Studies utilizing knockout and transgenic mouse models revealed an imp
ortant role for connexin 43 (Cx43) gap junctions in cardiac developmen
t.. This may involve a quantitative requirement for gap junctions in m
odulating the development of cardiac crest cells. In addition, studies
in humans and Xenopus indicate that Cx43 gap junctions also may play
a role in regulating heart laterality. Together, these findings indica
te that the perturbation of Cx43 function could play a significant rol
e in specific congenital heart malformations. (C) 1998, Elsevier Scien
ce Inc.