The endothelial cell type-specific tyrosine kinase KDR/flk-1 is a receptor for vascular endothelial growth factor and a critical regulator of endothelial cell growth and development. To study mechanisms of endothelial cell differentiation and gene regulation, we have analyzed the topology of the proximal promoter of human KDR/flk-1. A protected sequence between base pairs ؊110 and ؊25 was defined by in vitro DNase I footprinting analysis in human umbilical vein endothelial cells (HUVECs). Purified Sp1 alone produced similar protection, and electrophoretic mobility shift assays demonstrated that Sp1 was indeed the major nuclear protein binding to this region. Despite the cell type specificity of KDR/flk-1 expression, no cell type differences were observed in DNA-protein interactions in vitro. In contrast, in vivo footprinting assays demonstrated marked differences in core promoter interactions between cell types. Protection of Sp1 binding sites was observed in HUVECs by in vivo DNase I footprinting, whereas in human fibroblasts and HeLa cells a pattern consistent with nucleosomal positioning was observed. In vivo dimethylsulfate footprinting confirmed that DNA-protein interactions occurred within Sp1 elements in HUVECs but not in nonendothelial cells. It is possible that distant elements coordinate Sp1 binding and chromatin structure to regulate cell type-specific expression of KDR/flk-1.KDR/flk-1 is a membrane-bound receptor of the tyrosine kinase family with expression restricted predominantly to endothelial cells (1). KDR/flk-1 and a similar tyrosine kinase, flt-1, are receptors for the specific endothelial cell mitogen and angiogenic peptide vascular endothelial growth factor (VEGF) 1 (1-3). Both receptors are expressed early in murine development, with KDR/flk-1 appearing a full day earlier (day 7.0 -7.5 of the developing mouse embryo) than flt-1 (4, 5). Of the two, KDR/flk-1 has a wider pattern of expression among endothelial cell populations than does flt-1 (6). In addition, only KDR/flk-1 has been shown to autophosphorylate in the presence of VEGF (1), and signal transduction mechanisms downstream of the two receptors differ (7). These differences in expression and signaling suggest that the two receptors mediate different physiologic functions of VEGF in endothelial cell growth and angiogenesis.Recent studies in which the genes for the two VEGF receptors were deleted in mice by homologous recombination have provided critical data about KDR/flk-1 function (8, 9). In mice with homozygous deletions of flt-1, endothelial cells develop normally, but vessel formation is impaired, and lethality occurs at the midsomitic stages of development. In contrast, homozygous deletion of KDR/flk-1 also results in early embryo death (at day 8.5-9.5), but histologic examination reveals that embryonic endothelial cells are completely absent. Thus, KDR/ flk-1 appears to be upstream of flt-1 in the cascade of vascular development; moreover, the presence of KDR/flk-1 is absolutely required for the development of endothelial cel...