oxidase p22phox subunit is responsible for the production of reactive oxygen species in the vascular tissue. The C242T polymorphism in the p22phox gene has been associated with diverse coronary artery disease phenotypes, but the findings about the protective or harmful effects of the T allele are still controversial. Our main aim was to assess the effect of p22phox C242T genotypes on arterial stiffness, a predictor of late morbidity and mortality, in individuals from the general population. We randomly selected 1,178 individuals from the general population of Vitoria City, Brazil. Genotypes for the C242T polymorphism were detected by PCR-RFLP, and pulse wave velocity (PWV) values were measured with a noninvasive automatic device Complior. p22phox and TNF-␣ gene expression were quantified by real-time PCR in human arterial mammary smooth muscle cells. In both the entire and nonhypertensive groups: individuals carrying the TT genotype had higher PWV values and higher risk for increased arterial stiffness [odds ratio (OR) 1.93, 95% confidence interval (CI) 1.27-2.92 and OR 1.78, 95% CI 1.07-2.95, respectively] compared with individuals carrying CCϩCT genotypes, even after adjustment for covariates. No difference in the p22phox gene expression according C242T genotypes was observed. However, TNF-␣ gene expression was higher in cells from individual carrying the T allele, suggesting that this genetic marker is associated with functional phenotypes at the gene expression level. In conclusion, we suggest that p22phox C242T polymorphism is associated with arterial stiffness evaluated by PWV in the general population. This genetic association shed light on the understanding of the genetic modulation on vascular dysfunction mediated by NADPH oxidase. pulse wave velocity; NADPH oxidase; reactive oxygen species; coronary artery disease NICOTINAMIDE ADENINE DINUCLEOTIDE PHOSPHATE (NADPH) oxidase is a source of reactive oxygen species (ROS), including superoxide and hydrogen peroxide in vascular smooth muscle and endothelial cells (2, 19 -21). The NADPH oxidase system is composed of multiple subunits of membrane (p22phox and gp91phox) and cytosolic (gp40 phox, gp47 phox, gp67 phox, and rac1) components that assemble on the cellular surface to generate ROS (13). Among these subunits the p22phox is highlighted as an essential membrane-associated factor that forms heterodimer with another membrane-integrated protein, gp91phox, or its homolog and plays a crucial role in the activation and stabilization of NADPH oxidase (4).The C242T polymorphism in the p22phox gene, which histidine is replaced by a tyrosine at position 72 and located in the putative heme-binding site of the p22phox subunit, has been associated with NADPH oxidase activity and, in addition, with increased risk and progression for coronary atherosclerosis and thrombotic cerebral infarction (9,18,43,48). Several epidemiological studies reported that increased arterial stiffness predicts mortality and morbidity, independently of other cardiovascular risk factors (6,8,...