ABSTRACT:Arylamine N-acetyltransferase 1 (NAT1) plays an important role in the biotransformation of xenobiotics, and genetic variants have been implicated in susceptibility to cancer and birth defects. A specific and quantitative reverse transcription-polymerase chain reaction assay for transcription from the major NAT1 promoter detected high expression with limited variability in human tissues. A 213-base pair (bp) minimal promoter was identified by transfection of luciferase reporter constructs into MCF-7 and HepG2 cell lines. Alignment of the 213-bp region with paralogous and orthologous promoters revealed two conserved region segments, one of which overlaps a 16-bp perfect palindrome. Transfection of luciferase constructs with artificial mutations in the minimal promoter defined two sites important for promoter function. One of these sites included a close match to the Sp1 transcription factor binding consensus sequence. Electrophoretic mobility shift assays (EMSAs), followed by competitive and supershift analyses, confirmed the Sp1 binding. Mutation of the highly conserved portion of the 16-bp palindrome reduced promoter activity more than 3-fold, and an EMSA shift was detected with an oligonucleotide, 200L29, which spans this segment. The 200L29 EMSA shift could not be competed by consensus Sp1 or AP-2 oligonucleotides, and may represent binding of a transcription factor that is common to N-acetyltransferase genes in humans and other species.The human N-acetyltransferase 1 (NAT1) and 2 (NAT2) genes encode N-acetyltransferase enzymes important in the biotransformation of xenobiotics, including pharmaceuticals and environmental carcinogens. Polymorphisms within and near the single open reading frame exon of NAT1 define more than 25 distinct haplotypes (Hein et al., 2000). Associations of NAT1 polymorphisms with susceptibility to various cancers (Hein et al., 2000;Boukouvala and Fakis, 2005) and birth defects (Carmichael et al., 2006;Jensen et al., 2006) have been described; however, the effects of the common NAT1 polymorphisms on enzyme activity have not been well established and their reported associations with cancer or birth defects are inconsistent. The apparent conflicts in epidemiological studies may be due, in part, to incomplete understanding of the effects of uncharacterized genetic and environmental influences on NAT1 transcription regulation.Numerous studies have documented interindividual differences in NAT1 protein or enzyme activity in diverse human tissues including erythrocytes (Bruhn et al., 1999), intestine (Hickman et al., 1998), colon (Ilett et al., 1994), skin (Kawakubo et al., 2000), breast (Williams et al., 2001), placenta , and prostate (AlBuheissi et al., 2006) with no known genetic basis. Although the NAT1 alleles NAT1*14B, *15, *17,*19, and *22 are known to encode proteins with low enzyme activity (Fretland et al., 2001), these forms are rare in humans and variable activity has also been reported for individuals homozygous or heterozygous for the most frequent NAT1*4 and *10 allel...