Abstract:The myocardium of the heart is composed of multiple highly specialized myocardial lineages, including those of the ventricular and atrial myocardium, and the specialized conduction system. Specification and maturation of each of these lineages during heart development is a highly ordered, ongoing process involving multiple signaling pathways and their intersection with transcriptional regulatory networks. Here, we attempt to summarize and compare much of what we know about specification and maturation of myocardial lineages from studies in several different vertebrate model systems. To date, most research has focused on early specification, and although there is still more to learn about early specification, less is known about factors that promote subsequent maturation of myocardial lineages required to build the functioning adult heart. (Circ Res. 2010;107:1428-1444.) Key Words: myocardial lineages Ⅲ specification Ⅲ differentiation Ⅲ transcriptional regulation Ⅲ signaling Ⅲ heart development T he cardiomyocyte is the fundamental work unit of the heart. Although cardiomyocyte cell fate is a developmental end point, a diversity of cardiomyocyte subtypes exist within the heart. These include the outflow tract, right ventricle, left ventricle, atria, caudal great veins, and specialized conduction system tissue, including the sinoatrial node, atrioventricular (AV) node, and His-Purkinje tracts. The recent interest in production of cardiomyocytes for repair of the diseased heart has heightened the importance of a detailed understanding of cardiac lineage specification and differentiation.To provide context for understanding the locations, contributions, and patterning of progenitor cells, this review begins with a brief overview of the "basics" of heart development in mouse, chick, frog, and fish and then discusses aspects of myocardial development under the 2 broad headings of "specification," dealing with patterning and growth of undifferentiated myocyte progenitors, and "differentiation," dealing with subspecialization and growth of distinct myocyte lineages following differentiation. Buckingham and Vincent have recently published an excellent review of similar information, and we refer the reader to the figure in that review for signaling and transcriptional network diagrams. 1 A glossary of terms used in this review has been supplied as an Online Data Supplement, available at http://circres.ahajournals.org.
Basic Mouse and Chick Heart DevelopmentBefore gastrulation, both chick and mouse embryos are composed of 2 cell layers, epiblast and hypoblast (chick) or primitive endoderm (mouse). The epiblast contributes all embryonic and some extraembryonic tissues. Regional expression of genes and cell fate mapping suggest that embry-