Objective To investigate the effects of iron in food in improving ventricular remodeling in male mice with hypoxic pulmonary hypertension(HPH).Methods Male mice were randomly divided into a normoxic control group(exposed to an altitude of 2 260 m),a hypoxic control group(exposed to a hypobaric oxygen chamber at a simulated altitude of 5 000 m)and a hypoxic iron-high group(exposed to a hypobaric oxygen chamber a simu-lated altitude of 5 000 m),with 10 mice in each group.Right ventricular systolic pressure(RVSP)was measured by right heart catheterization.Right ventricular hypertrophy index(RVHI)was calculated by using the correlation for-mula.The variations in ventricular tissue and small pulmonary arteries were observed by using HE staining.The percentages of vessel wall area to the total area of the blood vessel(WA%)and the vessel wall thickness to the di-ameter of the blood vessel(WT%)were calculated.Western Blot was adopted to determine the content of carnitine palmitic acyltransferase(CPT1A),ferritin(FTN),transferrin receptor(TFR)and ferroportin(FPN)in the right ven-tricle.The ventricles of mice in the normoxic control group,hypoxic control group and hypoxic iron-high group were analyzed by non-targeted histological analysis using the UPLC-Orbitrap mass spectrometry system.Results Compared with the normoxic control group,RVSP,RVHI,WA%and WT%were elevated in the hypoxic control group(P<0.05);the protein expression level of FPN was reduced(P<0.05),and there was no statistically significant difference in the protein expression levels of TFR,FTN and CPTIA;the arrangement of ventricular myocytes was disorganized and fibrosis was more obvious.Compared with the hypoxic control group,RVSP,RVHI,WA%and WT%in the hypoxic iron-high group were significantly decreased(P<0.05);FPN protein expression levels were in-creased(P<0.05),and there was no statistically difference in TFR,FTN and CPT1A protein expression;ventricular myocardial fibrosis was reduced.Compared with the normoxic control group,there was no significant variation in the vast majority of carnitine derivatives and the metabolic levels of medium and long-chain fatty acids in the right ventricular tissues of mice in the hypoxic control group;the vast majority of carnitine derivatives and the metabolic levels of medium and long-chain fatty acids were reduced in the hypoxic iron-high group,especially unsaturated fatty acids.Conclusions It is possible to improve HPH ventricular remodeling by enhancing myocardial fatty acid oxidation ability through iron in food.