摘要
Specification of the left-right axis during embryonic development is critical for the morphogenesis of asymmetric organs such as the heart, lungs, and stomach. The first known left-right asymmetry to occur in the mouse embryo is a leftward fluid flow in the node that is created by rotating cilia on the node surface. This flow is followed by asymmetric expression of <em>Nodalem> and its inhibitor <em>Cerl2em> in the node. Defects in cilia and/or fluid flow in the node lead to defective <em>Nodalem> and <em>Cerl2em> expression and therefore incorrect visceral organ situs. Here we show the cilia protein <em>Arl13bem> is required for left right axis specification as its absence results in heterotaxia. We find the defect originates in the node where <em>Cerl2em> is not downregulated and asymmetric expression of <em>Nodalem> is not maintained resulting in symmetric expression of both genes. Subsequently, <em>Nodalem> expression is delayed in the lateral plate mesoderm (LPM). Symmetric <em>Nodalem> and <em>Cerl2em> in the node could result from defects in either the generation and/ or the detection of <em>Nodalem> flow, which would account for the subsequent defects in the LPM and organ positioning.