HECTD4 is a HECT-domain E3 ubiquitin ligase that shapes diverse cellular programs by directing substrate ubiquitination, with in vitro reconstitution of ubiquitin conjugation using purified protein establishing its catalytic activity (PMID:40768362). In epithelial cancer, HECTD4 is induced upon loss of matrix adhesion and ubiquitinates COX-2 (PTGS2) and its regulatory kinase MKK7, so that its depletion stabilizes COX-2 and drives anchorage-independent proliferation, tumorigenesis, and metastasis—phenotypes reversed by COX-2 suppression (PMID:40768362). In neurons, HECTD4 ubiquitinates GluN2B and MALT1, and its downregulation in ischemic stroke weakens GluN2B engagement, elevating GluN2B phosphorylation through MALT1-dependent loss of STEP61, raising intracellular calcium and worsening excitotoxic injury (PMID:36527595). HECTD4 also targets METTL3 for degradation, reducing RANK m6A modification to suppress osteoclast differentiation (PMID:42141331). Biallelic loss-of-function variants in HECTD4 cause an Angelman-like neurodevelopmental syndrome with seizures and movement disorders (PMID:36401616). Beyond these substrate-defined axes, the structural basis of substrate recognition and the determinants of HECTD4 regulation across tissues have not been characterized in the available corpus.