OBJECTIVE-Adiponectin is an adipocyte-derived hormone that plays an important role in glucose and lipid metabolism. The main aims of this study are to investigate the effects of adiponectin on VLDL triglyceride (VLDL-TG) metabolism and the underlying mechanism.RESEARCH DESIGN AND METHODS-Adenoviruses were used to generate a mouse model with elevated circulating adiponectin. HepG2 and C2C12 cells were treated with recombinant human adiponectin.RESULTS-Three days after Ad-mACRP30 adenovirus injection, plasma adiponectin protein levels were increased 12-fold. All three main multimeric adiponectin molecules were proportionally elevated. Fasting plasma TG levels were significantly decreased (ϳ40%) in the mice with elevated adiponectin in circulation, as were the plasma levels of large and medium VLDL subclasses. Although apolipoprotein B mRNA levels were robustly suppressed in the livers of adiponectin-overexpressing mice and in cultured HepG2 cells treated with recombinant human adiponectin, hepatic VLDL-TG secretion rates were not altered by elevated plasma adiponectin. However, Ad-mACRP30 -treated mice exhibited a significant increase of postheparin plasma lipoprotein lipase (LPL) activity compared with mice that received control viral vector. Skeletal muscle LPL activity and mRNA levels of LPL and VLDL receptor (VLDLr) were also increased in Ad-mACRP30 -treated mice. Recombinant human adiponectin treatment increased LPL and VLDLr mRNA levels in differentiated C1C12 myotubes.CONCLUSIONS-These results suggest that adiponectin decreases plasma TG levels by increasing skeletal muscle LPL and VLDLr expression and consequently VLDL-TG catabolism. Diabetes 57:1824-1833, 2008 D yslipidemia is a major component of the metabolic syndrome and a strong risk factor for the development of cardiovascular disease. Adiponectin is an adipocyte-derived hormone that enhances insulin sensitivity and plays an important role in glucose metabolism (1). Paradoxically, adiponectin gene expression is diminished with the development of obesity (1). Thus, hypoadiponectinemia and dyslipidemia are commonly observed in obesity and obesity-associated metabolic syndrome. In addition, studies have shown that plasma adiponectin levels are inversely correlated with VLDL triglyceride (VLDL-TG) and positively correlated with HDL cholesterol (2-4), which suggest that adiponectin may influence in lipid metabolism.Effects of adiponectin on lipid metabolism have been studied in adiponectin transgenic and gene-deficient mouse models. In adiponectin transgenic mice, although plasma adiponectin is only moderately elevated, plasma TG concentrations are markedly reduced (5-7). In contrast, hypertriglyceridemia has been reported in adiponectin-deficient mice (8). Furthermore, administration of adiponectin normalized high-fat diet-induced hypertriglyceridemia in mice (9). These studies demonstrate that adiponectin plays an important role in TG metabolism. However, the mechanism by which adiponectin regulates TG metabolism is largely unknown.VLDL is the main carr...