The p5 promoter region of the adeno-associated virus type 2 (AAV-2) rep gene has been described as essential for Rep-mediated site-specific integration (RMSSI) of plasmid sequences in human chromosome 19. We report here that insertion of a full-length or minimal p5 element between the viral inverted terminal repeats does not significantly increase RMSSI of a recombinant AAV (rAAV) vector after infection of growth-arrested or proliferating human cells. This result suggests that the p5 element may not improve RMSSI of rAAV vectors in vivo.Adeno-associated virus type 2 (AAV-2) was originally found to be able to integrate into the AAVS1 locus of human chromosome 19 in a site-specific manner (6a), and since then, several studies have been conducted that confer this capacity to recombinant AAV (rAAV) vectors. It was recently reported that a 138-bp p5 region (nucleotides 151 to 289) of the AAV-2 genome is an essential cis-acting element required for Repmediated site-specific integration (RMSSI) of plasmids, both in the presence and in the absence of the viral inverted terminal repeats (ITRs) (10, 11). This viral region, which includes the promoter of the rep68/78 gene, was previously characterized as a cis-acting replication element (8, 9, 13), and recent analyses defined a 55-bp p5 region (p5D10) as a minimal replication element. This region contains the TATA box, the Rep binding site, the terminal resolution site, the Yin Yang 1 (YY1) binding site located at position ϩ1, YY1 and a downstream 17-bp sequence that could potentially form a hairpin structure (HP) with to the terminal resolution site at the top of the loop (3). These studies also indicated that the TATA box flanking the Rep binding site was absolutely required for in vivo replication of the p5 element, likely through TATA binding protein-mediated enhancement of Rep-dependent binding and nicking. Similarly, Murphy et al. recently confirmed that mutating the TATA box severely compromised replication of the p5 region and also found that RMSSI of p5-containing plasmids was sensitive to the same mutations as those affecting replication of this element (7). However, these studies, like the previous ones, were performed by analyzing stable cell clones derived from actively dividing cells, such as HeLa or 293 cells, transfected with p5-containing plasmids. Therefore, the fundamental question that remained to be answered concerned the effect of the p5 element on RMSSI in the context of the ITRs and during viral infection of human cells.Validation of the minimal 55-bp p5 element using a rAAV plasmid-based assay. A first study was conducted to determine if the minimal 55-bp p5 element, identified as an efficient replication origin (3), was also able to increase RMSSI of rAAV plasmid as previously documented for the entire p5 region. To answer this question, we used the procedure that was previously employed by other investigators (7, 10, 11), consisting of the analysis of stable cell clones isolated from HeLa cells transfected with the rAAV plasmid containing differe...