Early in the development of the embryo the primary axes are defined morphol
ogically ana at the molecular level. The recent discovery of vertebrate hom
eodomain-containing transcription factors related to drosophila bicoid has
revealed that many of these factors play a role in specification of identit
y for large embryonic fields. Whereas Otx2 was previously shown to confer i
dentity to the most rostral neuroepithelium and has been postulated to play
a role in the head organizer function, the recently identified genes Pitx1
and Pitx2 behave as determinants of posterior and left lateral plate mesod
erm, respectively. Pitx1 thus appears to be at the head of a regulatory cas
cade for specification of hindlimb identity. This cascade includes Tbx4, a
brachyury-related gene, expressed only in hindlimbs in contrast to the rela
ted Tbx5 gene which appears to play a similar role in forelimbs. Pitx2 is u
niquely expressed in the left lateral plate mesoderm and appears to be the
transcriptional effector for development of asymmetric internal organs such
as the heart, stomach, intestine and lungs. Its expression in the left lat
eral plate mesoderm is under stringent control of a regulatory cascade that
has been best defined in chicken. The discovery of the Pitx genes has prov
ided the first molecular insight into the mechanisms for the development of
non-symmetrical structures in vertebrates.