We have previously demonstrated that transforming growth factor-b (TGF-b) and pro-inÂŻammatory cytokines, such as tumor necrosis factor-a (TNF-a) or interleukin-1b, synergistically enhance the expression of type VII collagen gene (COL7A1) in human dermal Âźbroblasts in culture (Mauviel et al., 1994). Recently, we identiÂźed a SMAD-containing complex, rapidly induced by TGF-b and binding the region [7496/7444] of the COL7A1 promoter, responsible for COL7A1 gene transactivation (Vindevoghel et al., 1998a). In this report, we demonstrate that TGF-b and TNF-a response elements are distinct entities within the COL7A1 promoter. In particular, we demonstrate that the TNFa e ect is mediated by NF-kB1/RelA (p50/p65) and RelA/RelA (p65/p65) NF-kB complexes binding the TNF-a response element (TaRE) located in the region [7252/7230], with RelA acting as the transcriptional activator. Finally, we provide deÂźnitive evidence for the role of both TGF-b and TNF-a response elements as enhancer sequences, functioning in the context of a heterologous promoter in an additive manner in response to TGF-b and TNF-a. This study provides the Âźrst identiÂźcation of a functional interaction between the two immediate-early transcription factors, SMAD and NFkB, to activate the expression of an extracellular matrixrelated gene, COL7A1.