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Homeobox protein Hox-D13 (HOXD13) is a member of the homeobox family of highly conserved transcription factors crucial for morphogenesis, specifically in limb and axial skeletal development[1][3][5]. HOXD13 binds DNA through its homeobox domain, activating gene transcription essential for anterior-posterior body patterning during embryogenesis[5][7]. Mutations in HOXD13 cause a range of autosomal dominant limb malformations, notably synpolydactyly, by disrupting normal function through altered protein domains, haploinsufficiency, or dominant-negative effects[1][2][4]. It is not a canonical drug target or receptor, but a key developmental regulator whose variants play a diagnostic and prognostic role in several congenital limb syndromes.
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