Polarity remodeling of ventricular cardiomyocyte precursors during heart morphogenesis is required for ventricular chamber formation

Vertebrate heart development requires precise regulation of morphogenetic movements and dysregulation causes congenital heart defects. However, cell polarity remodeling during early heart tube formation remains underexplored. Here, we show that zebrafish ventricular cardiomyocyte precursors (vCPCs) undergo striking polarity reorientation as they transition from a single-layered epithelium to a transient double-layered configuration by involution. During this process, vCPCs remove inner adherens components and re-establish polarity toward the ECM-attached outer surface, enabling proper directional extension to form the ventricle. We identify the junctional scaffold protein Afadin a (Afdna) as a critical regulator. Afdna localizes to the outer and lateral membrane to restrict Rap1 activity, facilitating Podocalyxin translocation and adhesion disassembly at the inner interface between vCPC double layers. afdna mutants exhibit a multilayered ventricle with impaired blood flow, phenocopying human congenital ventricular obliteration. Our findings uncover a polarity-based mechanism ensuring ventricular chamber formation and provide insight into ventricular obliteration.