We have isolated and analysed the 5' flanking region of the rat acetylcholine receptor (AChR) p subunit gene and determined regulatory elements that confer muscle specificity. Deletion mapping revealed a minimal TATA-box-less promoter region containing an initiator motif. An 85-bp fragment has been shown to promote high muscle-specific expression of a chloramphenicol acetyltransferase (CAT) reporter construct upon transfection in primary muscle cells. This sequence can be functionally dissected in a basal muscle-specific promoter element carrying a M-CAT box that is flanked at the 5' end by an enhancer element with two binding sites for myogenic factors. Point mutations in the M-CAT box cause the loss of transcriptional activity of the basal promoter fragment. The enhancer activity depends on the presence of both E boxes that cooperate in a synergistic fashion. We therefore conclude that the control of muscle-specific and developmental expression of the rat AChR p subunit gene requires both regulatory elements, the M-CAT box and two adjacent E boxes, located in close proximity to each other. Cotransfection experiments in NIH3T3 cells demonstrate that the rat AChR p subunit gene can be transactivated by myogenic factors displaying a preference for myogenin, as well as MRF4 and myf5 compared to a clearly weaker responsiveness to MyoDl .The muscle nicotinic acetylcholine receptor (AChR) is a pentameric membrane protein that mediates communication between nerve and muscle. In fetal and neonatal skeletal muscle the AChRs are predominantly composed of a$yd subunits but are subsequently replaced by a&d complexes in adult muscle [I - teractions at synaptic regions. Although the level and spatial distribution of the a, p and 6 subunits seem to be controlled in a similar way, they show differences in their expression pattern during development [6] and upon denervation or toxin paralysis of adult muscle fibers [9, 161. Changes in total p subunit niRNA levels, induced by muscle activity, are for example relatively small when compared to changes of the a subunit mRNA levels, suggesting that regulatory signals act in a subunit-specific fashion on AChR subunit gene transcription.Sequence comparison of known AChR gene promoters so far has been disappointing in that few similarities have been observed [17-251, and it has not been possible to define a common AChR promoter structure. In all cases, however, the minimal regulatory region of the 5' flanking sequence contains E box elements that are defined by the nucleotides CANNTG [26, 271. E 24, 251. The E box motif in the E promoter, in contrast, does not seem to be required for the transcriptional activity in primary muscle cells, thereby suggesting a different mechanism in the transciptional regulation of the E subunit gene expression [21].In an effort to determine the cis-acting elements that contribute to the muscle-specific and developmentally regulated