The transcription factor FoxO3 regulates multiple genes involved in cell resilience. We have previously implicated variation in non-coding DNA of the FoxO3 gene (
FOXO3
) with lower blood pressure, reduced inflammation, less hypertension, reduced coronary heart disease mortality, and longevity. The aim of the present study was to determine transcriptional, genetic and genomic mechanisms involving
FOXO3
. By DNA sequencing of chromosome 6q21 in lymphoblastoid cell lines of 95 men who had survived to ≥ 95 years of age we identified 110
FOXO3
single nucleotide polymorphisms (SNPs). Thirteen SNPs were at binding sites for 18 transcription factors. Those SNPs appeared to be in physical contact, via RNA polymerase II binding chromatin looping, with sites in the
FOXO3
promoter, and likely function together as a
cis
-regulatory unit. At the chromosome level,
FOXO3
was located at the center of a 7.3 Mb 46-gene chromatin domain flanked by gene deserts. We identified distant contact points between
FOXO3
and these 46 neighboring genes, through long-range physical contacts via CCCTC-binding factor zinc finger protein (CTCF) binding sites. The genes in this “archipelago” of neighbourhood genes mediate a similar repertoire of functions as FoxO3, including stress resistance, nutrient sensing, cell proliferation, autophagy, apoptosis and stem cell maintenance. The 7.3 Mb gene domain was highly conserved across species, indicating evolutionary importance. We believe that
FOXO3
serves as the hub for an “interactome” involved in healthy aging, including cardiovascular disease reduction, in those with favorable
FOXO3
genotypes. In support, we found that cellular stress (H
2
O
2
) could stimulate
FOXO3
expression in 20 lymphoblastoid cell lines, being 3-fold stronger for those with a favorable
FOXO3
genotype. In FISH experiments, stress-induced activation of
FOXO3
caused it to move towards its neighboring genes as suggested by our genomic data. In conclusion, we have shown, for the first time, that
FOXO3
is at the central hub of a gene network on chromosome 6 involved in cell protection and healthy aging. The concept of “gene factories” may apply more broadly to genome and genetic mechanisms involved in cardiovascular disease etiology.