In vertebrates, specification of anteroposterior (A/P) and left-right (L/R)
axes depends on TGF beta-related signals, including Nodal, Lefty, and BMPs
. Endoproteolytic maturation of these proteins is probably mediated by the
proprotein convertase SPC1/Furin. In addition, precursor processing may be
regulated by related activities such as SPC4 (also known as PACE4). Here, w
e show that a proportion of embryos lacking SPC4 develop situs ambiguus com
bined with left pulmonary isomerism or complex craniofacial malformations i
ncluding cyclopia, or both. Gene expression analysis during early somite st
ages indicates that spc4 is genetically upstream of nodal, pitx2, lefty1, a
nd lefty2 and perhaps maintains the balance between Nodal and BMP signaling
in the lateral plate that is critical for L/R axis formation. Furthermore,
genetic interactions between nodal and spc4, together with our analysis of
chimeric embryos, strongly suggest that during A/P axis formation, SPC4 ac
ts primarily in the foregut. These findings establish an important role for
SPC4 in patterning the early mouse embryo.