Previous studies have shown that multiple serum response factor (SRF)-bindi
ng CArG elements were required for smooth muscle cell (SMC)-specific regula
tion of smooth muscle (SM) alpha-actin expression. However, a critical ques
tion remains as to the mechanisms whereby a ubiquitously expressed transcri
ption factor such as SRF might contribute to SMC-specific expression. The g
oal of the present study was to investigate the hypothesis that SMC-selecti
ve expression of SM a-actin is due at least in part to (1) unique CArG flan
king sequences that distinguish the SM alpha-actin CArGs from other ubiquit
ously expressed CArG-dependent genes such as c-fos, (2) cooperative interac
tions between CArG elements, and (3) SRF-dependent binding of SMC-selective
proteins to the CArG-containing regions of the promoter. Results demonstra
ted that specific sequences nanking CArG B were important for promoter acti
vity in SMCs but not in bovine aortic endothelial cells. We also provided e
vidence indicating that the structural orientation between CArGs A and B wa
s an important determinant of promoter function. Electrophoretic mobility s
hift assays and methylation interference footprinting demonstrated that a u
nique SRF-containing complex formed that was selective for SMCs and, furthe
rmore, that this complex was probably stabilized by protein-protein interac
tions and not by specific interactions with CArG flanking sequences. Taken
together, the results of these studies provide evidence that SM alpha-actin
expression in SMCs is complex and may involve the formation of a unique mu
ltiprotein initiation complex that is coordinated by SRF complexes bound to
multiple CArG elements.