Below is an instruction from Human. Write a response.
    ### Instruction:
    What are the genetic changes related to heterotaxy syndrome ?
    ### Response:
    Heterotaxy syndrome can be caused by mutations in many different genes. The proteins produced from most of these genes play roles in determining which structures should be on the right side of the body and which should be on the left, a process known as establishing left-right asymmetry.
    