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Any visceral hetetotaxy in which the cause of the disease is a mutation in the NODAL gene.
Features include common findings: Single ventricle, Dextrocardia, Abdominal situs ambiguus, and Dextrotransposition of the great arteries and others; and sometimes findings: Shrinkage of the cerebellum (cerebellar atrophy), Atrial reentry tachycardia, Double inlet left ventricle, and Absence of the sacrum and others. 30 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Heart and blood vessels | 4 |
NODAL encodes nodal growth differentiation factor (347 aa). Essential for mesoderm formation and axial patterning during embryonic development Highest expression in Testis (3.4 TPM) and Brain Cerebellum (2.8 TPM).
Heterotaxy, visceral, 5, autosomal is associated with mutations in the NODAL gene on chromosome 10.
The NODAL protein participates in Signaling by NODAL, Regulation of signaling by NODAL, and Germ layer formation at gastrulation pathways.
NODAL is classified as a druggable target (Druggable Genome, Growth Factor, and Transcription Factor categories) with score 104.4.
Genetic testing for NODAL is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 8 common features.
No clinical trials have been registered for heterotaxy, visceral, 5, autosomal.
10 publications have been identified in PubMed for heterotaxy, visceral, 5, autosomal. Research spans Review / Meta-Analysis (30%), Case Report / Case Series (20%), and Basic Science / Preclinical (20%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 3 | 30% |
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 3:06 PM UTC
Online Mendelian Inheritance in Man
Lungs and breathing | 4 | Pulmonary artery atresia, Partial anomalous pulmonary venous return, Total anomalous pulmonary venous return |
Digestive system | 3 | Abdominal situs ambiguus, Abdominal situs inversus, Intestinal malrotation |
Kidneys and urinary system | 2 | Renal hypoplasia, Ascending tubular aorta aneurysm |
Muscles | 2 | Shrinkage of the cerebellum (cerebellar atrophy), Brain shrinkage (cerebral atrophy) |
Brain and nerves | 1 | Brain shrinkage (cerebral atrophy) |
Growth and development | 1 | Intrauterine growth retardation |
Patient case studies
2 |
20% |
Laboratory research | 2 | 20% |
Disease patterns and progression | 2 | 20% |
Clinical study results | 1 | 10% |
Xie XH (2025). [PMID: 40467998](https://pubmed.ncbi.nlm.nih.gov/40467998/). *Journal of human genetics*. [Epidemiology / Natural History]
Desgrange A (2025). [PMID: 40971441](https://pubmed.ncbi.nlm.nih.gov/40971441/). *Science advances*. [Basic Science / Preclinical]
Chen Z (2025). [PMID: 40552176](https://pubmed.ncbi.nlm.nih.gov/40552176/). *Frontiers in medicine*. [Case Report / Case Series]
Matsuoka R (2025). [PMID: 39442590](https://pubmed.ncbi.nlm.nih.gov/39442590/). *Biochimica et biophysica acta. Molecular basis of disease*. [Basic Science / Preclinical]
Yi W (2025). [PMID: 40670315](https://pubmed.ncbi.nlm.nih.gov/40670315/). *Prenatal diagnosis*. [Epidemiology / Natural History]
Gong KR (2025). [PMID: 40547559](https://pubmed.ncbi.nlm.nih.gov/40547559/). *World journal of gastrointestinal endoscopy*. [Case Report / Case Series]
Ahmad Rafie NN (2025). [PMID: 40789547](https://pubmed.ncbi.nlm.nih.gov/40789547/). *Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology*. [Review / Meta-Analysis]
Terashi E (2024). [PMID: 39428712](https://pubmed.ncbi.nlm.nih.gov/39428712/). *Pacing and clinical electrophysiology : PACE*. [Clinical Trial Publication]
Shi DL (2024). [PMID: 39768206](https://pubmed.ncbi.nlm.nih.gov/39768206/). *Cells*. [Review / Meta-Analysis]
Putotto C (2024). [PMID: 39138574](https://pubmed.ncbi.nlm.nih.gov/39138574/). *Genome medicine*. [Review / Meta-Analysis]