Peroxisome proliferator-activated receptor-␥ (PPAR␥), a member of the nuclear hormone receptor family, is a master regulator of adipogenesis. Humans with dominant negative PPAR␥ mutations have features of the metabolic syndrome (severe insulin resistance, dyslipidemia, and hypertension). We created a knock-in mouse model containing a potent dominant negative PPAR␥ L466A mutation, shown previously to inhibit wild-type PPAR␥ action in vitro. Homozygous PPAR␥ L466A knock-in mice die in utero. Heterozygous PPAR␥ L466A knock-in (PPARKI) mice exhibit hypoplastic adipocytes, hypoadiponectinemia, increased serum-free fatty acids, and hepatic steatosis. When subjected to high fat diet feeding, PPARKI mice gain significantly less weight than controls. Hyperinsulinemic-euglycemic clamp studies in PPARKI mice revealed insulin resistance and reduced glucose uptake into skeletal muscle. Female PPARKI mice exhibit hypertension independent of diet. The PPARKI mouse provides a novel model for studying the relationship between impaired PPAR␥ function and the metabolic syndrome.The metabolic syndrome, or syndrome X, is characterized by a constellation of insulin resistance, dyslipidemia, obesity, and hypertension (1). The prevalence of the metabolic syndrome is increasing rapidly and is estimated to affect 24% of the United States population (2). Thiazolidinediones, a class of antidiabetic compounds that activate the peroxisome proliferator-activated receptor-␥ (PPAR␥), 1 stimulate adipocyte differentiation, lower free fatty acids (FFAs), and enhance insulin sensitivity, thereby correcting several features of the metabolic syndrome (3). The insulin-sensitizing action of the thiazolidinediones suggests that PPAR␥ function may be central to the development and treatment of the metabolic syndrome.PPAR␥ is a member of the nuclear hormone receptor superfamily and plays a pivotal role in adipogenesis (4 -6). Although PPAR␥ is most highly expressed in adipose tissue, it is also present in colon, monocytes/macrophages, and at lower levels in many other tissues including skeletal muscle and liver (7,8). Homozygous PPAR␥ null mice die in utero at 10.5-11.5 days post-coitum, likely because of placental abnormalities (9). Heterozygous PPAR␥-deficient mice exhibit increased insulin sensitivity and are protected from high fat diet-induced obesity when compared with their wild-type littermates (10, 11). These observations may be partly explained by increased serum leptin, as heterozygous PPAR␥ knock-out mice have decreased food intake and increased energy expenditure (10). Cre-loxP strategies have been used to generate tissue-specific knockouts of PPAR␥ function (12-17). Muscle-specific PPAR␥ knockout mice show progressive insulin resistance combined with increased adipose tissue mass (14, 16). Fat-specific PPAR␥ knock-out mice have lipodystrophy (hypocellularity and hypertrophy), elevated plasma FFAs and triglycerides (TGs) and decreased plasma leptin and adiponectin. These mice have insulin resistance in fat and liver but not in muscle (13).Th...