“…Beginning with the observations that peripheral and central conduction tissue derives from cardiomyocyte progenitors in the chick, 3,4 investigators have now identified key roles for many important molecular signals and transcription factors in conduction system development. Signaling molecules implicated in the formation of the conduction system include endothelin, [5][6][7][8][9] neuregulin, 10 -13 Wnts, 14 and bone morphogenetic proteins, 15 and complex transcriptional roles have been identified for NKx2.5, 16 -20 members the T-box transcription factor family, 18,21,22 shox2, 23 msx2, 24,25 and hop. 26 -28 In this issue of Circulation, Rentschler et al 29 take a significant step toward understanding the determinants of conduction cell fate.…”