The homeodomain transcription factor pancreas duodenum homeobox-1 (PDX-1) is a key regulator of pancreatic -cell development, function, and survival. Deficits in PDX-1 expression result in insulin deficiency and hyperglycemia. We previously found that the glucose-responsive transcription factor early growth response-1 (Egr-1) activates the insulin promoter in part by increasing expression levels of PDX-1. We now report that Egr-1 binds and activates multiple regulatory sites within the pdx-1 promoter. We identified consensus Egr-1 recognition sequences within proximal and distal regions of the mouse pdx-1 promoter and demonstrated specific binding of Egr-1 by chromatin immunoprecipitation and electrophoretic mobility shift assays. Overexpression of Egr-1 increased transcriptional activation of the ؊4500 proximal pdx-1 promoter and of the highly conserved regulatory Areas I, II, and III. Mutagenesis of a specific Egr-1 binding site within Area III substantially decreased Egr-1-mediated activation. Egr-1 increased the transcriptional activation of Areas I and II, despite the absence of Egr-1 recognition sequences within this promoter segment, suggesting that Egr-1 also can regulate the pdx-1 promoter indirectly. Egr-1 increased, and a dominant-negative Egr-1 mutant repressed, the transcriptional activation of distal pdx-1 promoter sequences. Mutagenesis of a specific Egr-1 binding site within regulatory Area IV reduced basal and Egr-1-mediated transcriptional activation. Our data indicate that Egr-1 regulates expression of PDX-1 in pancreatic -cells by both direct and indirect activation of the pdx-1 promoter. We propose that Egr-1 expression levels may act as a sensor in pancreatic -cells to translate extracellular signals into changes in PDX-1 expression levels and pancreatic -cell function.The homeodomain transcription factor pancreas duodenum homeobox-1 (PDX-1) 2 is an essential regulator of the development of the pancreas in the embryo and of insulin production and glucose homeostasis in the adult. Homozygous disruption of the pdx-1/ipf-1 gene in mice or humans prevents normal pancreas development and leads to a phenotype of pancreatic agenesis (1-4). PDX-1 functions in later developmental stages to regulate the generation, function, and survival of insulinproducing pancreatic -cells (5-10). PDX-1 mediates the adaptive responsiveness of pancreatic -cells to changes in extracellular glucose concentrations through the regulation of expression levels of glucose sensors, such as glucose transporter-2 and glucokinase, and through the activation of glucoseresponsive enhancers within the insulin promoter, in conjunction with other transcriptional regulators (11). PDX-1 also functions downstream of the insulin signaling pathway in the regulation of pancreatic -cell mass (12, 13). Deficits in PDX-1 expression levels in mice result in reduced insulin secretion, accelerated -cell apoptosis, and insulin-deficient diabetes (5, 7-10). The appropriate regulation of PDX-1 expression is of clinical importance, as illu...