␣-Spectrin is a membrane protein critical for the flexibility and stability of the erythrocyte. We are attempting to identify and characterize the molecular mechanisms controlling the erythroid-specific expression of the ␣-spectrin gene. Previously, we demonstrated that the core promoter of the human ␣-spectrin gene directed low levels of erythroid-specific expression only in the early stages of erythroid differentiation. We have now identified a region 3 of the core promoter that contains a DNase I hypersensitive site and directs high level, erythroid-specific expression in reporter gene/ transfection assays. In vitro DNase I footprinting and electrophoretic mobility shift assays identified two functional GATA-1 sites in this region. Both GATA-1 sites were required for full activity, suggesting that elements binding to each site interact in a combinatorial manner. This region did not demonstrate enhancer activity in any orientation or position relative to either the ␣-spectrin core promoter or the thymidine kinase promoter in reporter gene assays. In vivo studies using chromatin immunoprecipitation assays demonstrated hyperacetylation of this region and occupancy by GATA-1 and CBP (cAMP-response element-binding protein (CREB)-binding protein). These results demonstrate that a region 3 of the ␣-spectrin core promoter contains a GATA-1-dependent positive regulatory element that is required in its proper genomic orientation. This is an excellent candidate region for mutations associated with decreased ␣-spectrin gene expression in patients with hereditary spherocytosis and hereditary pyropoikilocytosis.Spectrin, the most abundant protein of the erythrocyte membrane skeleton, exists in the erythrocyte as a heterodimer of two homologous proteins, ␣-spectrin and -spectrin (1, 2). ␣-and -spectrin are composed primarily of 106-amino acid repeats that fold into three antiparallel ␣-helices connected by short non-helical segments (3-7). ␣-Spectrin heterodimers self-associate to form tetramers and higher order oligomers, forming a lattice-like structure that provides stability and deformability to the erythrocyte membrane (8 -12). In the erythrocyte, spectrin functions include maintenance of cellular shape, regulation of the lateral mobility of integral membrane proteins, and provision of structural support for the lipid bilayer (2, 13).Quantitative and qualitative disorders of spectrin have been associated with abnormalities of erythrocyte shape including hereditary spherocytosis, hereditary elliptocytosis, and hereditary pyropoikilocytosis (12, 14 -19). Structural abnormalities of ␣ spectrin in the region of the ␣ self-association site are the most common defects associated with hereditary elliptocytosis and hereditary pyropoikilocytosis. However, in many patients with ␣-spectrin-linked hereditary spherocytosis and hereditary pyropoikilocytosis, the precise genetic defect(s) is unknown. Studies suggest that these patients have a defect in ␣-spectrin mRNA accumulation, which has been termed a "thalassemialike" defect...