The growth hormone (GH)-insulin-like growth factor-I (IGF-I) axis regulates somatic growth during childhood and orchestrates tissue repair throughout the life span. Recently described inactivating mutations in Stat5b in humans with impaired growth have focused attention on this transcription factor as a key agent linking GH-stimulated signals to IGF-I gene expression, and several putative Stat5b sites have been identified in the IGF-I gene. Here, we define and characterize potential GH-and Stat5b-activated chromosomal enhancers that can regulate IGF-I gene transcription. Of 89 recognizable Stat5 sequences in 200 kb centering on the rat IGF-I gene, 22 resided within conserved regions and/or were identical among different species. Only 15 of these sites, organized into 7 distinct domains, were found to bind Stat5b by quantitative chromatin immunoprecipitation assays in liver chromatin of rats, but only after acute GH treatment. These sites could bind Stat5b in vitro, and individual domains could mediate GH-and Stat5b-stimulated IGF-I promoter activity in cultured cells. Further analyses revealed that four Stat5b domains possessed chromatin signatures of enhancers, including binding of co-activators p300 and Med1, and RNA polymerase II. These modifications preceded GH-stimulated recruitment of Stat5b, as did lysine 4 monomethylation of histone H3, which was enriched in 6/7 Stat5b-binding elements. In contrast, histone acetylation was induced by GH but was limited to Stat5b binding domains found within the IGF-I transcription unit. We conclude that GH stimulates recruitment of Stat5b to multiple dispersed regions within the igf1 locus, including several with properties consistent with long range transcriptional enhancers that collectively regulate GHactivated IGF-I gene transcription.Signal transducers and activators of transcription include a family of seven related proteins (Stats 1-4, 5a, 5b, and 6) that function as key intermediates in signaling pathways of many cytokines, growth factors, and hormones (1-4). The first Stats were characterized nearly 20 years ago as effector molecules for interferons ␣/ and ␥ (5, 6), and subsequent studies have both broadened the biological significance of this protein family as critical agents in multiple physiological and pathophysiological processes and have further defined their mechanisms of action at biochemical, molecular, and atomic levels of resolution (1-4).Although specific details differ for each Stat, these proteins are typically found in the cytoplasm of responsive cells prior to cytokine stimulation and are recruited to phosphorylated tyrosine residues found in intracellular segments of activated cytokine receptors, where they become phosphorylated on a tyrosine near the Stat COOH terminus by a receptor-associated tyrosine protein kinase, usually Jak1-3, or Tyk2 (1-3), depending on the receptor. The modified Stats then dissociate from the receptor-docking site, form dimers via reciprocal interactions of an Src homology 2 domain on one Stat molecule with the phosph...