Objective To clone the promoter of fatty acid-binding protein 4 (FABP4 ) and determine its core active region and functional fragment, and meanwhile to determine the effect of homocysteine (Hcy), an independent risk factor for cardiac vascular disease, on the activity of FABP4 promoter so as to provide an experimental basis for further research on the function of FABP4 . Methods Cis-acting elements and transacting factors were predicted in the promoter region of FABP4 by bioinformatics. The promoter interception fragments were constructed with pGL3-basic vector by gene recombination. The interception fragment with strongest activity was identified by observing the changes in luciferase activity after transfecting different fragments into HEK-293A cells. Meanwhile, after transfection of core promoter fragment (-2000/-1) into macrophages, the effect of different concentrations of Hcy and DNA methylation inhibitor 5-azacytidine (AZC) on the promoter activity of FABP4 gene was detected. Results After transfection of HEK-293A cells with interception fragments of different length, the detection of luciferase activity showed that the transcription activity of -2000/-1 fragment was the strongest in comparison with the pGL3 control group. After transfecting macrophages with core promoter fragment -2000/-1 and treating these cells with different concentrations of Hcy, the promoter activity was significantly increased in the 100 and 200 μmol/L Hcy groups compared with the 0 μmol/L Hcy group; compared with the 100 μmol/L Hcy group, the promoter activity of FABP4 gene was further increased after intervention with AZC on the basis of 100 μmol/L Hcy (P < 0.05). Conclusions The four fragments of FABP4 promoter have been successfully cloned and the core promoter region of FABP4 is located in the -2000/-1 fragment. Hcy can promote the activity of the core promoter fragment of FABP4 gene, supplementation of AZC can further increase the Hcy-induced activity of FABP4 promoter.