Fins are not limbs. However, findings from comparative developmental and genetic analyses show that many of the processes essential in establishing a limb are similar for fin formation. Nevertheless, due to their structural differences, fins are not often used as models to understand the causes or potential treatment of limb disorders.

Split hand/foot malformation (SHFM) presents with loss or mis-patterning of elements of hands or feet leading to a ‘clefting-like’ phenotype, often with joining of the digits. This rare disorder is genetically and phenotypically heterogeneous, and knowledge of its etiology remains largely incomplete. Recent work by Truong et al. provides new insight into SHFM by identifying new genetic variants within three different families, predicted to cause changes in function of the PRDM1/Blimp1 gene. PRDM1 is a transcription factor known to be essential for early appendage development in both zebrafish and mice. However, PRDM1 action is nuanced, in part due to its multifaceted roles in integrating signaling, transcription and chromatin state. This complicates the functional characterization of variants in this gene that have unknown significance in SHFM patients. Truong et al. demonstrate the utility of the zebrafish fin as an assay to directly address the function of domain-specific mutations in prdm1a by using the ability of the mutant alleles to rescue fin phenotypes caused by loss of Prdm1a function or, in the case of putative dominant variants, to suppress wildtype zebrafish fin development.

A fin may not, or more likely will not, have the complete genetic networks underlying limb development and patterning. However, core mechanisms remain active and, at times, latent in fin development, allowing experimental dissection of mechanisms and gene function. Truong et al. harnessed the experimental malleability of zebrafish to isolate pectoral fin cells in early development and detail Prdm1a-dependent regulation of genes. These data establish aspects of the downstream regulatory network of fin development regulated by Prdm1a, providing insight into the broader array of changes involved in the etiology of this disorder.

Core mechanisms and common evolutionary foundations allow for the establishment of defined genetic models of limb disorders in zebrafish and, importantly, accessible experimental models to formulate and test hypotheses on how these disease states are attained. Conversely, identification of disease-associating alleles provides insight into molecular action of genes in development and reveals details of the specificity of their regulation. Fin-in-hand, leading towards new discoveries for congenital limb malformations.

The image shows a comparison of limb development between fish and humans in perspective of the transcriptional regulation of an identified regulator affecting SHFM. CUT&RUN tracks showing H3K27Ac enrichment (open chromatin) and Prdm1a binding are featured in the background, with a diagram of limb (left) and fin (right) development in the foreground. For permission to reuse, please contact the author (harris@genetics.med.harvard.edu).

DMM Research or Resource articles of particular interest or excellence may be accompanied by a short Editor's choice highlight, selected by a DMM editor and written by either members of the DMM in-house editorial team or an expert in the field. The Editor's choice aims to outline the challenges that the work addresses and how the work advances our insight into disease mechanism, therapy or diagnosis.

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution and reproduction in any medium provided that the original work is properly attributed.