Which gene acts downstream of TBX5 in forelimb formation?
Forelimb developmental cascade begins with axial retinoic acid and Hox signals inducing TBX5 in rostral lateral plate mesoderm. TBX5 directly binds Tbx5-responsive enhancer of FGF10 to activate transcription and trigger budding via MAPK. FGF10 then induces FGF8 in AER, linking specification to outgrowth feedback loop involving Wnt3a. Therefore FGF10 functions genetically downstream of TBX5; TBX5 mutants fail to express FGF10 in forelimb field and forelimbs absent. FGF8 lies downstream of FGF10, SHH downstream later for AP pattern, BMP4 later for apoptosis. Thus molecular hierarchy is TBX5 then FGF10 then FGF8.
Ref: Gilbert, Developmental Biology, 12th ed., Chapter 20: TBX5 to FGF10 pathway in forelimb.