In the central and peripheral nervous systems, identity of neurotransmitter is a pivotal attribute for proper function of a neuron. Neurotransmitter phenotype is represented by the ability of a neuron to synthesize, release, and uptake the neurotransmitter. Therefore, the expression of a biosynthetic enzyme and/or vesicular transporter in its given neuron defines a neurotransmitter identity. A coordinated array of gene expression ultimately defines the phenotype of any neuron. Indeed, many transcription factors have been shown to play a key role in deciding the fate of a progenitor cell and in linking the cell to a variety of extracellular stimuli during development. Transcription factors of the homeodomain and basic-helix-loop-helix classes of proteins are frequently involved in the determination of cell type specificity (1, 2).Noradrenergic neurons are characterized by the coexpression of the catecholamine biosynthetic enzymes, tyrosine hydroxylase (TH) 1 and DBH. TH, the rate-limiting enzyme of catecholamine biosynthesis, catalyzes the production of dihydroxyphenylalanine, which is in turn converted to dopamine by amino acid decarboxylase. DBH is the terminal enzyme that produces noradrenaline from dopamine; thus, the expression of DBH is essential for determination of noradrenergic cells. For specification of noradrenergic neurons, the paired-like homeodomain transcription factors, Arix/Phox2a and NBPhox/ Phox2b, appear to act in concert to regulate noradrenergic traits in both the central and peripheral nervous systems (3). Arix and NBPhox are closely related homeodomain proteins that share significant amino acid sequence homology, including 100% identity in the homeodomain and 50% identity in the N terminus to the homeodomain. Coordinate action of Arix and NBPhox is essential for the proper development of central and peripheral noradrenergic cells. Targeted deletion analyses of Phox2a (4 -6) and Phox2b (7) demonstrate the necessity of these genes to direct noradrenergic neuronal differentiation. Despite this implication, forced expression of Phox2a is only able to induce the expression of TH but not DBH in mammalian neural crest stem cell cultures. Importantly, the expression of both TH and DBH is evoked by Phox2a only together with bone morphogenetic protein 2 (BMP2) and forskolin, which increases intracellular cAMP levels (8). In contrast, in chicken and zebrafish, forced expression of Phox2a is sufficient to promote the generation of ectopic noradrenergic neurons that express TH, DBH, and pan-neuronal genes (4, 9, 10). These experimental findings in vivo and in ovo suggest that Phox2a requires an additional factor and/or an environmental stimulus that is present in the embryo in order to potentiate activation of target genes.Phox2a expression is maintained in adult noradrenergic cells, where it likely functions to sustain the expression of the genes necessary for noradrenaline biosynthesis. The transcription of TH and DBH is regulated postnatally by environmental stimuli, such as stress, which trigger i...