Mammalian Runt-domain-containing factors are structurally and functionally similar and have essential roles in hematopoiesis and osteogenesis. These factors can act as either positive or negative transcriptional regulators of tissue-specific genes whose promoters or enhancers contain the consensus Runt-domain binding element, TGT/CGGT. This sequence is necessary but not sufficient to regulate the transcription of a wide variety of genes. Runt-domain factors are promoter organizers that cooperate with neighboring factors and recruit transcriptional co-activators or co-repressors to regulate expression of tissue-specific genes. AML1 is required for hematopoiesis and is a frequent target of chromosomal translocations in acute leukemias. Fusion proteins generated by these translocations are dominant repressors of genes regulated by the Runt-domain factors. AML3 may also be involved in leukemogenesis. In addition, AML3 has an essential role in bone development, as it is required for osteoblast differentiation and is mutated in patients with cleidocranial dysplasia. J. Cell. Biochem. Suppls. 32/33:51-58, 1999. Key words: AML1; AML2; AML3; CBFA; PEPB2␣; ETO; leukemia; bone; osteoblasts; cleidocranial dysplasia; Runx Mammalian cells contain three genes that encode for proteins that share structural and functional similarity with the Drosophila protein, Runt. Each gene was cloned in multiple laboratories and thus has several names (Table I). We use the acute myeloid leukemia (AML) nomenclature in this review. The mammalian Runt-domain factors have required roles as transcriptional regulators of hematopoiesis and osteogenesis. Because of alternative exon usage, multiple isoforms of each mammalian gene product exist. Nevertheless, the mammalian factors are more than 50% identical at the amino acid level and greater than 93% identical within a 100-120 amino acid domain. This region is called the runt homology domain (RHD) because it is almost 70% identical to a region in Runt (Fig. 1). The RHD of human AML-1 mediates binding to the DNA sequence, TGT/CGGT, hereafter called the Runt domain binding element. This site was identified as the binding sequence for the Moloney murine leukemia virus core binding factor (CBF) and for polyoma enhancer binding protein 2 (PEBP2), which stimulates viral replication [reviewed by Lutterbach and Hiebert, 1999]. The RHD not only binds DNA but also mediates association with CBF, a protein that does not bind DNA itself but increases the affinity of the Runt-domain factors for DNA [reviewed by Lutterbach and Hiebert, 1999]. CBF is the human homologue of the Drosophila proteins, Brother and Big Brother. Together with AML-1, CBF forms a transcription factor complex that is one of the most common targets of chromosomal translocations in acute leukemia (Fig. 2).As a result of space constraints, we are unable to reference all original studies with these factors in this review. With apologies to the omitted authors, the reader is referred to other recent reviews for detailed descriptions of...