To obtain gene regulatory sequence for the mucin gene MUC5AC, we have isolated the MUC5AC amino terminus cDNA and 5-flanking region. This was possible through the use of rapid amplification of cDNA endspolymerase chain reaction (RACE-PCR) in which the 5 sequence of the human gastric mucin cDNA HGM-1 (1) was used to design the first MUC5AC-specific primer. Primers for subsequent rounds of RACE were designed from the 5-ends of amplified RACE products. After five rounds of RACE-PCR, we could no longer generate upstream extensions of the cDNA and hypothesized that we had reached the 5-end. Primer extension and RNase protection analysis confirmed this. Combined nucleotide sequence for the RACE-PCR products was 3.3 kb with an open reading frame encoding 1100 amino acids. A putative translation start site was found at nucleotide ؉48. This was followed by a 45 nucleotide putative signal sequence. This amino-terminal sequence contains no tandem repeats but is >60% similar to the amino-terminal nucleotide sequence of MUC2. The positions of cysteine residues in this MUC2-similar region are almost 100% conserved between the two genes. Northern analysis showed expression of cognate RNA in the stomach and airway but not muscle and esophagus. This pattern was the same as that obtained using previously reported 3-MUC5AC sequences. We have cloned approximately 4 kb of genomic DNA upstream of the transcription start site and have sequenced 1366 nucleotides containing a TATA box, a CACCC box, and putative binding sites for NFB and Sp 1. Within 4 kb of the transcription start site are elements mediating transcriptional up-regulation in response to bacterial exoproducts.Mucin is a glycoprotein secreted from epithelial cells at many body surfaces. In the airways, mucin interacts with cilia to trap and clear pathogens and irritants. This mucociliary mechanism is impaired when mucin is produced excessively as in cystic fibrosis, chronic bronchitis, and asthma. Mucociliary impairment leads to airway mucus plugging, which promotes chronic infection, airflow obstruction, and sometimes death.Nine mucin genes are known to be expressed in man: MUC5AC, MUC5B,. The mRNAs encoding two of them, MUC2 and MUC5AC, have been shown to be up-regulated in cystic fibrosis airways (13,14) 1 and likely contribute to the airway mucus plugging characteristic of this disease. Insofar as DNA-RNA transcription is controlled by mechanisms amenable to pharmaceutical intervention, an understanding of mucin transcription may suggest ways of inhibiting mucin overproduction.Both MUC2 and MUC5AC map to chromosome 11p15.5 and may have arisen from a common ancestral gene. The structure of MUC2 is known. Its central region, comprising Ͼ50% of the polypeptide, contains two tandem repeat sequences rich in threonine, serine, and proline (4, 17); this is flanked up-and downstream by cysteine-rich regions (17, 18). The threonine and serine residues represent O-glycosylation sites, whereas the cysteine residues are thought to mediate intermolecular interactions underlying mu...