M-CAT elements mediate both muscle-specific and non-muscle-specific tr
anscription. We used artificial promoters to dissect M-CAT elements de
rived from the cardiac troponin T promoter, whose regulation is highly
striated muscle specific. We show that muscle-specific M-CAT-dependen
t expression requires two distinct components: the core heptameric M-C
AT motif (5'-CATTCCT-3'), which constitutes the canonical binding site
for TEF-1-related proteins, and specific sequences immediately flanki
ng the core motif that bind an additional factor(s). These factors are
found in higher-order M-CAT DNA-protein complexes with TEF-1 proteins
. Non-muscle-specific promoters are produced when the sequences flanki
ng the M-CAT motif are removed or modified to match those of non-muscl
e-specific promoters such as the simian virus 40 promoter. Moreover, a
mutation of the 5'-flanking region of the cardiac troponin T M-CAT-1
element upregulated expression in nonmuscle cells. That mutation also
disrupts a potential E box that apparently does not bind myogenic basi
c helix-loop-helix proteins. We propose a model in which M-CAT motifs
are potentially active in many cell types but are modulated through pr
otein binding to specific flanking sequences. In nonmuscle cells, thes
e flanking sequences bind a factor(s) that represses M-CAT-dependent a
ctivity. In muscle cells, on the other hand, the factor(s) binding to
these flanking sequences contributes to both the cell specificity and
the overall transcriptional strength of M-CAT-dependent promoters.