Asymmetry is crucial for the heart proper functioning, and now, scientists from the Institute Gulbenkian of Science in Portugal and Harvard University, have discovered that a family of genes, called Nodal, is crucial determining this asymmetry by controlling the speed and direction of the heart muscle cells during embryonic development.
The finding, by helping to understand how the heart develops, is a step closer to intervene and is of particular importance if we consider that problems in heart asymmetry are the main cause of heart congenital diseases that can affect as much as 8 out of 1000 newborns. The research will appear in a special December issue of the journal Development Dynamics dedicated to left-right asymmetry development.
At first glance, the left and right sides of our bodies are identical to one-another. Inside, however, it is quite a different story and organ asymmetry is believed to improve not only the packaging of the organs, but also their proper functioning. The normal disposition of internal organs and structures, which is conserved within vertebrates, is called situs solitus. Alterations of this state include full mirror-reversal organ disposition- a pathology made famous by news of people stabbed in the heart just to discover that their heart was in fact on the opposite side of the body - or cases where individuals have two right or two left sides. But, despite the fact that most alterations in the normal positioning of human organs originate severe medical conditions, very little is actually known about the events behind this type of development. As such, to understand them is not only a fundamental question of Developmental Biology but also highly relevant for human health. This is of particular importance with the heart, which is incredible susceptible to any changes in its normal asymmetry, as the high mortality and disease rates in patients with congenital heart defects so clearly demonstrate.
With this in mind Maria Ines Medeiros de Campos-Baptista and Alexander F. Schier from the Institute Gulbenkian of Science (Lisbon, Portugal) and the Harvard University (Cambridge, USA) and colleagues decided to analyse the expression of the Nodal gene family - which has been linked to left-right axis determination in vertebrates - during the development of zebrafish heart.
Genes linked to asymmetric development are active in the embryo very early during development and only on one side and in fact, the researchers found that some Nodal were expressed at the onset of asymmetry, on left side of the embryo and even co-localizing with heart markers supporting the idea that this family was in fact involved in the asymmetric development of the heart.