Genes encoding transcription factors ave fundamental to developmental
processes because their DNA-binding proteins can control expression of
a multitude of genes. Therefore, activation of a single transcription
factor gene can act as a genetic switch that controls the development
al destinies of groups of cells. Results of expression studies and mut
ational analyses in mice and Drosophila suggest an essential role in h
eart development for the homeobox class of transcription factor genes.
Understanding the genetic circuitry of cardiogenesis will facilitate
the identification of individuals with inherited cardiac diseases, and
the possible prevention of these diseases with drug therapy or lifest
yle modification. It may also allow for genetic counseling of affected
individuals and family members and enable gene therapy aimed at corre
cting these defects.