The dual oxidase enzymes, DUOX, localized to the respiratory tract epithelium, are important components of innate host defense against bacteria and virus. However, little is known regarding the regulation of DUOX transcription. To better understand DUOX2-mediated mechanisms of antiviral host defense in the airway epithelium, we designed a bidirectional promoter luciferase reporter system to identify important cis-regulatory regions in the human DUOX2/DUOXA2 promoter. In this report, we demonstrate that the genomic region between the translation start sites of DUOX2 and DUOXA2 functions as a bidirectional promoter in human airway tissue. We also identified key regulatory regions on the DUOX2/ DUOXA2 promoter that were necessary for both bidirectional and unidirectional transcriptional activity. Importantly, we discovered two functionally important single-nucleotide polymorphisms (SNPs) within the promoter that differentially regulated DUOX2/DUOXA2 transcription in response to exogenous double-stranded DNA. One of these SNPs, rs269855 (enriched in people of African descent), conferred the highest level of DUOX2 promoter activity. The clinical sequelae for individuals who carry this polymorphism remain to be determined.Keywords: airway; bidirectional promoter; dual oxidase; single-nucleotide polymorphism; virusThe respiratory tract epithelium is the central component of airway host defense. It is elegantly equipped to protect us from invading organisms through its mucus layer, tight epithelial barrier, air-surface liquid rich in antimicrobial peptides, and Toll-like or nucleotide oligomerization domain-like receptors that can induce inflammatory cytokines and recruit inflammatory cells (1, 2). Mounting evidence suggests that the hydrogen peroxide (H 2 O 2 ) specifically generated in airway epithelial cells by the nicotinamide adenine dinucleotide phosphate-reduced oxidase enzymes dual oxidase 1 or 2 (DUOX1 or DUOX2) is critical for many of these functions (3, 4).The initial and best characterized role of DUOX in host defense involves the production of H 2 O 2 , which serves as a substrate for lactoperoxidase (LPO) to oxidize thiocyanate (SCN 2 ) to hypothiocyanate (5, 6). When this oxidative antimicrobial model is tested in vitro, all three components (DUOX, LPO, and SCN 2 ) are essential for the effective killing of both grampositive and gram-negative bacteria (7-10). Moreover, the in vivo localization of these components is highly consistent with the proposed model (10). Recently, Fischer and colleagues demonstrated that this same oxidative system, by substituting I 2 for the pseudohalide SCN 2 , resulted in the production of virusinactivating hypoiodous acid (11), which suggests that DUOX is critical for the direct inactivation of bacteria and virus (12, 13). In addition to its immediate antimicrobial effects, DUOXgenerated H 2 O 2 is implicated in critical signaling roles for many other host defense functions of the respiratory tract epithelium. These include mucus generation through epidermal growth factor rec...