Homeodomain-containing proteins are transcription factors that regulate the coordinated expression of multiple genes involved in development, differentiation and malignant transformation. To better understand the role played by these proteins in breast cancer cells, we demonstrate, using semi-quantitative RT-PCR experiments, that progestin induces HOXA1 mRNAs in MCF7 cells. This is the first evidence of regulation of a HOX gene by steroids. Moreover, we detected HOXA1 expression in a variety of human breast cancer lesions, suggesting that HOXA1 may be required for the establishment of breast cancer cells phenotype. We propose that HOXA1 gene could be one of the orchestrators that regulate breast epithelial cell differentiation and that alteration of HOXA1 expression could play a role in breast cancer progression. © 1996 Academic Press, Inc.Cell transformation and tumor progression are associated with coordinated activation an inhibition of specific intact or altered genes (1,2). This complex genetic program involves proteins that control cellular proliferation and/or differentiation. Transcription factors implicated in organogenesis are ideal candidates to regulate these multistep processes.Homeodomain-containing proteins act, as transcription factors, in the genetic control of genes involved in development and differentiation (3). These genes were initially discovered in Drosophila where they control segment identity (4). Homologous homeobox genes have been since cloned in multiple species, including human (5,6). To date, 38 human class I homeobox genes have been discovered. They are organized in four clusters (HOX loci A, B, C and D), located respectively on chromosomes 7, 17, 12 and 2 (7).There is accumulating evidence suggesting a possible involvement of HOX genes in malignant transformation. A potential role of these genes in neoplasia was first documented in leukemia, as reviewed (8). Distinct chromosomal translocations or incorporation of a regulatory element in the vicinity of a homeobox gene confers an oncogenic potential to the protein product in hematopoietic cells (9,11). Moreover, alterations of HOX expression have been also detected in a variety of human tumors (12-15). In addition, ectopic HOX expression obtained by transfections of Hox genes into murine and rat cells induces tumorigenicity (16). This oncogenic potential has also been attributed to divergent homeobox genes that are not included in the 4 clusters (17)(18)(19)(20).As a first step to investigate the role played by HOX genes in breast cancer cells, we have previously cloned three alternatively spliced HOXA1 transcripts from a MCF7 cDNA library and demonstrated that HOXA1 expression was modulated by retinoic acid in these cells (21). In this study, we further demonstrate that these HOXA1 transcripts are induced by progestins, another differentiating agent, in MCF7 cells. Moreover, we systematically detected HOXA1 expression in a variety of human breast cancer lesions as well as in the adjacent tissues. Taken together, our results sugge...