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HOXA transcript antisense RNA myeloid-specific 1 (HOTAIRM1) is a long non-coding RNA (lncRNA) located within the HOXA gene cluster between HOXA1 and HOXA2. It acts as a regulatory RNA mainly expressed in myeloid cells and functions as a key modulator of myeloid cell differentiation and immune responses by controlling the expression of adjacent genes such as HOXA1[1][3]. HOTAIRM1 has epigenetic regulatory roles, functioning as a scaffold for chromatin modifiers (like Polycomb Repressive Complex 2) and altering histone and DNA methylation status to influence gene transcription[3]. In cancer, HOTAIRM1 levels correlate with prognosis and disease progression: its downregulation has been observed in several malignancies—including lung adenocarcinoma—where it is associated with increased myeloid-derived suppressor cell (MDSC) activity and immunosuppression; conversely, overexpression enhances HOXA1 levels, reduces MDSC immunosuppressive potential, and promotes anti-tumor immune responses[1][3]. HOTAIRM1 is implicated as a potential therapeutic target in cancer, particularly for modulating the tumor microenvironment and immune evasion. No clinically approved drugs are known to target HOTAIRM1 directly.
Epigenetic modulation (e.g., recruiting chromatin modifiers such as Polycomb Repressive Complex 2 and DNA methyltransferases); RNA–protein interactions (scaffold for regulatory complexes); Competing endogenous RNA mechanism (miRNA sponge, e.g., miR-125b); Regulation of HOXA1 expression
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