Transcription of the insulin gene is limited to pancreatic islet  cells as a result of the interaction of cellular factors with the insulin enhancer, which lies between nucleotides Ϫ340 and Ϫ91 relative to the transcription start site (reviewed in reference 40). This region also contains the cis-acting elements that are essential for glucose-stimulated expression of the insulin gene (17,18,29,37). The mechanisms that are involved in regulating insulin enhancer-mediated expression are not fully understood. Insulin enhancer-directed expression appears to be mediated by multiple cis elements, which are regulated by both positive and negative trans-acting factors (6,10,25,46). The insulin control element (ICE; 5Ј-GCCATCTGC-3Ј) is essential for directing transcription from this region (10,25,46), which is conserved within the transcription unit of all characterized mammalian insulin genes at 100 Ϯ 14 bp upstream from the transcription initiation site (41). This element alone is capable of directing -cell-specific transcription (26, 37, 46); in addition, it is essential for glucose-inducible expression (18, 37). These observations indicate that the ICE serves both a central and a general role in regulating expression of the insulin gene.Regulation of ICE-mediated activity is imparted by positiveand negative-acting transcriptional regulators (9,10,20,25,45). The ICE activator is a heteromeric complex composed of the insulin activator factor (INSAF) proteins (34), which are uniquely distributed to ␣ and  cells, and the generally expressed E2A-encoded basic helix-loop-helix (B-HLH) proteins, E12, E47, and/or E2-5 (9, 16, 32, 35, 38). The E2A proteins (E12, E47, and E2-5) are all very similar (21,22,42).The E12 and E47 proteins differ in their carboxy-terminal B-HLH sequences, whereas the differences between the E2-5 and E47 proteins are within their amino-terminal sequences.