Human endogenous retroviruses (HERV) comprise 8% of the human genome and can be classified into at least 31 families. A typical HERV provirus consists of internal gag, pol and env genes, flanked by two long terminal repeats (LTRs). No single provirus is capable of engendering infectious particles. HERV are by nature repetitive and have with few notable exceptions lost their protein-coding capacity. Therefore, HERV have consistently been excluded from array-based expression studies and hence little is known of their expression, regulation, and potential functional significance. An increasing number of studies have, however, observed expression of the W family of HERV in various human tissues and cells, predominantly in placenta. HERV-W LTRs act as promoters in directing transcription of HERV-W members, contribute to their tissue-specific and highly diversified expression pattern. Furthermore, leaky transcription originating from adjacent genes plays a role in the transcription initiation of HERV-W psudoelements. It has been reported that HERV-W elements, including ERVWE1 (the so far only known HERV-W locus harboring a gene (env) functionally adopted by the human host to critically participate in placenta biogenesis), can become transactivated in a range of human non-placental cell-lines during exogenous virus infections. Aberrant expression of HERV-W has been associated with human diseases, such as cancer, multiple sclerosis, and schizophrenia. Based on published reports, transcriptional activities of HERV-W appear to be influenced by several mechanisms; binding of transcription factors to LTR promoters and enhancers outside of LTRs, genetic variation and alteration in DNA methylation and histone modification. Emerging mechanistic studies support the notion that HERV-W represents a potential marker or mediator of environmental exposures (e.g., virus infection) in the development of chronic complex diseases.Key words: HERV-W; LTR-directed; virus infection; aberrant expression; DNA methylation; histone modification.Fang Li, Department of Basic Medical Science, Changsha Medical University, 410219, Changsha, China. e-mail: li-evans@hotmail.com Sequencing of the human genome has revealed that approximately 2% of the genome is composed of protein-coding regions, whereas approximately 8% of our DNA is recognized as containing human endogenous retrovirus (HERV) elements (1, 2). A high prevalence of ERVs in 65 investigated vertebrate genomes, and the detection of highly related sequences in the genomes of distantly related vertebrates was recently reported (3). Thus, infection, endogenization, and intragenomic expansion of a wide range of retroviruses appear to have been common during evolution. Although some individual integration events have clearly been beneficial to the host during evolution, the roles of other integrations and their massive expansions in the host genome remain unclear. Interestingly, differential expression of HERV have been associated with a range of human diseases, such as cancer and multiples ...