Hormone-sensitive lipase (HSL) catalyzes the ratelimiting step in the mobilization of fatty acids from adipose tissue, thus determining the supply of energy substrates in the body. HSL mRNA was positively regulated by glucose in human adipocytes. Pools of stably transfected 3T3-F442A adipocytes were generated with human adipocyte HSL promoter fragments from ؊2,400/ ؉38 to ؊31/؉38 bp linked to the luciferase gene. A glucose-responsive region was mapped within the proximal promoter (؊137 bp). Electromobility shift assays showed that upstream stimulatory factor (USF)-1 and USF2 and Sp1 and Sp3 bound to a consensus E-box and two GC-boxes in the ؊137-bp region. Cotransfection of the ؊137/؉38 construct with USF1 and USF2 expression vectors produced enhanced luciferase activity. Moreover, HSL mRNA levels were decreased in USF1-and USF2-deficient mice. Site-directed mutagenesis of the HSL promoter showed that the GC-boxes, although contributing to basal promoter activity, were dispensable for glucose responsiveness. Mutation of the E-box led to decreased promoter activity and suppression of the glucose response. Analogs and metabolites were used to determine the signal metabolite of the glucose response. The signal is generated downstream of glucose-6-phosphate in the glycolytic pathway before the triose phosphate step. Diabetes 51:293-300, 2002 H ormone-sensitive lipase (HSL) is a key enzyme for the hydrolysis of adipose tissue triacylglycerol into fatty acids that are the major source of body energy in the absence of dietary lipids. Catecholamines and insulin are important regulators of lipolysis in adipocytes through a modulation of intracellular cAMP levels and reversible phosphorylation of HSL (1). The lipase is thought to catalyze the rate-limiting step in cAMP-dependent lipolysis. In agreement, a strong linear correlation was found between HSL protein levels and the maximum lipolytic capacity of human subcutaneous adipocytes stimulated by a -adrenergic agonist (2). Moreover, targeted disruption of the HSL gene in the mouse results in blunted -adrenergic agonist-induced lipolysis (3,4). Clinical studies also support a role for HSL as a limiting factor in adipose tissue lipolysis and show that, besides the short-term modulation of activity by phosphorylation, variations in HSL expression are associated with changes in lipolytic capacity. Indeed, obese patients and normal-weight subjects with a family trait for obesity show decreased maximal lipolytic effect of catecholamines and blunted HSL expression (5,6). Furthermore, genetic studies suggest that HSL participates in the polygenic background of obesity and type 2 diabetes (7,8).Increased mobilization of fatty acids from adipose tissue stores in diabetic patients leads to high free fatty acid concentrations that contribute to the development of ketoacidosis, a major acute complication of type 1 diabetes (9). Several mechanisms may account for the enhanced lipolysis. Hypoinsulinemia and an increase in the concentrations of stimulatory hormones stimulate HSL activ...