Fatty acids are the primary energy source for the heart. The heart acquires fatty acids associated with albumin or derived from lipoprotein lipase (LpL)-mediated hydrolysis of lipoprotein triglyceride (TG). We generated heart-specific LpL knock-out mice (hLpL0) to determine whether cardiac LpL modulates the actions of peroxisome proliferator-activated receptors and affects whole body lipid metabolism. Male hLpL0 mice had significantly elevated plasma TG levels and decreased clearance of postprandial lipids despite normal postheparin plasma LpL activity. Very large density lipoprotein-TG uptake was decreased by 72% in hLpL0 hearts. However, heart uptake of albumin-bound free fatty acids was not altered. Northern blot analysis revealed a decrease in the expression of peroxisome proliferatoractivated receptor ␣-response genes involved in fatty acid -oxidation. Surprisingly, the expression of glucose transporters 1 and 4 and insulin receptor substrate 2 was increased and that of pyruvate dehydrogenase kinase 4 and insulin receptor substrate 1 was reduced. Basal glucose uptake was increased markedly in hLpL0 hearts. Thus, the loss of LpL in the heart leads to defective plasma metabolism of TG. Moreover, fatty acids derived from lipoprotein TG and not just albumin-associated fatty acids are important for cardiac lipid metabolism and gene regulation.The heart, unlike most skeletal muscles, is constantly undergoing contraction and relaxation, events that require a large amount of energy. Under normal conditions, the heart derives ϳ70% of its energy from the oxidation of long-chain fatty acids (FA) 1 and the remainder comes from glucose and lactate metabolism (1, 2). However, a number of conditions including fasting, aerobic exercise, and diabetes increase the contribution of FA to ATP production by the heart (3). FA are supplied to the heart from the hydrolysis of triglyceride (TG)-rich lipoproteins via lipoprotein lipase (LpL) (4) and via uptake of albuminbound FA derived from adipose TG stores. The relative importance of these two pathways for cardiac metabolism and regulation of FA-responsive genes is unknown. LpL controls FA uptake through the hydrolysis of TG in chylomicrons and very large density lipoproteins (VLDL) (5). Although most lipolysis of plasma TG is thought to occur in skeletal muscle and adipose, several lines of evidence suggest that cardiac muscle is an important site of regulation of plasma TG levels (4, 6). Cardiac muscle is the tissue with the greatest expression of LpL on a per gram basis (7). Moreover, mice expressing LpL only in the heart are able to maintain normal lipid levels (4, 6).We used the Cre-loxP recombination system to generate mice with a cardiac-specific ablation of the LpL gene to elucidate the role of cardiac LpL in heart and plasma lipoprotein metabolism and gene expression. This allowed us to investigate the role of LpL in the heart without directly altering LpL function and activity in skeletal muscle or adipose tissue. Our data show that the loss of LpL in the heart leads ...