Autonomic innervation is an essential component of cardiovascular regulation that is first established from the neural crest (NC) lineage in utero and continues developing postnatally. Although in vitro studies have indicated that SH2-containing protein tyrosine phosphatase 2 (SHP-2) is a signaling factor critical for regulating sympathetic neuron differentiation, this has yet to be shown in the complex in vivo environment of cardiac autonomic innervation. Targeting SHP-2 within postmigratory NC lineages resulted in a fully penetrant mouse model of diminished sympathetic cardiac innervation and concomitant bradycardia. Immunohistochemistry of the sympathetic nerve marker tyrosine hydroxylase revealed a progressive loss of adrenergic ganglionic neurons and reduction of cardiac sympathetic axon density in Shp2 cKOs. Molecularly, Shp2 cKOs exhibit lineage-specific suppression of activated phospo-ERK1/2 signaling but not of other downstream targets of SHP-2 such as pAKT. Genetic restoration of the phosphorylated-extracellular signalregulated kinase (pERK) deficiency via lineage-specific expression of constitutively active MEK1 was sufficient to rescue the sympathetic innervation deficit and its physiological consequences. These data indicate that SHP-2 signaling specifically through pERK in postmigratory NC lineages is essential for development and maintenance of sympathetic cardiac innervation postnatally.A lthough autonomic innervation of the heart begins in utero, functional neurocardiac coupling continues postnatally. Autonomic imbalance and irregular cardiac innervation density result in deadly consequences such as cardiac arrhythmias, heart failure, and sudden cardiac death (1-4). Although a balance between the sympathetic and parasympathetic arms of the autonomic nervous system is required to regulate heart rate, conduction velocity, and the force of each contraction, sympathetic tone predominates in determining the basal heart rate in the mouse.The sympathetic nervous system arises from the neural crest (NC) lineage. Trunk NC cells delaminate and migrate ventrally through the somites to establish the sympathetic trunk ganglia near the dorsal aorta (5, 6). Postmigration, cross-regulatory transcription factors such as Mash1, Phox2a and 2b, and Gata3 (7-13) are temporarily expressed and drive these NC cells to acquire a neuronal fate and eventually to differentiate into sympathetic neurons expressing both neuron specific β-tubulin (NSβT) and tyrosine hydroxylase (TH; the rate-limiting enzyme in catecholamine synthesis) (14-19). From there, a subset of sympathetic NC cells undergoes a second migration to the cervicothoracic and intrinsic cardiac ganglia to establish populations of sympathetic neurons which contribute to the cardiac plexus or "heart brain" (5,20,21). Recent studies exploring the extensive complexity of autonomic cardiac innervation revealed multiple levels of regulation and interaction between parasympathetic and sympathetic arms of autonomic innervation that converges in the heart brain to contr...