GM-CSF gene activation in T cells is known to involve the transcriptio
n factors nuclear factor-kappa B, AP-1, NFAT, and Sp1. Here we demonst
rate that the human GM-CSF promoter and enhancer also encompass bindin
g sites for core-binding factor (CBF). Significantly, the CBF sites ar
e in each case contained within the minimum essential core regions req
uired for inducible activation of transcription, Furthermore, these co
re regions of the enhancer and promoter each encompass closely linked
binding sites for CBF, AP-1, and NFATp. The GM-CSF promoter CBF site T
GTGGTCA is located 51 bp upstream of the transcription start site and
also overlaps a YY-1 binding site. A 2-bp mutation within the CBF site
resulted in a 2-3-fold decrease in the activities of both a 69-bp pro
ximal promoter fragment and a 627-bp full-length promoter fragment. St
epwise deletions into the proximal promoter also revealed that the CBF
site, but not the YY-1 site, was required for efficient induction of
transcriptional activation. The AML1 and CBF beta genes that encode CB
F each have the ability to influence cell growth and differentiation a
nd have been implicated as proto-oncogenes in acute myeloid leukemia.
This study adds GM-CSF to a growing list of cytokines and receptors th
at are regulated by CBF and which control the growth, differentiation,
and activation of hemopoietic cells. The GM-CSF locus may represent o
ne of several target genes that are dysregulated in acute myeloid leuk
emia.