroglioma subtype could lead to targeted therapeutic approaches
Antibody-based screening methods might identify compounds that modulate HOXD12 function
Developmental Biology Advances:
Higher-sensitivity detection methods will allow more precise mapping of HOXD12 expression during development
Temporal and spatial expression patterns may reveal previously unrecognized roles in tissue specification
These insights could enhance our understanding of congenital abnormalities associated with HOXD gene cluster disruptions