FIGURE 1 | The C4/CYP21/TNX gene locus. Top: Diagram of the short arm of chromosome 6; the telomere is to the left and the centromere is to the right. The MHC Class I and Class II regions are indicated with their principal human leukocyte antigen (HLA) genes; the~1 megabase region between these is the "Class III region", which includes the gene for tumor necrosis factor (TNF). Middle: Scale bar in kilobases (kb) and enlarged view of a portion of the Class III region (chrom 6p21.33); the arrows indicate transcriptional orientations. C2, complement factor C2; Bf, properedin factor Bf; RD is now known as NEFLE, negative elongation factor subunit E; CREB-RP, CREB-related protein. Bottom: The duplicated 30 kb C4/CYP21/TNX units and adjacent regions: STK19, serine/threonine kinase 19; C4A and C4B, genes for complement component 4; 21A, CYP21A1P pseudogene; 21B CYP21A2 gene; XA, YA, and YB, adrenal transcripts that lack open reading frames; XB, the TNXB gene; XB-S the short, adrenal-specific form of TNX, arises from the leftward transcription arrow within the XB gene, analogously to XA; ZA and ZB, adrenal-specific transcripts with open reading frames arising from promoters within the C4 genes; the ZA and ZB promoters are enhancer elements of the CYP21A1P and CYP21A2 promoters. Most TNX transcription arises from the untranslated exon at the 5'end of TNXB, but some also arises from two sites within CREB-RP. The vertical dotted lines designate the boundaries of the gene duplication event.