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A disrupted compartment boundary underlies abnormal cardiac patterning and congenital heart defects
Journal article   Open access   Peer reviewed

A disrupted compartment boundary underlies abnormal cardiac patterning and congenital heart defects

Irfan S Kathiriya, Martin H Dominguez, Kavitha S Rao, Jonathon M Muncie-Vasic, W Patrick Devine, Kevin M Hu, Swetansu K Hota, Bayardo I Garay, Diego Quintero, Piyush Goyal, …
Nature cardiovascular research, v 5(1), pp 67-83
01 Jan 2026
PMID: 41461901
url
https://doi.org/10.1038/s44161-025-00755-6View
Published, Version of Record (VoR) Open

Abstract

Animals Body Patterning Cell Lineage Gene Expression Regulation, Developmental Heart Defects, Congenital - embryology Heart Defects, Congenital - genetics Heart Defects, Congenital - metabolism Heart Defects, Congenital - pathology Heart Septal Defects, Ventricular - embryology Heart Septal Defects, Ventricular - genetics Heart Septal Defects, Ventricular - metabolism Heart Septal Defects, Ventricular - pathology Intercellular Signaling Peptides and Proteins - genetics Intercellular Signaling Peptides and Proteins - metabolism MEF2 Transcription Factors - genetics MEF2 Transcription Factors - metabolism Mice Mice, Transgenic Nerve Tissue Proteins - genetics Nerve Tissue Proteins - metabolism T-Box Domain Proteins - genetics T-Box Domain Proteins - metabolism
Failure of septation of the interventricular septum (IVS) is the most common congenital heart defect, but mechanisms for patterning the IVS are largely unknown. Here we show that a Tbx5 /Mef2cAHF progenitor lineage forms a compartment boundary bisecting the IVS. This coordinated population originates at a first and second heart field interface. Ablation of Tbx5 /Mef2cAHF progenitors causes IVS disorganization, right ventricular hypoplasia and mixing of IVS lineages. Reduced dosage of the congenital heart defect transcription factor TBX5 disrupts boundary position and integrity, resulting in ventricular septation defects and patterning defects, including misexpression of Slit2 and Ntn1, which encode guidance cues. Reducing NTN1 dosage partly rescues cardiac defects in Tbx5 mutant embryos. Loss of Slit2 or Ntn1 causes ventricular septation defects and perturbed septal lineage distributions. Thus, we identify Tbx5 as a candidate selector gene, directing progenitors and regulating essential cues, to pattern a compartment boundary for proper cardiac septation, revealing mechanisms for cardiac birth defects.

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Collaboration types
Domestic collaboration
Web of Science research areas
Cardiac & Cardiovascular Systems
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