Objective: The aim of this study was to explore the effects of beta(3)-adrenoceptor (beta(3)-AR) activation on HepG2 cells and its influence on cholesterol efflux from macrophage foam cells. Materials and methods: HepG2 cells were cultured and treated with the beta(3)-AR agonist, BRL37344, and antagonist, SR52390A, and the expression of apolipoprotein (Apo) A-I, ApoA-II, ApoB, and beta(3)-AR in the supernatants and cells was determined. The expression of peroxisome proliferator-activated receptor (PPAR) gamma and PPAR alpha in the HepG2 cells was also assessed. Next, using the RAW264.7 macrophage foam cell model, we also assessed the influence of the HepG2 cell supernatants on lipid efflux. The cholesterol content of the foam cells was also measured, and the cholesterol efflux from the macrophages was examined by determining H-3-labeled cholesterol levels. Expression of ATP-binding cassette transporter (ABC) A1 and ABCG1 of the macrophage foam cells was also assessed. Results: beta(3)-AR activation increased ApoA-I expression in both the HepG2 cells and the supernatants; PPAR gamma expression was upregulated, but PPAR alpha expression was not. Treatment with GW9662 abolished the increased expression of ApoA-I induced by the beta(3)-AR agonist. The HepG2 cell supernatants decreased the lipid accumulation and increased the cholesterol efflux from the macrophage foam cells. ABCA1 expression, but not ABCG1 expression, increased in the macrophage foam cells treated with BRL37344-treated HepG2 cell supernatants. Conclusion: Activation of beta(3)-AR in HepG2 cells upregulates ApoA-I expression, which might further promote cholesterol efflux from macrophage foam cells. PPAR gamma might be required for the induction of ApoA-I expression.