Increased plasma triglyceride (TG) levels are an important cardiovascular risk factor and are strongly associated with atherosclerotic heart disease ( 1, 2 ). Plasma TG levels vary widely between individuals, and both genetic and environmental factors have been shown to contribute to elevated plasma TG concentrations ( 3-7 ). Elevated plasma TG levels are often observed in obese and diabetic individuals and in individuals affected by the metabolic syndrome, a common chronic disorder associated with obesity, insulin resistance, hypertension, and alterations in plasma lipid profi le such as elevated serum TG and low HDL levels. This characteristic pattern is similar to lipid abnormalities reported in familial combined hyperlipidemia ( 8 ).The Metabolic Risk Complications of Obesity Genes (MRC-OB) project was established in 1994 to identify the genetic determinants of the metabolic syndrome and its metabolic abnormalities ( 9 ). As part of the project, basic anthropomorphic phenotypes, plasma lipid measures, and fasting glucose and insulin levels were ascertained for 2,209 individuals from 507 families. A genome-wide linkage scan of these families identifi ed a quantitative trait locus (QTL) on human chromosome 7q36 linked to plasma TG levels (LOD = 3.7) ( 10 ). This region has also been implicated in numerous other studies (11)(12)(13)(14)(15) ؊ 4 in 920 unrelated individuals of the replication cohort, combined P = 9.9 × 10 ؊ 6 ). Individuals homozygous for the T allele had 9% higher TG levels and 2-fold lower expression of INSIG1 in surgical liver biopsy samples when compared with individuals homozygous for the G allele. Also, the T allele showed additional binding of nuclear proteins from HepG2 liver cells in gel shift assays. Finally, the variant rs7566605 in INSIG2 , the only homolog of INSIG1 , enhances the effect of rs2721 ( P = 0.00117). The variant rs2721 alone explains 5.4% of the observed linkage in our cohort, suggesting that additional, yet-undiscovered genes and sequence variants in the QTL interval also contribute to alterations in TG levels in humans. -Smith,