Cardiac morphogenesis proceeds from a sequential series of epithelial-
mesenchymal transitions which begins by establishing bipotential heart
-forming cells and later their segregation into endocardial and myocar
dial lineages. Cells within each lineage integrate to form two concent
ric epithelia which inductively interact to transform cells of the inn
er epithelium, the endocardium, into mesenchymal or 'cushion' cells. N
oncardiogenic epithelia (dorsal mesocardium, epicardium, neural ectode
rm and coelomic mesothelium) undergo transition into populations of ex
tracardiac mesenchyme that combine over time with cushion tissue to re
model the simple tubular heart into a four-chambered organ. Model syst
ems are described for studying the mechanisms of cardiac-related trans
formations including primary cultures of precardiac epithelia and a di
fferentiation-inducible, avian stem cell line called QCE-6, Focus is c
entered on the molecular mechanism by which endocardial epithelium tra
nsforms into cushion mesenchyme. Experimental findings are reviewed an
d interpreted in the context of a hypothetical model that seeks to ans
wer why only some cells within an epithelium transform and whether the
transformation process is regulated by intrinsic or extrinsic mechani
sms. The model proposes that epithelial cells competent to transform t
o mesenchyme express characteristic markers including receptors for ex
trinsic signals secreted by stimulator cells (e.g. myocardium). Candid
ate extrinsic signals include multicomponent complexes called adherons
. If applied directly to cultured endocardium, myocardial adherons but
not those secreted by L6 myoblasts, induce changes in gene expression
within target endocardial cells for proteases and cell:cell and cell:
matrix adhesion molecules that accompanied transformation to mesenchym
e. A main component of myocardial adherons has been identified as ES a
ntigens, one of which, ES/130, has been cloned, found to have a novel
sequence and in culture assays shown to be required for endocardium to
transform to mesenchyme. The spatiotemporal pattern of ES protein exp
ression within the embryo suggests that common mechanisms may exist fo
r embryonic epithelial-mesenchymal transformations.