Abstract MHC Class II transactivator (CIITA) is the master transcriptional regulator of MHC class II (MHC II) genes. MHC II expression is central to antigen presentation and the immune recognition of tumor cells. The human CIITA gene, MHC2TA, is regulated in a cell-type specific manner by multiple promoters. Regulation by IFN-γ is generally via the type IV promoter (pIV) and involves the binding of IFN regulatory factor (IRF)-1 and IRF-2. The response of pIV to IFN-γ was examined in myeloma cells. Western blot and RT-PCR show that STAT1 is activated by phosphorylation and IRF-1 RNA expression increases in response to IFN-γ. RT-PCR and functional promoter analyses show that IFN-γ up-regulates the activity of MHC2TA pIV as does ectopic expression of IRF-1 or IRF-2, and the IRF-E site is required. Binding studies confirm IRF-1 and IRF-2 binding to MHC2TA pIV. Myeloma cells express positive regulatory domain I-binding factor 1 (PRDI-BF1), also called B lymphocyte-induced maturation protein-1 (Blimp-1), which represses both MHC2TA pIII and pIV. Importantly, these cells retain the ability to up-regulate CIITA pIV and MHC II in response to IFN-γ. Although PRDI-BF1/Blimp-1 diminishes the ability of myeloma cells to present antigen by limiting CIITA and MHC II expression, these studies indicate that expression can be restored by the use of cytokines like IFN-γ. Research support: RO1CA10220, RO1CA114504, MEDCEN Foundation of Central GA