Zinc Finger Protein 202 (ZNF202) is a transcriptional repressor that binds elements found predominantly in genes involved in HDL metabolism. We tested the following hypotheses: 1) frequencies of single-nucleotide polymorphisms (SNPs) and haplotypes in ZNF202 differ between individuals with low and high HDL cholesterol; and 2) SNPs in ZNF202 affect HDL cholesterol levels in the general population. We screened the promoter and protein-coding exons of ZNF202 in individuals with the highest 1% (n 5 95) and lowest 1% (n 5 95) HDL cholesterol among 9,259 Danish adults. None of the 10 SNPs identified differed in frequency as single sites or as haplotypes between low and high HDL cholesterol groups. In accordance with this, seven mutations were equally frequent (4-5%) in individuals with low or high HDL cholesterol. Finally, for all five SNPs identified in the coding region, we determined the association of genotype with HDL cholesterol in 9,259 individuals from the general population. Four SNPs were not associated with variation in HDL cholesterol, although c.*2T.G homozygosity was associated with a discrete effect on HDL cholesterol in men. We show that genetic variation in ZNF202 is common in the general population. However, SNPs in the protein-coding region of ZNF202 do not make a major contribution to HDL cholesterol levels.-Stene, M. C., R. Levels of HDL cholesterol are inversely related to risk of ischemic heart disease in the general population (1, 2). The HDL particle is responsible for the delivery of cellular cholesterol from peripheral tissues to the liver and is thus a key component in reverse cholesterol transport (3).Twin and family studies suggest that approximately half of the variation in HDL cholesterol is genetically determined (4-7). A new susceptibility locus for familial hypoalphalipoproteinemia (Online Mendelian Inheritance in Man 604091) on chromosome 11q23 was identified in Utah pedigrees (8); this region contains the Zinc Finger Protein 202 (ZNF202) gene. ZNF202 is functionally characterized by a SRE-ZBP, CT-finS1, AW-1, Number 18 (SCAN) oligomerization domain, a Krü ppel-associated box (KRAB) repression domain, and eight zinc finger (Cys 2 His 2 ) DNA binding motifs, a typical domain architecture for transcription factors (9). ZNF202 target genes are mainly involved in lipid and, particularly, HDL cholesterol metabolism (10-12), suggesting that this transcriptional repressor might be important in the determination of HDL cholesterol levels in the general population. However, it is largely unknown to what extent ZNF202 varies genetically in the general population and whether such genetic variation influences HDL cholesterol levels.We tested the following hypotheses: 1) frequencies of single-nucleotide polymorphisms (SNPs) and haplotypes in ZNF202 differ between individuals with low and high HDL cholesterol levels; and 2) SNPs in the protein-coding region of ZNF202 affect HDL cholesterol levels in the general population. To increase the likelihood of identifying genetic variation with ...