The endocannabinoid (EC) system regulates food intake and energy metabolism. Cannabinoid receptor type 1 (CB1) antagonists show promise in the treatment of obesity and its metabolic consequences. Although the reduction in adiposity resulting from therapy with CB1 antagonists may not account fully for the concomitant improvements in dyslipidemia, direct effects of overactive EC signaling on plasma lipoprotein metabolism have not been documented. The present study used a chemical approach to evaluate the direct effects of increased EC signaling in mice by inducing acute elevations of endogenously produced cannabinoids through pharmacological inhibition of their enzymatic hydrolysis by isopropyl dodecylfluorophosphonate (IDFP). Acute IDFP treatment increased plasma levels of triglyceride (TG) (2.0-to 3.1-fold) and cholesterol (1.3-to 1.4-fold) in conjunction with an accumulation in plasma of apolipoprotein (apo)E-depleted TG-rich lipoproteins. These changes did not occur in either CB1-null or apoE-null mice, were prevented by pretreatment with CB1 antagonists, and were not associated with reduced hepatic apoE gene expression. Although IDFP treatment increased hepatic mRNA levels of lipogenic genes (Srebp1 and Fas), there was no effect on TG secretion into plasma. Instead, IDFP treatment impaired clearance of an intravenously administered TG emulsion, despite increased postheparin lipoprotein lipase activity. Therefore, overactive EC signaling elicits an increase in plasma triglyceride levels associated with reduced plasma TG clearance and an accumulation in plasma of apoE-depleted TG-rich lipoproteins. These findings suggest a role of CB1 activation in the pathogenesis of obesity-related hypertriglyceridemia and underscore the potential efficacy of CB1 antagonists in treating metabolic disease.2-arachidonoylglycerol ͉ hypertriglyceridemia ͉ monoaylglycerol lipase ͉ organophosphorus ͉ cannabinoid receptor O besity elicits a cluster of interrelated disorders, termed the ''metabolic syndrome,'' that increases the risk of cardiovascular disease (1). Epidemiological and genetic data indicate that dysregulation of the endocannabinoid (EC) system increases adiposity in humans (2-4). Pharmacological or genetic ablation of the cannabinoid type 1 receptor (CB1) in normal mice and in diet-induced and genetic mouse models of obesity results in a transient hypophagic response mediated through the hypothalamus, but there also are prolonged effects on weight loss, adiposity, and normalization of metabolic parameters, including plasma lipids (5-11). These effects suggest that the improvement in adiposity-related measures with CB1 inactivation is not limited to reduced food intake, a major known effect of CB1 inactivation (5, 11). CB1 activation in liver increases de novo lipogenesis and decreases fatty acid oxidation (12, 13). High-fat diet or chronic ethanol treatment increases cannabinoid signaling tone via increased hepatic CB1 receptor density and EC levels leading to CB1-mediated hepatic steatosis (12, 13). These observations...