“…Irx gene family consists of Irx1 , Irx2 and Irx4 in the IrxA cluster, and Irx3 , Irx5 and Irx6 in the IrxB cluster in mouse and human 20 (Figure 1 ), 11 genes, Ziro1a, 2a, 4a of IrxAa, Ziro1b, 4b of IrxAb, Ziro3a, 5a, 6a of IrxBa, Ziro3b, 5b of IrxBb and Ziro7 in Zebrafish 21 - 24 . In vertebrates, Irx gene family members encode highly conserved homeodomain-containing transcription factors of a 13 amino-acid domain (the Iro box) and the 3-amino-acid-loop-extension (TALE) family 25 (Figure 2 ), which are required for the opportune patterning and formation of the nervous system 26 - 31 and the heart 32 , specification of the membranous labyrinth 33 and nephron segment fate during kidney development 34 - 36 , lung development and maturation 37 , pancreatic, retinal and microvascular endothelial cell development and function 38 - 40 , female gonad 41 and early limb development 42 and also give an advantage to morbid obesity, type 2 diabetes mellitus 43 , fused toes 44 and tumor cells 45 . In the heart, all the Irx transcription factors are expressed in unique and overlapping patterns, abnormality or absence of encoding Irx may cause congenital structural heart disease 46 , cardiomyopathy 47 , 48 and a variety of arrhythmia 49 .…”