A comprehensive analysis of the structure of neuronal nitric oxide synthase
(nNOS; EC 1.14.13.39) mRNA species revealed NOS1 to be the most structural
ly diverse human gene described to date in terms of promoter usage. Nine un
ique exon 1 variants are variously used for transcript initiation in divers
e tissues, and each is expressed from a unique 5'-flanking region. The depe
ndence on unique genomic regions to control transcription initiation in a c
ell-specific fashion burdens the transcripts with complex 5'-mRNA leader se
quences. Elaborate splicing patterns that involve alternatively spliced lea
der exons and exon skipping have been superimposed on this diversity. Highl
y structured nNOS mRNA 5'-untranslated regions, which have profound effects
on translation both in vitro and in cells, contain cis RNA elements that m
odulate translational efficiency in response to changes in cellular phenoty
pe.