“…The action of these cilia generates an asymmetrical fluid flow that establishes local asymmetries in gene expression (Cartwright et al, 2004;Okada et al, 2005;Schweickert et al, 2017;Smith et al, 2008), ultimately leading to the expression of Nodal, a transforming growth factor β superfamily ligand, in the left lateral plate mesoderm (LPM). Nodal then activates expression of the transcription factor Pitx2 in the left LPM and, ultimately, on the left side of developing organs, where it is required for the proper morphogenesis of various anatomical asymmetries (Burn and Hill, 2009;Campione et al, 1999;Davis et al, 2017;Liu et al, 2001;Mahadevan et al, 2014;Muller et al, 2003;Plageman et al, 2011;Ryan et al, 1998;Welsh et al, 2013;Womble et al, 2018). In some species, cilia are not involved and the early symmetry-breaking events remain unclear (Gros et al, 2009;Hamada and Tam, 2020;Kajikawa et al, 2020); nonetheless, the process culminates in LR asymmetrical gene expression in the LPM.…”