%0 Journal Article %T Disruption of adipocyte HIF-1α improves atherosclerosis through the inhibition of ceramide generation. %A Wang P %A Zeng G %A Yan Y %A Zhang SY %A Dong Y %A Zhang Y %A Zhang X %A Liu H %A Zhang Z %A Jiang C %A Pang Y %A Wang P %A Zeng G %A Yan Y %A Zhang SY %A Dong Y %A Zhang Y %A Zhang X %A Liu H %A Zhang Z %A Jiang C %A Pang Y %J Acta Pharm Sin B %V 12 %N 4 %D Apr 2022 %M 35847503 %F 14.903 %R 10.1016/j.apsb.2021.10.001 %X Atherosclerosis is a chronic multifactorial cardiovascular disease. Western diets have been reported to affect atherosclerosis through regulating adipose function. In high cholesterol diet-fed ApoE -/- mice, adipocyte HIF-1α deficiency or direct inhibition of HIF-1α by the selective pharmacological HIF-1α inhibitor PX-478 alleviates high cholesterol diet-induced atherosclerosis by reducing adipose ceramide generation, which lowers cholesterol levels and reduces inflammatory responses, resulting in improved dyslipidemia and atherogenesis. Smpd3, the gene encoding neutral sphingomyelinase, is identified as a new target gene directly regulated by HIF-1α that is involved in ceramide generation. Injection of lentivirus-SMPD3 in epididymal adipose tissue reverses the decrease in ceramides in adipocytes and eliminates the improvements on atherosclerosis in the adipocyte HIF-1α-deficient mice. Therefore, HIF-1α inhibition may constitute a novel approach to slow atherosclerotic progression.