Acyl-coenzyme A:cholesterol acyltransferase 2 (ACAT2) is important for cholesterol ester synthesis and secretion. A previous study revealed that ACAT2 gene promoter activity was upregulated by hepatocyte nuclear factor 4a (HNF4a) through two sites around 2247 and 2311 of ACAT2 gene promoter. Here, we identified two novel ciselements, site I (21006 to 2898) and site II (238 to 229), which are important for HNF4a effect. In HepG2 cells, mutation of site I decreased ACAT2 gene promoter activity to one-fifth of that of the wild type, while mutation of site II reduced promoter activity to less than onetenth of that of the wild type. In 293T cells, mutation of these two cis-elements profoundly impaired the HNF4a induction effect. When either of these two elements was inserted into pGL3-promoter, HNF4a induced promoter activity through the inserted element, while mutation of the element impaired HNF4a induction effect. In electrophoretic mobility shift assay and chromatin immunoprecipitation experiment, HNF4a bound to these two elements. Thus, the two cis-elements are important for HNF4a effect on ACAT2 gene transcription. We also showed that HNF4a positively regulates ACAT2 gene expression at mRNA level. Overexpression of HNF4a increased ACAT2 expression, whereas knockdown of HNF4a decreased ACAT2 expression. Peroxisome proliferator-activated receptor gamma coactivator 1a (PCG1a), a coactivator of HNF4a, increased ACAT2 expression, while small heterodimer partner (SHP), a corepressor of HNF4a, decreased ACAT2 expression. These results provide more insights into transcriptional regulation of ACAT2 expression.