Oxygen sensing and the adaptation to varying oxygen concentrations are fundamental for the survival of species from bacteria to humans. Oxygen regulation can occur at both the intake stage and the usage stage. In higher organisms, which depend largely on aerobic energy metabolism, usage takes place largely at the last step of the mitochondrial respiratory chain, the transfer of electrons from cytochrome c to oxygen, catalyzed by cytochrome c oxidase (CcO; EC 1.9.3.1).In vertebrates, oxygen supply is also regulated via a unique mechanism in the lungs for hypoxic response. Other tissues (and, indeed, the bronchial circulatory system of the lung) react to a hypoxic trigger by vasodilation, thereby increasing blood flow to under-oxygenated regions. In the pulmonary circulation of the lungs, however, the converse effect, hypoxic vasoconstriction, is critical for shunting blood to more highly ventilated regions to help optimize the ventilation of deoxygenated blood. Subunit 4 of cytochrome c oxidase (CcO) is a nuclear-encoded regulatory subunit of the terminal complex of the mitochondrial electron transport chain. We have recently discovered an isoform of CcO 4 (CcO4-2) which is specific to lung and trachea, and is induced after birth. The role of CcO as the major cellular oxygen consumer, and the lung-specific expression of CcO4-2, led us to investigate CcO4-2 gene regulation. We cloned the CcO4-2 promoter regions of cow, rat and mouse and compared them with the human promoter. Promoter activity is localized within a 118-bp proximal region of the human promoter and is stimulated by hypoxia, reaching a maximum (threefold) under 4% oxygen compared with normoxia. CcO4-2 oxygen responsiveness was assigned by mutagenesis to a novel promoter element (5¢-GGACGTTCCCACG-3¢) that lies within a 24-bp region that is 79% conserved in all four species. This element is able to bind protein, and competition experiments revealed that, within the element, the four core bases 5¢-TCNCA-3¢ are obligatory for transcription factor binding. CcO isolated from lung showed a 2.5-fold increased maximal turnover compared with liver CcO. We propose that CcO4-2 expression in highly oxygenated lung and trachea protects these tissues from oxidative damage by accelerating the last step in the electron transport chain, leading to a decrease in available electrons for free radical formation.Abbreviations CcO, cytochrome c oxidase; CcO4-2, CcO subunit 4-2 gene; Egr1, early growth response factor 1; EMSA, electrophoretic mobility shift assay; HIF-1a, hypoxia-inducible factor 1a; ORE, oxygen responsive element; OREF, ORE binding factor; RACE, rapid amplification of cDNA ends; ROS, reactive oxygen species.