Home
User Guide
What's in a MalaCard Search Guide Our Sources
Analysis Tools
GeneCards GeneAnalytics GeneAlaCart PathCards VarElect
News and Views Disease Lists/Categories
About
About MalaCards Datasets Our Publications Weizmann Institute LifeMap Discovery® Terms of Use MalaCards Team
SIV
MCID: STS002
MIFTS: 45

Situs Inversus (SIV)

Categories: Rare diseases
Genes Variations Tissues Related diseases Publications Drugs
Sources

Aliases & Classifications for Situs Inversus

About this section

MalaCards integrated aliases for Situs Inversus:

Name: Situs Inversus 12 20 29 54 6 44 15 32
Situs Inversus Viscerum 12 20
Complete Transposition 12
Laterality Sequence 12
Siv 20

Classifications:

MalaCards categories:
Global: Rare diseases
See all MalaCards categories (disease lists)
ICD10: 32


External Ids:

Disease Ontology 12 DOID:758
ICD9CM 34 759.3
MeSH 44 D012857
NCIt 50 C87121
SNOMED-CT 67 157033002
ICD10 32 Q89.3
UMLS 71 C0037221
Sources

Summaries for Situs Inversus

About this section
GARD : 20 Situs inversus is a condition in which the arrangement of the internal organs is a mirror image of normal anatomy. It can occur alone (isolated, with no other abnormalities or conditions) or it can occur as part of a syndrome with various other defects. Congenital heart defects are present in about 5-10% of affected people. The underlying cause and genetics of situs inversus are complex. Familial cases have been reported.

MalaCards based summary : Situs Inversus, also known as situs inversus viscerum, is related to dextrocardia with situs inversus and ciliary dyskinesia, primary, 9. An important gene associated with Situs Inversus is DNAH7 (Dynein Axonemal Heavy Chain 7). The drugs Nitric Oxide and Respiratory System Agents have been mentioned in the context of this disorder. Affiliated tissues include spleen, colon and heart, and related phenotypes are cellular and growth/size/body region

Wikipedia : 74 Situs inversus (also called situs transversus or oppositus) is a congenital condition in which the major... more...

Sources

Related Diseases for Situs Inversus

About this section

Diseases related to Situs Inversus via text searches within MalaCards or GeneCards Suite gene sharing:

(show top 50) (show all 695)
# Related Disease Score Top Affiliating Genes
1 dextrocardia with situs inversus 33.1 MNS1 DNAH9 CFAP53 CCDC103
2 ciliary dyskinesia, primary, 9 32.5 RSPH9 RSPH4A DNAI2 DNAAF2
3 ciliary dyskinesia, primary, 10 32.4 RSPH9 RSPH4A DNAI2 DNAAF2
4 ciliary dyskinesia, primary, 13 32.4 RSPH9 RSPH4A DNAAF2 CCDC40
5 dextrocardia 32.2 ODAD3 DNAI1 DNAH5 DNAH11 CFAP53 CCDC40
6 ciliary dyskinesia, primary, 2 32.1 DNAI2 DNAI1 DNAH9 DNAH5 DNAH11 DNAAF3
7 ciliary dyskinesia, primary, 4 32.1 ODAD3 DNAI1 DNAH5 DNAH11 CCDC40 CCDC39
8 ciliary dyskinesia, primary, 6 32.0 RSPH9 RSPH4A
9 right atrial isomerism 31.9 DNAI1 DNAH9 DNAH7 DNAH5 DNAH11
10 ciliary dyskinesia, primary, 8 31.7 ODAD3 DNAI1 DNAH5 DNAH11 CCDC40 CCDC39
11 dextro-looped transposition of the great arteries 31.4 DNAI1 DNAH5 DNAH11
12 ciliary dyskinesia, primary, 1 30.8 RSPH9 RSPH4A ODAD3 DNAI2 DNAI1 DNAH9
13 bronchiectasis 30.4 RSPH9 RSPH4A DNAI2 DNAI1 DNAH5 DNAH11
14 male infertility 30.3 MNS1 DNAI1 DNAH9 DNAH5 DNAH11 CCDC40
15 visceral heterotaxy 30.1 RSPH9 RSPH4A ODAD4 ODAD3 MNS1 INVS
16 kartagener syndrome 29.9 RSPH9 RSPH4A ODAD4 ODAD3 MNS1 INVS
17 primary ciliary dyskinesia 29.8 RSPH9 RSPH4A ODAD4 ODAD3 MNS1 INVS
18 retinitis pigmentosa 29.3 RSPH9 RSPH4A LZTFL1 INVS DNAI2 DNAI1
19 retinitis pigmentosa 82 with or without situs inversus 11.7
20 ciliary dyskinesia, primary, 3 11.7
21 ciliary dyskinesia, primary, 7 11.7
22 ciliary dyskinesia, primary, 28 11.7
23 ciliary dyskinesia, primary, 5 11.7
24 ciliary dyskinesia, primary, 18 11.7
25 ciliary dyskinesia, primary, 23 11.7
26 heterotaxy, visceral, 5, autosomal 11.7
27 ciliary dyskinesia, primary, 20 11.6
28 ciliary dyskinesia, primary, 40 11.6
29 ciliary dyskinesia, primary, 16 11.6
30 ciliary dyskinesia, primary, 17 11.6
31 ciliary dyskinesia, primary, 19 11.6
32 ciliary dyskinesia, primary, 25 11.6
33 ciliary dyskinesia, primary, 26 11.6
34 ciliary dyskinesia, primary, 27 11.6
35 isolated levocardia 11.6
36 ciliary dyskinesia, primary, 35 11.6
37 ciliary dyskinesia, primary, 29 11.6
38 agnathia-otocephaly complex 11.6
39 ciliary dyskinesia, primary, 11 11.6
40 ciliary dyskinesia, primary, 12 11.6
41 ciliary dyskinesia, primary, 14 11.6
42 ciliary dyskinesia, primary, 15 11.6
43 ciliary dyskinesia, primary, 21 11.6
44 ciliary dyskinesia, primary, 22 11.6
45 ciliary dyskinesia, primary, 30 11.6
46 ciliary dyskinesia, primary, 38 11.6
47 ciliary dyskinesia, primary, 39 11.6
48 ciliary dyskinesia, primary, 43 11.6
49 ciliary dyskinesia, primary, 44 11.6
50 heterotaxy, visceral, 1, x-linked 11.5

Graphical network of the top 20 diseases related to Situs Inversus:



Diseases related to Situs Inversus
Sources

Symptoms & Phenotypes for Situs Inversus

About this section

MGI Mouse Phenotypes related to Situs Inversus:

46
# Description MGI Source Accession Score Top Affiliating Genes
1 cellular MP:0005384 10.24 ARL2BP CCDC39 CCDC40 CFAP53 DNAAF2 DNAAF3
2 growth/size/body region MP:0005378 10.22 ARL2BP CCDC39 CCDC40 CFAP53 DNAAF2 DNAAF3
3 cardiovascular system MP:0005385 10.14 CCDC39 CFAP53 DNAAF2 DNAAF3 DNAH11 DNAH5
4 mortality/aging MP:0010768 9.97 ARL2BP CCDC39 CCDC40 CFAP53 DNAAF2 DNAH11
5 liver/biliary system MP:0005370 9.8 CCDC39 CFAP53 DNAAF3 DNAH11 DNAH5 INVS
6 nervous system MP:0003631 9.73 ARL2BP CCDC39 CCDC40 CFAP53 DNAAF2 DNAH5
7 respiratory system MP:0005388 9.47 CCDC39 CCDC40 CFAP53 DNAAF2 DNAAF3 DNAH11
Sources

Drugs & Therapeutics for Situs Inversus

About this section

Drugs for Situs Inversus (from DrugBank, HMDB, Dgidb, PharmGKB, IUPHAR, NovoSeek, BitterDB):

(show all 11)
# Name Status Phase Clinical Trials Cas Number PubChem Id
1
Nitric Oxide Approved Phase 3 10102-43-9 145068
2 Respiratory System Agents Phase 3
3 Protective Agents Phase 3
4 Anti-Asthmatic Agents Phase 3
5 Antioxidants Phase 3
6 Neurotransmitter Agents Phase 3
7 Vasodilator Agents Phase 3
8 Bronchodilator Agents Phase 3
9 Endothelium-Dependent Relaxing Factors Phase 3
10
Mechlorethamine Approved, Investigational 51-75-2 4033
11 3-Iodobenzylguanidine

Interventional clinical trials:


# Name Status NCT ID Phase Drugs
1 A Randomised Controlled Trial of Nitric Oxide Administration During Cardiopulmonary Bypass in Infants Undergoing Arterial Switch Operation for Repair of Transposition of the Great Arteries Recruiting NCT03661385 Phase 3 Nitric Oxide
2 Characterization of the Cardiac Reinnervation of Patients With Transposition of the Great Arteries Long After Repair With the Arterial Switch Operation. Correlation With Electrocardiographic and Exercise Test Parameters Unknown status NCT03469843
3 Ciliary Dysfunction as an Underlying Etiology Linking Primary Ciliary Dyskinesia With Heterotaxy and Complex Congenital Heart Disease Completed NCT00608556
4 MRI Study After Arterial Switch Operation in Patients With Transposition of the Great Arteries Completed NCT01916499
5 Late Function After Surgery for Transposition of the Great Arteries Completed NCT03078413
6 A Retrospective Comparison of the Efficacy and Safety of Celsior® in Pediatric Cardiac Surgery for Transposition of the Great Vessels Recruiting NCT04616222 CELSIOR® group;Saint-Thomas group
7 Transposition of the Great Arteries: Prenatal Anatomical and Hemodynamic Findings Associated With Perinatal Outcomes Recruiting NCT03771534 Oxygen gas

Search NIH Clinical Center for Situs Inversus

Cochrane evidence based reviews: situs inversus

Sources

Genetic Tests for Situs Inversus

About this section

Genetic tests related to Situs Inversus:

# Genetic test Affiliating Genes
1 Situs Inversus 29
Sources

Anatomical Context for Situs Inversus

About this section

MalaCards organs/tissues related to Situs Inversus:

40
Spleen, Colon, Heart, Liver, Pancreas, Lung, Appendix
Sources

Publications for Situs Inversus

About this section

Articles related to Situs Inversus:

(show top 50) (show all 2710)
# Title Authors PMID Year
1
Situs inversus in association with duodenal atresia. 61 20
24192475 2013
2
Association of INVS (NPHP2) mutation in an adolescent exhibiting nephronophthisis (NPH) and complete situs inversus. 61 54
18218308 2008
3
Mutations in INVS encoding inversin cause nephronophthisis type 2, linking renal cystic disease to the function of primary cilia and left-right axis determination. 54 61
12872123 2003
4
Cardiopulmonary malformations in the inv/inv mouse. 61 54
11331972 2001
5
Axonemal dynein intermediate-chain gene (DNAI1) mutations result in situs inversus and primary ciliary dyskinesia (Kartagener syndrome). 54 61
11231901 2001
6
Left non-recurrent inferior laryngeal nerve in a patient with right-sided aortic arch and aberrant left subclavian artery. 61
32178945 2021
7
Multifaceted analysis of Japanese cases of primary ciliary dyskinesia: Value of immunofluorescence for ciliary protein detection in patients with DNAH5 and DNAH11 mutations. 61
33589394 2021
8
Characteristics and outcomes of fetuses with laterality defects are the current outcomes better? A single center study. 61
31106637 2021
9
A novel heterotaxy gene: Expansion of the phenotype of TTC21B-spectrum disease. 61
33547761 2021
10
Catheter ablation of atrial fibrillation in situs inversus dextrocardia: Challenge, improved procedure, outcomes, and literature review. 61
33372281 2021
11
A Huge Ovarian Mucinous Cystadenoma in a 15-Year-Old Girl with Situs Inversus Totalis: Report of a Rare Case. 61
32688052 2021
12
Successful removal of multiple bile duct stones using a papillary large balloon dilation in a very elderly woman with situs inversus totalis. 61
32772241 2021
13
Successful Catheter Ablation for Multiple Atrial Arrhythmias in a Patient with Situs Inversus Totalis. 61
33028769 2021
14
Right paraesophageal hiatus hernia associated with complete situs inversus. 61
32354490 2021
15
Situs inversus totalis and prenatal diagnosis of a primary ciliary dyskinesia. 61
32447765 2021
16
Routine pre-employment echocardiography assessment in young adults: cost and benefits. 61
33409841 2021
17
The effect of a novel LRRC6 mutation on the flagellar ultrastructure in a primary ciliary dyskinesia patient. 61
33403504 2021
18
A 2-Year-Old Boy With Hypoxemia, Pulmonary Hypertension, and Digital Clubbing. 61
33422240 2021
19
The first case of balloon-occluded retrograde transvenous obliteration and partial splenic embolization for gastric varices in situs inversus abdominus. 61
33403531 2021
20
Total minimally invasive McKeown esophagectomy in an esophageal cancer patient with situs inversus totalis: A case report. 61
33155374 2021
21
Upgrading from a Dual-chamber Pacemaker to a Cardiac Resynchronization Therapy Defibrillator in Situs Inversus Totalis with Dextrocardia Following Mitral Valve Replacement and Tricuspid Annuloplasty Using a Left-sided Approach. 61
33520351 2021
22
A case report of pulmonary artery sling and situs inversus incompletes. 61
33545997 2021
23
Vallecular cyst: a dangerous cause of failure to thrive in infants. 61
33334753 2020
24
Assessment of Myocardial Viability Using Nuclear Medicine Imaging in Dextrocardia. 61
32887761 2020
25
Transverse colon cancer with obstruction in a patient with situs inversus totalis: A case report and review of literature. 61
32994114 2020
26
Performing Endoscopic Retrograde Cholagiopancreatpgraphy and Endoscopic Ultrasound for Management of Malignant Bile Duct Obstruction in a Patient With a Situs Inversus Totalis. 61
33324708 2020
27
Novel dynein axonemal assembly factor 1 mutations identified using whole‑exome sequencing in patients with primary ciliary dyskinesia. 61
33174003 2020
28
Prenatal Diagnosis of Isolated Atrioventricular Discordance and Ventriculoarterial Concordance and Double-Outlet Right Ventricle in Situs Inversus: Case Report and Review of the Literature. 61
32970245 2020
29
Operative Challenges with Minimally Invasive McKeown Esophagostomy with Two-Field Lymphadenectomy in a Case of Situs Inversus Totalis with Carcinoma Esophagus: A Case Report with Review of the Literature. 61
33299283 2020
30
Laparoendoscopic rendezvous procedure in a patient with situs inversus totalis: A case report and review of the literature. 61
33363786 2020
31
Catheter ablation of the atrioventricular node slow pathway sans fluoroscopy in a patient with situs inversus totalis. 61
33365251 2020
32
Successful Radiofrequency Ablation of Recurrent Supraventricular Tachycardia in a Patient with Complex Congenital Heart Disease. 61
33262322 2020
33
Minimally invasive dual-valve repair in situs inversus totalis: strategy for tricuspid valve. 61
33375817 2020
34
CFAP45 deficiency causes situs abnormalities and asthenospermia by disrupting an axonemal adenine nucleotide homeostasis module. 61
33139725 2020
35
Biallelic loss of function NEK3 mutations deacetylate α-tubulin and downregulate NUP205 that predispose individuals to cilia-related abnormal cardiac left-right patterning. 61
33230144 2020
36
Minimally invasive esophagectomy with intrathoracic anastomosis in a situs inversus totalis patient. 61
33274044 2020
37
Laparoscopic resection of a descending colon tumour in a patient with situs inversus and variant vascular anatomy - a video vignette. 61
33140900 2020
38
Left atrial appendage closure in a patient with situs inversus totalis and interrupted inferior vena cava - A transhepatic approach. 61
33204625 2020
39
Unusual Coexistence In Situs Inversus Totalis; Right Arcus Aorta, Variant Left Azygos Lobe, and Aberrant Left Subclavian Artery. 61
32340770 2020
40
Robotic cholecystectomy in situs inversus totalis. 61
32386727 2020
41
Robotic right colectomy for cancer with intracorporeal hand-sewn anastomosis in a patient with situs inversus totalis - a video vignette. 61
32495482 2020
42
Video-assisted minimally invasive aortic valve replacement through left anterior mini-thoracotomy in a patient with situs inversus totalis. 61
32584985 2020
43
Senning with Aortic Translocation, Anatomic Repair for Congenitally Corrected Transposition. 61
33045205 2020
44
Atrial fibrillation and atrial flutter ablation using mirror image in a patient with dextrocardia with situs inversus. 61
33001046 2020
45
Identification of a CCDC114 variant in a Han-Chinese patient with situs inversus. 61
32855706 2020
46
Expanding the phenotypic spectrum of IFT81: Associated ciliopathy syndrome. 61
32783357 2020
47
Half-turned truncal switch operation after single ventricle palliation in a patient with borderline left heart hypoplasia. 61
33036641 2020
48
An ST-Elevation Myocardial Infarction In Situs Inversus Totalis (DEXTROCARDIA). 61
32713619 2020
49
Short foveo-disc distance in situs inversus of optic disc. 61
33082477 2020
50
Successful endoscopic retrograde cholangiopancreatography and bilateral stenting in a patient with situs inversus totalis. 61
33067158 2020
Sources

Variations for Situs Inversus

About this section

ClinVar genetic disease variations for Situs Inversus:

6
# Gene Name Type Significance ClinVarId dbSNP ID GRCh37 Pos GRCh38 Pos
1 DNAH7 NM_018897.3(DNAH7):c.8209G>A (p.Gly2737Ser) SNV Pathogenic 599649 rs770861172 2:196722306-196722306 2:195857582-195857582
2 DNAH7 NM_018897.3(DNAH7):c.11947C>T (p.Arg3983Trp) SNV Pathogenic 599650 rs114621989 2:196602773-196602773 2:195738049-195738049
Sources

Expression for Situs Inversus

About this section
Search GEO for disease gene expression data for Situs Inversus.
Sources

Pathways for Situs Inversus

About this section
Sources

GO Terms for Situs Inversus

About this section

Cellular components related to Situs Inversus according to GeneCards Suite gene sharing:

(show all 13)
# Name GO ID Score Top Affiliating Genes
1 cytoplasm GO:0005737 10.41 RSPH9 RSPH4A ODAD4 ODAD3 LZTFL1 INVS
2 cytoskeleton GO:0005856 10.22 RSPH9 RSPH4A ODAD4 ODAD3 INVS DNAI2
3 extracellular region GO:0005576 10.18 ODAD4 DNAI1 DNAH5 DNAH11 DNAAF2 CFAP53
4 microtubule GO:0005874 10.02 INVS DNAI2 DNAI1 DNAH9 DNAH7 DNAH5
5 motile cilium GO:0031514 9.98 RSPH9 RSPH4A MNS1 DNAH9 DNAH5 DNAH11
6 axoneme GO:0005930 9.93 RSPH9 RSPH4A ODAD4 ODAD3 MNS1 DNAI2
7 cilium GO:0005929 9.83 RSPH9 RSPH4A ODAD3 INVS DNAI2 DNAI1
8 dynein complex GO:0030286 9.8 DNAI2 DNAI1 DNAH9 DNAH7 DNAH5 DNAH11
9 9+2 motile cilium GO:0097729 9.8 RSPH9 ODAD4 DNAI2 DNAI1 DNAH9 DNAH5
10 outer dynein arm GO:0036157 9.77 DNAI2 DNAI1 DNAH9 DNAH5 CCDC103
11 axonemal dynein complex GO:0005858 9.67 DNAI2 DNAH7 DNAH5
12 cell projection GO:0042995 9.53 RSPH9 RSPH4A ODAD4 ODAD3 INVS DNAI2
13 radial spoke GO:0001534 9.51 RSPH9 RSPH4A

Biological processes related to Situs Inversus according to GeneCards Suite gene sharing:

(show all 25)
# Name GO ID Score Top Affiliating Genes
1 cell projection organization GO:0030030 10.03 RSPH9 RSPH4A ODAD3 DNAI2 DNAI1 DNAH9
2 heart development GO:0007507 9.97 ODAD4 DNAI1 DNAH5 DNAH11 CCDC39
3 cilium assembly GO:0060271 9.95 RSPH9 RSPH4A DNAI2 DNAH5 CFAP53
4 microtubule-based movement GO:0007018 9.93 DNAI2 DNAI1 DNAH9 DNAH7 DNAH5 DNAH11
5 determination of left/right symmetry GO:0007368 9.92 ODAD3 DNAI2 DNAI1 DNAH5 DNAH11 CFAP53
6 flagellated sperm motility GO:0030317 9.88 DNAI1 DNAH5 DNAH11 CCDC40 CCDC39
7 axonemal dynein complex assembly GO:0070286 9.85 ODAD3 DNAAF3 DNAAF2 CCDC40 CCDC39 CCDC103
8 lung development GO:0030324 9.8 ODAD4 CCDC40 CCDC39
9 motile cilium assembly GO:0044458 9.8 RSPH9 DNAAF3 CCDC40 CCDC39
10 inner dynein arm assembly GO:0036159 9.8 DNAH7 DNAAF2 CCDC40 CCDC39 CCDC103
11 heart looping GO:0001947 9.78 CCDC40 CCDC39 CCDC103
12 axoneme assembly GO:0035082 9.73 RSPH9 RSPH4A CCDC40
13 epithelial cilium movement involved in determination of left/right asymmetry GO:0060287 9.73 ODAD4 DNAH11 CFAP53 CCDC40 CCDC39 CCDC103
14 cilium-dependent cell motility GO:0060285 9.71 DNAH7 DNAAF2 CCDC39
15 regulation of cilium beat frequency GO:0003356 9.7 DNAH11 CCDC40 CCDC39
16 outer dynein arm assembly GO:0036158 9.7 ODAD4 ODAD3 DNAI2 DNAI1 DNAH5 DNAAF2
17 determination of digestive tract left/right asymmetry GO:0071907 9.69 CCDC40 CCDC39 CCDC103
18 cilium movement involved in cell motility GO:0060294 9.62 RSPH9 RSPH4A
19 cerebrospinal fluid circulation GO:0090660 9.61 ODAD4 CCDC39
20 establishment of localization in cell GO:0051649 9.6 DNAH5 CCDC39
21 determination of liver left/right asymmetry GO:0071910 9.59 CCDC40 CCDC39
22 determination of pancreatic left/right asymmetry GO:0035469 9.58 CCDC40 CCDC39
23 establishment of left/right asymmetry GO:0061966 9.58 DNAAF2 CCDC39
24 epithelial cilium movement GO:0003351 9.5 DNAI1 DNAH5 DNAH11 DNAAF2 CCDC40 CCDC39
25 cilium movement GO:0003341 9.47 RSPH9 RSPH4A ODAD4 ODAD3 DNAI2 DNAI1

Molecular functions related to Situs Inversus according to GeneCards Suite gene sharing:

# Name GO ID Score Top Affiliating Genes
1 dynein intermediate chain binding GO:0045505 9.62 DNAH9 DNAH7 DNAH5 DNAH11
2 dynein light intermediate chain binding GO:0051959 9.56 DNAH9 DNAH7 DNAH5 DNAH11
3 microtubule motor activity GO:0003777 9.55 DNAI2 DNAH9 DNAH7 DNAH5 DNAH11
4 dynein heavy chain binding GO:0045504 9.4 DNAI2 DNAI1
5 dynein light chain binding GO:0045503 9.37 DNAI2 DNAI1
6 ATP-dependent microtubule motor activity, minus-end-directed GO:0008569 9.26 DNAH9 DNAH7 DNAH5 DNAH11
7 motor activity GO:0003774 9.1 DNAI2 DNAI1 DNAH9 DNAH7 DNAH5 DNAH11
Sources

Sources for Situs Inversus

About this section
3 CDC
7 CNVD
9 Cosmic
10 dbSNP
11 DGIdb
17 EFO
18 ExPASy
19 FMA
20 GARD
28 GO
29 GTR
30 HMDB
31 HPO
32 ICD10
33 ICD10 via Orphanet
34 ICD9CM
35 IUPHAR
36 KEGG
37 LifeMap
39 LOVD
41 MedGen
44 MeSH
45 MESH via Orphanet
46 MGI
49 NCI
50 NCIt
51 NDF-RT
53 NINDS
54 Novoseek
56 OMIM via Orphanet
57 OMIM® (Updated 05-Mar-2021)
61 PubMed
63 QIAGEN
68 SNOMED-CT via HPO
69 TGDB
70 Tocris
71 UMLS
72 UMLS via Orphanet
The MalaCards human disease database index: 1-9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Content
Loading form....