Thyroid transcription factor-1 (TTF-1, also known as NKX2.1 and T/EBP), a transcription factor belonging to the NKX-2 family of homeodomain-containing genes, plays an essential role in the organogenesis of the thyroid gland, lung, and ventral forebrain. Nestin is an intermediate filament protein strongly expressed in multipotential neuroepithelial stem cells and rapidly down-regulated during postnatal life. Here we show that stable fibroblastic clones expressing TTF-1 acquire a phenotype reminiscent of neuroepithelial cells in culture and up-regulate the endogenous nestin gene. TTF-1 transactivates in HeLa and NIH3T3 cells a reporter gene driven by a central nervous system-specific enhancer element from the second intron of the rat nestin gene, where it recognizes a DNA-binding site (NestBS) whose sequence resembles a nuclear hormone/cAMP-responsive element very different from canonical TTF-1 binding sites. Nuclear extracts from the head of mouse embryos form a retarded complex with NestBS of the same mobility of the extracts obtained from TTF1-expressing clones, which is either abolished or supershifted in the presence of two different antibodies recognizing the TTF-1 protein. Thus, the neuroepithelial marker nestin is a direct central nervous system-specific target gene of TTF-1, leading to the hypothesis that it might be the effector through which TTF-1 plays its role in the organogenesis of the forebrain.Thyroid transcription factor-1 (TTF-1), 1 also known as NKX2.1 and T/EBP, is a member of the NKX family of homeodomain-containing genes related to NK Drosophila genes (1). TTF-1 plays a fundamental role in the tissue-specific expression of several thyroid-specific (i.e. thyroglobulin, thyroperoxidase, thyrotropin receptor, and sodium iodide symporter) and lung-specific (i.e. surfactant proteins and the Clara cell secretory protein) genes (2-7). TTF-1 has been reported to be expressed also in the adult rat parathyroid cells and several other adult tissues (including skin, esophagus, retina, anterior pituitary, cerebellum, and hippocampus) (8,9). Recently, it has been shown that postnatal hypothalamic TTF-1 expression is strongly and transiently up-regulated immediately before puberty in female rats and is associated with the neuroendocrine process of female sexual development (10).TTF-1 is expressed at the onset of thyroid and lung organogenesis, and in restricted areas of the developing forebrain, namely within the diencephalon (i.e. in the hypothalamus and neurohypophysis) and the telencephalon (i.e. in the medial ganglionic eminence) (11). The crucial role exerted by TTF-1 in thyroid, lung, and ventral forebrain organogenesis has been directly demonstrated by the analysis of the phenotype of TTF-1 Ϫ/Ϫ mice. In fact, homozygous mutant mice were born dead and lacked completely the thyroid gland, lung parenchyma, and the entire pituitary, and extensive defects were found in the ventral region of the forebrain (12). In addition, it has been reported that, in TTF-1 knockout mice, a ventral-to-dorsal transformat...