Agonists active at I
1-imidazoline receptors (I
1R) not only lower blood pressure but also ameliorate glucose intolerance, insulin resistance, and hyperlipidemia with long-term treatment. We sought to determine the possible mechanism for the lipid-lowering actions of imidazolines in a model of metabolic Syndrome X, the spontaneously-hypertensive obese (SHROB) rat. The acute actions of moxonidine and rilmenidine, selective I
1R agonists, were compared to a specific α
2-adrenergic receptor agonist, guanabenz, with and without selective receptor blockers. Moxonidine and rilmenidine rapidly reduced plasma triglyceride (20±4% and 21±5%, respectively) and cholesterol (29±9% and 27±9%). In contrast, the specific α
2-adrenergic receptor agonist guanabenz failed to reduce plasma lipids. Blocking experiments showed that moxonidine’s actions were mediated by I
1R and not α
2-adrenergic receptors. To evaluate a hepatic site of action, radioligand binding studies with liver plasma membranes confirmed the presence of I
1R. Intraportal moxonidine reduced plasma triglycerides by 23±3% within 10 min. Moxonidine inhibited hepatic triglyceride secretion by 75% compared to vehicle treatment. Tracer studies with
2H
2O suggested that moxonidine inhibits de novo fatty acid synthesis. Thus, activation of I
1R lowers plasma lipids, with the main site of action probably within the liver to reduce synthesis and secretion of triglycerides. More selective I
1R agonists might provide monotherapy for hyperlipidemic hypertension.
Keywords Plasma triglycerides - Imidazoline receptors - Alpha2-adrenoceptors - Moxonidine - Rilmenidine - Guanabenz - Efaroxan - Rauwolscine