The nicotinic acetylcholine receptor (nAChR) 4/␣3/␣5 gene cluster encodes several heteromeric transmitter receptor subtypes that are essential for cholinergic synaptic transmission in adrenal gland, autonomic ganglia, pineal gland, and several nuclei in the central nervous system. However, the transcriptional mechanisms coordinating expression of these subunit genes in different cell populations are unknown. Here, we used transgenic methods to investigate long-range transcriptional control of the cluster. A 132-kb P1-derived artificial chromosome (PAC) encoding the rat cluster recapitulated the neurally-and endocrine-restricted expression patterns of the endogenous 4/␣3/␣5 genes. Mutation of ETS factor binding sites in an enhancer, 43, embedded in the 4 3-untranslated exon resulted in greatly diminished 4, ␣3, and ␣5 expression in adrenal gland and to a lesser extent in the superior cervical ganglion (SCG) but not in other tissues. Phylogenetic sequence analyses revealed several conserved noncoding regions (CNRs) upstream of 4 and ␣5. Deletion of one of them (CNR4) located 20 kb upstream of 4 resulted in a dramatic decrease in 4 and ␣3 expression in the pineal gland and SCG. CNR4 was sufficient to direct LacZ transgene expression to SCG neurons, which express the endogenous 4␣3␣5 subunits, and pineal cells, which express the endogenous 4␣3 combination. Finally, CNR4 was able to direct transgene expression to major sites of expression of the endogenous cluster in the brain. Together, our findings support a model in which cell type-specific shared long-range regulatory elements are required for coordinate expression of clustered nAChR genes.Recent evidence from whole-genome studies has led to the conclusion that gene clustering is common in the eukaryotic genome (8, 26). Two well-studied clusters are the -globin and Hox loci, in which clustering is thought to facilitate interactions between gene-proximal elements in or near individual promoters and shared long-range regulatory elements. These interactions are necessary for correct cell type-and stage-specific switching of -globin gene expression during erythropoiesis and coordinate expression of Hox genes in order for them to fulfill their roles in limb development and in patterning the main body axis (34, 52). Many gene clusters are expressed either exclusively or predominantly in the nervous system, but the mechanisms involved are not understood (19,51,67). The prevalence of eukaryotic gene clusters suggests that the identification of the transcriptional mechanisms governing their expression will be important for understanding the differentiation of specific cell types and perhaps the molecular basis of disease (29).A phylogenetically conserved cluster of nicotinic acetylcholine receptor (nAChR) subunit genes, 4/␣3/␣5, encodes heteromeric neurotransmitter-gated cation channels that are critically important for fast cholinergic synaptic transmission (7,11,13). Several observations indicate that the clustered genes are coordinately regulated. First, a...