Prolyl-4-hydroxylase ␣(I) (P4H␣(I)) is the rate-limiting subunit for P4H enzyme activity, which is essential for procollagen hydroxylation and secretion. In the current study, we have characterized the human P4H␣(I) promoter for transcription factors and DNA elements regulating P4H␣(I) expression. Using a progressive deletion cloning approach, we have constructed pGL3-P4H␣(I) recombinant plasmids. We have identified a positive regulatory region at the positions of bp ؊184 to ؊97 responsible for ϳ80% of the P4H␣(I) promoter efficiency. Three E-boxes were located within this region, and the E-box at position bp ؊135 explains most of the regulatory capacity. Upstream stimulatory factors (USF1/USF2) were shown to bind on the E-box using chromatin immunoprecipitation assay. Suppression of USF1 and/or USF2 using specific short interference RNA resulted in a significant reduction in P4H␣(I) promoter activity, and overexpressed USF1 or USF2 increased P4H␣(I) promoter activity significantly. Although transforming growth factor 1 increased the USF1/USF2-E-box binding and P4H␣(I) promoter activity, this up-regulatory effect can be largely prevented by USF1/ USF2-specific short interference RNA. On the other hand, cigarette smoking extracts, which have been shown to suppress P4H␣(I) expression, inhibited the binding between the USF1/USF2 and E-box, resulting in a reduced P4H␣(I) promoter activity. Furthermore, the E-box on the P4H␣(I) promoter appeared to indiscriminately bind with either USF1 or USF2, with a similar outcome on the promoter efficiency. In conclusion, our study shows that USF1/ USF2 plays a critical role in basal P4H␣(I) expression, and both positive (transforming growth factor 1) and negative (cigarette smoking extract) regulators appear to influence the USF-E-box interaction and affect P4H␣(I) expression.