Hormone-sensitive lipase (HSL) is believed to play an important role in the mobilization of fatty acids from triglycerides (TG), diglycerides, and cholesteryl esters in various tissues. Because HSL-mediated lipolysis of TG in adipose tissue (AT) directly feeds non-esterified fatty acids (NEFA) into the vascular system, the enzyme is expected to affect many metabolic processes including the metabolism of plasma lipids and lipoproteins. In the present study we examined these metabolic changes in induced mutant mouse lines that lack HSL expression (HSLko mice). During fasting, when HSL is normally strongly induced in AT, HSL-ko animals exhibited markedly decreased plasma concentrations of NEFA (؊40%) and TG (؊63%), whereas total cholesterol and HDL cholesterol levels were increased (؉34%). Except for the increased HDL cholesterol concentrations, these differences were not observed in fed animals, in which HSL activity is generally low. Decreased plasma TG levels in fasted HSL-ko mice were mainly caused by decreased hepatic very low density lipid lipoprotein (VLDL) synthesis as a result of decreased NEFA transport from the periphery to the liver. Reduced NEFA transport was also indicated by a depletion of hepatic TG stores (؊90%) and strongly decreased ketone body concentrations in plasma (؊80%). Decreased plasma NEFA and TG levels in fasted HSL-ko mice were associated with increased fractional catabolic rates of VLDL-TG and an induction of the tissue-specific lipoprotein lipase (LPL) activity in cardiac muscle, skeletal muscle, and white AT. In brown AT, LPL activity was decreased. Both increased VLDL fractional catabolic rates and increased LPL activity in muscle were unable to provide the heart with sufficient NEFA, which led to decreased tissue TG levels in cardiac muscle. Our results demonstrate that HSL deficiency markedly affects the metabolism of TG-rich lipoproteins by the coordinate down-regulation of VLDL synthesis and up-regulation of LPL in muscle and white adipose tissue. These changes result in an "anti-atherogenic" lipoprotein profile.In mammals, white adipose tissue (WAT) 1 is the most important storage organ of TG. The mobilization of TG during fasting or periods of increased energy demand, and the release of non-esterified fatty acids (NEFA) is an essential process that supplies non-adipose organs with substrates for energy conversion (1, 2). NEFA absorbed by skeletal and cardiac muscle are predominantly used for oxidation and energy production. In the liver, NEFA are also used for oxidation but, in addition, are utilized for several other metabolic processes. NEFA can be stored as hepatic TG droplets, used for the synthesis of ketone bodies, or incorporated into VLDL (3, 4). Once formed, VLDL particles are secreted from the liver into the vascular system where they are lipolyzed by endothelial cell associated lipoprotein lipase (LPL) (5, 6). This process supplies peripheral tissues such as AT with NEFA, thereby closing an inter-tissue cycle of fatty acid transport.An important enzyme for the mo...