Monoamine oxidases (MAO)A and B catalyze the oxidative deamination of many biogenic and dietary amines. Abnormal expression of MAO has been implicated in several psychiatric and neurodegenerative disorders. Human MAO B core promoter (Ű246 to Ű99 region) consists of CACCC element flanked by two clusters of overlapping Sp1 sites. Here, we show that cotransfection with transforming growth factor (TGF)-â€-inducible early gene (TIEG)2 increased MAO B gene expression at promoter, mRNA, protein, and catalytic activity levels in both SH-SY5Y and HepG2 cells. Mutation of the CACCC element increased the MAO B promoter activity, and cotransfection with TIEG2 further increased the promoter activity, suggesting that CACCC was a repressor element. This increase was reduced when the proximal Sp1 overlapping sites was mutated. Similar interactions were found with Sp3. These results showed that TIEG2 and Sp3 were repressors at the CACCC element but were activators at proximal Sp1 overlapping sites of MAO B. Gel-shift and chromatin immunoprecipitation assays showed that TIEG2 and Sp3 bound directly to CACCC element and the proximal Sp1 sites in both synthetic oligonucleotides and natural MAO B core promoter. TIEG2 had a higher affinity to Sp1 sites than CACCC element, whereas Sp3 had an equal affinity to both elements. Thus, TIEG2 was an activator, but Sp3 had no effect on MAO B gene expression. This study provides new insights into MAO B gene expression and illustrates the complexity of gene regulation.Monoamine oxidase (MAO) 1 plays an important role in the metabolism of biogenic amines, including serotonin (5-hydroxytryptamine), norepinephrine, dopamine, tyramine, and phenylethylamine (PEA). There are two isoenzymes of MAO (MAO A and MAO B) that exhibit distinct substrate and inhibitor specificity (1, 2; for review, see Ref.3). Although both forms of MAO are expressed throughout the body, they differ in celland tissue-specific expressions. Placenta and fibroblasts predominantly express MAO A (4, 5), and platelets and lymphocytes express only MAO B (6). In the brain, even though MAO A prefers 5-hydroxytryptamine and MAO B prefers PEA as substrate, MAO B but not MAO A was found in serotonergic neurons (7,8). MAO A was expressed in catecholaminergic neurons, whereas MAO B is rich in astrocytes. Moreover, MAO B but not MAO A activity increases progressively in the brain throughout adult life (7, 9).MAO A and MAO B are coded by different genes (10) and are closely linked on X chromosome, Xp11.2-11.4 (11). Both consist of 15 exons with identical exon-intron organization (12). The promoter of MAO A has bi-directional activity (13) and consists of a functional polymorphism in a 30-bp repeat sequence (14). The 5Đ-flanking sequence of MAO B gene has been characterized. The maximal promoter activity for MAO B gene was found to be in the ÏȘ246 to ÏȘ99 region. This region consists of two clusters of overlapping Sp1 sites separated by a CACCC element (15). Previously, we have shown that Sp1 and Sp3 can bind to both proximal and distal clusters...