The WWOX gene encodes a member of the short-chain dehydrogenases/reductases (SDR) protein family. An overexpression of the WWOX transcripts was seen in breast cancer cell lines. A role of WWOX in steroid metabolism was indicated by the fact that its highest levels of expression happen normally in tissues such as testis, ovary, and prostate. WWOX LOF was found in numerous human malignancies suggesting a tumor suppressor role for WWOX. Moreover, expression of the encoded protein can induce apoptosis.
Mutations in WWOX gene also cause Autosomal Recessive Spinocerebellar Ataxia 12.