“…PPARD is expressed in diverse tissues with very high expression levels in the gastrointestinal tract (Park et al, 2001;Barak et al, 2002;Lee et al, 2003;Gupta et al, 2004;Harman et al, 2004;Foreman et al, 2011;Peters et al, 2011;Yang et al, 2006Yang et al, , 2008Yang et al, , 2010Yang et al, , 2011Fucci et al, 2012;Wang et al, 2006Wang et al, , 2014Zuo et al, 2009Zuo et al, , 2014. Several PPARD polymorphisms have been involved in regulation of lipid and glucose metabolism and in disorders related to these processes, including cardiovascular disease (Skogsberg et al, 2003a,b), atherosclerosis (Chen et al, 2004), insulin resistance (Hu et al, 2006), diabetes (Villegas et al, 2011), and recently in cancer (Ticha et al, 2013;Yang et al, 2014). Notably, the PPARD +294 T/C (rs2016520) polymorphism, which is located in exon 4 at 87 nucleotides upstream of the start codon (5' untranslated region), influences the binding of Sp1 transcription factor resulting in higher transcriptional activity when the rare C allele is present (Skogsberg et al, 2003a).…”