AMLI is involved in the (8;21) translocation, associated with acute myelogenous leukemia (AML)-type M2, which results in the production of the AMLl-ETO fusion protein: the amino-terminal 177 amino acids ofAML1 and the carboxyl-terminal 575 amino acids of ETO. The mechanism by which AMLl-ETO accomplishes leukemic transformation is unknown; however, AMLl-ETO interferes with AMLi transactivation of such AMLi targets as the T-cell receptor f8 enhancer and the granulocyte-macrophage colony-stimulating factor promoter. Herein, we explored the effect of AMLl-ETO on regulation of a myeloid-specific AMLi target, the macrophage colony-stimulating factor (M-CSF) receptor promoter. We found that AMLl-ETO and AMLi work synergistically to transactivate the M-CSF receptor promoter, thus exhibiting a different activity than previously described. (10,12). This runt homology domain (rhd) confers the ability of AML1 to bind to its consensus sequence, TGT/CGGT, and the ability of AML1 to interact with its cofactor CBFI3, which enhances the DNA binding ability (8, 9, 13). Several target genes for AML1 have been identified and include the macrophage colony-stimulating factor (M-CSF) receptor (CSF1R); T-cell receptor (TCR) a, ,B, 6, and y; neutrophil elastase; myeloperoxidase; granulocyte-macrophage colony-stimulating factor (GM-CSF) and interleukin 3 (IL-3) (9, 14-21). AML1 family members have been found to transactivate the regulatory sequences of each of these genes. AMLl-ETO contains the first 177 amino acids of AML1 including the rhd and can, therefore, bind to the AML1 consensus sequence and also heterodimerize with CBF,B (13).ETO has not been extensively studied although it is known to contain regions conserved in transcription factors, such as three proline/serine/threonine-rich regions, a leucine-rich region, and two zinc finger domains as well as regions of homology to RP8, a rat apoptosis gene, Drosophila nervy, a protein important in the development of nervous tissue, and TAF110, a subunit of TFIID (22-24). Wild-type ETO is expressed at high levels only in the brain and at low levels in lung, testis, and ovaries (4, 23). Expression of ETO in hematopoietic tissues is controversial (4,25). The function of wild-type ETO is unknown. Because AMLl-ETO is expressed concurrently with AMLI in patients with AML t(8;21) and because AMLl-ETO can also bind to the same DNA sequence as AML1, its effect on AML1 transactivation of target genes is of interest. AMLl-ETO has been shown to interfere with AML1 transactivation of the TCR3 enhancer and the GM-CSF promoter (11,26). In this study we investigated the effect of AMLl-ETO expression on AML1 transactivation of the M-CSF receptor promoter, which we previously identified as a target for AML1 (27). We report herein a synergistic transactivation by AML1 and AMLl-ETO of the M-CSF receptor promoter.The M-CSF receptor is a 150-kDa integral membrane glycoprotein with tyrosine kinase activity that is responsible for transducing the signal received from M-CSF binding that promotes the de...