Patterning of all tissues and organs in the vertebrate embryo occurs a
long the dorsoventral (DV), anteroposterior (AP), and left-right (LR)
body axes. Whereas significant progress has been made in identifying t
he processes underlying DV and AP patterning, relatively little is kno
wn about mechanisms guiding LR development. The significant incidence
of human disease conditions associated with LR laterality defects, par
ticularly those of the cardiovascular system, underscores the importan
ce of understanding how LR asymmetries become established in the embry
o. The focus of this review is on recently identified genes that are i
nvolved in generation of vertebrate LR asymmetry, and the proposed cel
lular and molecular mechanisms by which they might function in initiat
ion, propagation and interpretation of LR patterning information.