This article is available online at http://www.jlr.org suggests that cardiac dysfunction, arrhythmias, cardiomyopathy, and congestive heart disease could be direct consequences of obesity and leptin resistance, i.e., fatty acid (FA) overload of cardiomyocytes and lipid accumulation in the heart ( 1, 2 ). Studies performed on humans using magnetic resonance spectroscopy indicate that cardiomyocyte fat correlates well with impaired diastolic fi lling, even in seemingly asymptomatic obese volunteers ( 2 ). One of the proposed reasons is that excess FAs or/and their metabolites, i.e., ceramides, induce apoptosis of cardiomyocytes, which is a direct cause of lipotoxic cardiomyopathy and heart failure ( 2, 3 ). The important role for ceramide-induced apoptosis in obesity-related cardiomyopathies has been shown in many animal models, including leptin-insensitive ZDF rats ( 4 ), leptin-defi cient ob/ob mice ( 5, 6 ), and a mouse model of heart disease induced by cardiomyocyte-specifi c overexpression of acyl-CoA synthase ( 7 ). Many maneuvers that reduce ectopic deposition of lipids, i.e., exercise, caloric restriction, and troglitazone, were shown to signifi cantly improve cardiac function in obesity, which additionally implies that steatosis might be a primary reason for cardiac dysfunction ( 2, 8 ).Stearoyl-CoA desaturase (SCD) is the rate-limiting enzyme catalyzing the biosynthesis of monounsaturated FAs and has been shown to be a key regulatory factor of body adiposity ( 9 ). Mice with a targeted disruption in the SCD1 gene have increased energy expenditure and insulin sensitivity and are resistant to diet-induced obesity ( 10, 11 ). SCD1 is involved in regulation of ceramide metabolism. Lack of SCD1 reduces the mRNA level and activity of serAbstract The heart of leptin-defi cient ob/ob mice is characterized by pathologic left ventricular hypertrophy along with elevated triglyceride (TG) content, increased stearoylCoA desaturase (SCD) activity, and increased myocyte apoptosis. In the present study, using an ob/ob;SCD1؊ / ؊ mouse model, we tested the hypothesis that lack of SCD1 could improve steatosis and left ventricle (LV) function in leptin defi ciency. We show that disruption of the SCD1 gene improves cardiac function in ob/ob mice by correcting systolic and diastolic dysfunction without affecting levels of plasma TG and FFA. The improvement is associated with reduced expression of genes involved in FA transport and lipid synthesis in the heart, as well as reduction in cardiac FFA, diacylglycerol, TG, and ceramide levels. The rate of FA  -oxidation is also signifi cantly lower in the heart of ob/ ob;SCD1 ؊ / ؊ mice compared with ob/ob controls. Moreover, SCD1 defi ciency reduces cardiac apoptosis in ob/ob mice due to increased expression of antiapoptotic factor Bcl-2 and inhibition of inducible nitric oxide synthase and caspase-3 activities. Reduction in myocardial lipid accumulation and inhibition of apoptosis appear to be one of the main mechanisms responsible for improved LV function in ob/ob mice caused by...