To date, the role of NODAL in normal and abnormal L-R asymmetry has been well established. In a recent paper, mutations of this gene have been reported in heterotaxy but also in transposition with D- or L-ventricular loop. The effects of NODAL and other laterality genes can be recognized separately in all three cardiac segments: for topology and septation of the atria, for ventricular looping, and for spiralization and alignment of the great arteries.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11323548PMC
http://dx.doi.org/10.1186/s13073-024-01375-8DOI Listing

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