Which morphogen plays a key role in left-right axis determination?
Left-right asymmetry originates near embryonic node where motile cilia generate leftward fluid flow concentrating Nodal around left lateral plate mesoderm. Nodal, TGF-beta member, activates left-specific cascade including Pitx2 specifying left identity of heart looping and gut situs. Nodal antagonists Lefty2 and Cerberus restrict signal to left, while BMP and FGF modulate intensity. Mutations in Nodal or ciliary dynein cause situs inversus. Fibronectin matrix, Sox2 pluripotency factor and actin cytoskeleton lack instructive laterality information. Nodal gradient thus acts as critical left-right determinant linking ciliary flow to organ laterality and visceral patterning.
Ref: Shiratori and Hamada, Development 2006, Nodal and Left-Right Axis Determination.