title: X-linked situs abnormalities result from mutations in ZIC3.
abstract: Vertebrates position unpaired organs of the chest and abdomen asymmetrically along the left-right (LR) body axis. Each structure comes to lie non-randomly with respect to the midline in an overall position designated situs solitus, exemplified in humans by placement of the heart, stomach and spleen consistently to the left. Aberrant LR axis development can lead to randomization of individual organ position (situs ambiguus) or to mirror-image reversal of all lateralized structures (situs inversus). Previously we mapped a locus for situs abnormalities in humans, HTX1, to Xq26.2 by linkage analysis in a single family (LR1) and by detection of a deletion in an unrelated situs ambiguus male (Family LR2; refs 2,3). From this chromosomal region we have positionally cloned ZIC3, a gene encoding a putative zinc-finger transcription factor. One frameshift, two missense and two nonsense mutations have been identified in familial and sporadic situs ambiguus. The frameshift allele is also associated with situs inversus among some heterozygous females, suggesting that ZIC3 functions in the earliest stages of LR-axis formation. ZIC3, which has not been previously implicated in vertebrate LR-axis development, is the first gene unequivocally associated with human situs abnormalities.
authors.affiliation: Department of Pathology, Baylor College of Medicine, Houston, Texas 77030-3498, USA.
authors.forename: M
authors.initials: M
authors.lastname: Gebbia
authors.forename: G B
authors.initials: GB
authors.lastname: Ferrero
authors.forename: G
authors.initials: G
authors.lastname: Pilia
authors.forename: M T
authors.initials: MT
authors.lastname: Bassi
authors.forename: A
authors.initials: A
authors.lastname: Aylsworth
authors.forename: M
authors.initials: M
authors.lastname: Penman-Splitt
authors.forename: L M
authors.initials: LM
authors.lastname: Bird
authors.forename: J S
authors.initials: JS
authors.lastname: Bamforth
authors.forename: J
authors.initials: J
authors.lastname: Burn
authors.forename: D
authors.initials: D
authors.lastname: Schlessinger
authors.forename: D L
authors.initials: DL
authors.lastname: Nelson
authors.forename: B
authors.initials: B
authors.lastname: Casey
mesh_terms: D000595:Amino Acid Sequence; D019521:Body Patterning / Q000235:genetics; D003001:Cloning, Molecular; D005260:Female; D006330:Heart Defects, Congenital / Q000235:genetics; D006579:Heterozygote; D018398:Homeodomain Proteins; D006801:Humans; D008297:Male; D008969:Molecular Sequence Data; D009154:Mutation; D017386:Sequence Homology, Amino Acid; D012857:Situs Inversus / Q000235:genetics*; D014157:Transcription Factors / Q000235:genetics*; D014960:X Chromosome; D016335:Zinc Fingers / Q000235:genetics
chemical_list: D018398:Homeodomain Proteins; D014157:Transcription Factors; C491595:ZIC3 protein, human