Presumably, the tissue specificity may result from interactions of enhancer sequences with transcriptional activators present only in cells in which a given set of genes is expressed. The ability of enhancers and silencers to act at a distance of 1000 bp or more is intriguing.
At present this question cannot be answered in detail. But one point is clear, the factor bound at the enhancer sequence and the promoter sequence can act in a cooperative manner, either positively or negatively.



