Here in the first part it is given that the enhancer region is at -44000th position, it is upstream to the transcription start site. This is because the ' -' sgn s for the base present before the transcription start site( upstream) nd the '+' sign is for those bases located after the transcription start site (downstream). +1 always will indicate the first transcribed base and -1 for the base just before transcription start site. Thus the -44000th position of enhancer region will be upstream to the transcription start site.
The second regulatory region is insde the intron of CFTR gene itself. Introns are the nucleotide sequences within the transcribed RNA which are removed during RNA splicing. Since the introns are the portions inside the transcribed mRNA, the second regulatory gene will be downstream to the transcription start site.
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