IN the development of the three-dimensional vertebrate body plant the
left-right axis is linked to the dorsoventral and anterioposterior axe
s(1,2). In humans, altered left-right development results in severe ca
rdiovascular and visceral abnormalities in individuals and in conjoine
d twins(3,4). Although zygotically transcribed genes that are asymmetr
ically expressed have been identified(5-8), the mechanism by which lef
t-right asymmetries are established during embryogenesis is unknown(9)
. Here we show that the Xenopus maternal gene Vg1, a member of the TGF
-beta family of cell-signalling molecules which are implicated in dors
oanterior development(10), initiates left-right axis formation. Altere
d expression of Vg1 on the right side of 16-cell embryos or disruption
of endogenous Vg1 signalling on the left side randomizes cardiac and
visceral left-right orientation and alters expression of Xnr-1, a noda
l-related molecular marker for left-right developments, Furthermore, t
he orientation of the left-right asis in conjoined twins is dependent
upon which cell-signalling molecule initiated twin formation and on wh
ether the secondary axis is on the left or right side of the primary e
mbryonic axis, implicating a molecular pathway leading to the formatio
n of conjoined twins.