Long non-coding RNA was dismissed as merely transcriptional "noise" in the past decades. Numerous researches have shown that lncRNAs regulated gene expression at the epigenetic level. Moreover, lncRNAs played important roles in proliferation, apoptosis and invasiveness of tumor cells, and participated in metastatic capacity of cancers. Recent studies revealed HOX transcript antisense RNA, a lncRNA with regulatory functions of transcription, could bind PRC2 and LSD1/CoREST/REST complexes and direct to the specific gene sites, resulted in H3K27 methylation and H3K4 demethylation and ultimately gene silencing. Aberrant HOTAIR expression was associated with various sites of cancers such as breast, hepatocellular, gastric, colorectal, pancreatic et al; and affected survival and prognosis of cancer patients. In this review, we introduce an overall view of HOTAIR by describing the known molecular mechanisms and potential functions of HOTAIR and summarizing the latest progresses on the research of HOTAIR in various human cancers.Key words: HOTAIR, LncRNA, HOX genes, cancer Long non-coding RNAs (LncRNAs) are commonly defined as RNA moleculars larger than 200 nucleotides. LncRNA was first found among transcribed DNA product of the mouse by Okazaki [1]. Many identified lncRNAs were transcribed by RNA polymerase II (RNA pol II) and spliced [2,3]. One view existed in the past few decades that lncRNAs were as diverse as their better known counterpart messenger RNAs (mRNAs), having no protein-coding capacity, were described as transcriptional "noise" [4,5,6]. However, a number of studies have shown that some lncRNAs were involved in embryogenesis and differentiation [7,8]. These lncRNAs are expressed in specific cell types [9, 10, 11] and located in specific subcellular compartments [12,13,14]. Moreover, recent studies have indicated that lncRNAs participated in a wide range of biological pathways and cellular processes. They could regulate gene expression and function, including dosage compensation [15,16] [18,36].HOX transcript antisense RNA (HOTAIR) is a lncRNA which has regulatory functions of transcription and are transcribed from the antisense strand of homeobox C gene locus in chromosome 12. HOTAIR recruits Polycomb Repressive Complex 2 (PRC2) and histone demethylase complex [LSD1 (lysine specific demethylase 1)/CoREST (Co-repressor of RE1-silencing transcription factor)/REST]; then leads to histone H3 tri-methylated at lysine 27 (H3K27me3) and histone H3 dimethyl Lys4 (H3K4me2); consequently results in gene silencing. In addition to its scaffold function to assemble transcription regulators, and a latest study reported that HO-TAIR could also serve as a platform to control protein levels via the ubiquitin-proteasome pathway. HOTAIR facilitated the ubiquitination of Ataxin-1 by Dzip3 and Snurportin-1 by Mex3b, and then accelerated their degradation. Moreover, HOTAIR levels were highly upregulated in senescent cells. It