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Published on: June 16, 2023
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The genetic landscape of cardiovascular left-right patterning defects
John R Wells1, Maria B Padua2, Stephanie M Ware3
1Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, USA.
Current Opinion in Genetics & Development
|July 1, 2022
Summary
Recent genetic discoveries illuminate heterotaxy, a disorder of left-right (LR) patterning and congenital heart defects. Research highlights complex genetic causes, novel cilia mechanisms, and conserved LR patterning across species.
Area of Science:
- Developmental Biology
- Genetics
- Medical Research
Background:
- Heterotaxy involves complex congenital heart defects and left-right (LR) asymmetry.
- Genetic factors are implicated, but most molecular causes of heterotaxy remain unidentified.
- Known genes often relate to the ciliated left-right organizer (LRO).
Purpose of the Study:
- To review recent genetic discoveries in heterotaxy over the past two years.
- To explore novel mechanisms regulating cilia formation and LR patterning.
- To provide a comprehensive overview of genes associated with human laterality defects.
Main Methods:
- Literature review of genetic discoveries in heterotaxy.
- Analysis of novel mechanisms in cilia formation and LR patterning.
- Compilation of candidate genes and established genes linked to laterality.
Main Results:
- Identification of complex genetic architectures underlying heterotaxy.
- Discovery of new mechanisms regulating cilia function in LR patterning.
- Evidence for conserved LR patterning mechanisms across diverse species.
- New insights into established LR signaling pathways and novel candidate genes.
Conclusions:
- Recent advances are expanding our understanding of heterotaxy's genetic basis.
- Novel pathways and conserved mechanisms are emerging as critical in LR patterning.
- Further research into these genetic factors is crucial for diagnosing and treating heterotaxy.
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