Ye J, Gao Z, Yin J, He Q. Hypoxia is a potential risk factor for chronic inflammation and adiponectin reduction in adipose tissue of ob/ob and dietary obese mice. Am J Physiol Endocrinol Metab 293: E1118-E1128, 2007. First published July 31, 2007; doi:10.1152/ajpendo.00435.2007.-Chronic inflammation and reduced adiponectin are widely observed in the white adipose tissue in obesity. However, the cause of the changes remains to be identified. In this study, we provide experimental evidence that hypoxia occurs in adipose tissue in obese mice and that adipose hypoxia may contribute to the endocrine alterations. The adipose hypoxia was demonstrated by a reduction in the interstitial partial oxygen pressure (PO2), an increase in the hypoxia probe signal, and an elevation in expression of the hypoxia response genes in ob/ob mice. The adipose hypoxia was confirmed in dietary obese mice by expression of hypoxia response genes. In the adipose tissue, hypoxia was associated with an increased expression of inflammatory genes and decreased expression of adiponectin. In dietary obese mice, reduction in body weight by calorie restriction was associated with an improvement of oxygenation and a reduction in inflammation. In cell culture, inflammatory cytokines were induced by hypoxia in primary adipocytes and primary macrophages of lean mice. The transcription factor NF-B and the TNF-␣ gene promoter were activated by hypoxia in 3T3-L1 adipocytes and NIH3T3 fibroblasts. In addition, adiponectin expression was reduced by hypoxia, and the reduction was observed in the gene promoter in adipocytes. These data suggest a potential role of hypoxia in the induction of chronic inflammation and inhibition of adiponectin in the adipose tissue in obesity.partial oxygen pressure; obesity; type 2 diabetes; insulin resistance IN OBESITY, chronic inflammation and reduced adiponectin in the white adipose tissue (WAT) contribute to pathogenesis of insulin resistance, which links obesity to many complications, such as type 2 diabetes and cardiovascular diseases (23,24,30). The chronic inflammation is indicated by an increased expression of proinflammatory cytokines and elevated infiltration of macrophages into adipose tissue. Of the proinflammatory cytokines, TNF-␣ and IL-6 reduce insulin sensitivity and impair the homeostasis of lipid and glucose metabolism. Monocyte chemoattractant protein-1 (MCP-1) promotes macrophage infiltration into adipose tissue. Although expression of these cytokines is increased in adipose tissue of obese subjects, it is not clear what induces expression of these inflammatory cytokines in obesity. A decrease in adiponectin (ACRP30) production contributes to pathogenesis of insulin resistance (23). However, it remains to be investigated what obesityassociated factor leads to suppression of adiponectin.Systemic hypoxia is associated with insulin resistance in human and animal. In patients with obstructive sleep apnea or sleep-disordered breathing, intermittent hypoxia is associated with a high risk for insulin resistance (...