The human GH (hGH) gene cluster is regulated by a remote 5 locus control region (LCR). HSI, an LCR component located 14.5 kb 5 to the hGH-N promoter, constitutes the primary determinant of highlevel hGH-N activation in pituitary somatotropes. HSI encompasses an array of three binding sites for the pituitary-specific POU homeodomain factor Pit-1. In the present report we demonstrate that all three Pit-1 sites in the HSI array contribute to LCR activity in vivo. Furthermore, these three sites as a unit are fully sufficient for position-independent and somatotrope-restricted hGH-N transgene activation. In contrast, the hGH-N transgene is not activated by Pit-1 sites native to either the hGH-N or rat (r)GH gene promoters. These findings suggest that the structures of the Pit-1 binding sites at HSI specify distinct chromatin-dependent activities essential for LCR-mediated activation of hGH in the developing pituitary.T he expression of the GH gene has been the focus of intense study over the past 20 years. A consistent feature of all GH promoters is a highly conserved pair of AT-rich binding sites for the pituitary-restricted trans factor Pit-1 (1, 2). Between these two Pit-1 elements is a conserved binding site for a ubiquitous DNA-binding protein, Zn15 (3). Additional, less conserved cis elements have been identified in the vicinity of the GH promoter in various species. Studies carried out in vitro and in celltransfection models indicate that the Pit-1 binding sites are essential to the expression of the GH gene (4-6). However, studies of human (h)GH gene expression in transgenic settings demonstrate that promoter-proximal elements including the Pit-1 sites are not sufficient to activate hGH gene expression in vivo. For example, in transgenic mice, the hGH gene with its full promoter and as much as 7.5 kb of 5Ј-flanking sequences is either not expressed or expressed at very low levels and does not maintain somatotrope cell specificity (7,8). These data suggest that regulatory sequences quite distant from the hGH gene are necessary to establish a transcriptionally active chromatin domain.The hGH gene cluster spans 48 kb on chromosome 17q22-24 (for details see Fig. 1; ref. 9). This cluster contains the pituitaryexpressed hGH-N and four genes expressed in the placenta:, and hCS-B (Fig. 1). A search for distal regulatory determinants of hGH-N gene expression revealed DNaseI hypersensitive sites (HSs) in pituitary chromatin and a partially overlapping set of HSs in placental chromatin (ref. 8; Fig. 1). HSI and HSII, located between Ϫ14.5 kb and Ϫ15 kb relative to the hGH-N promoter, are specific to pituitary chromatin. HSIV, at Ϫ30 kb, is specific to the placenta and HSIII and HSV, at Ϫ27.5 and Ϫ32 kb, respectively, are shared in both expressing tissues. The five HSs together comprise a putative hGH locus control region (LCR). Significantly, when hGH-N transgene DNA is extended to encompass the entire set of HSs, hGH gene expression is rendered pituitary-specific, copy number-dependent, and robust in every line generat...