Salt-sensitivity of blood pressure (SSBP), acute changes in blood pressure that mirror dietary salt intake, is a major risk factor for cardiovascular disease independent of hypertension. We previously found that oxidative lipid protein modification via NADPH oxidase (NOX2) reactive oxygen species (ROS) production in antigen presenting cells (APCs) contributes to SSBP. Hypoxia Inducible Factor 1 Subunit Alpha (HIF1α) plays a role in metabolic reprogramming and maturation of dendritic cells but its role in the pathogenesis of SSBP is not known. I hypothesize that HIF1α expression specifically in APCs contributes to SSBP by promoting a switch to anaerobic energy production through glycolytic enzyme induction. To test this hypothesis, we performed both bulk and single cell transcriptomic analysis in circulating immune cells following both in vitro and in vivo salt-loading/depletion protocols to phenotype people for SSBP. We found that compared to normal (150 mMol/L), isolated monocytes from women (N =11) treated with high sodium (190 mMol/L) in vitro for 72 hours exhibited a marked increase in expression of HIF1α (16149 ± 6246.1 vs. 42233 ± 20836, p = 2.28E-05). This was associated with increased downstream expression of glycolytic enzymes LdhA (29600 ± 12391 vs. 55998 ± 17118, p = 0.013928), which catalyzes the conversion of pyruvate to lactate under anaerobic conditions, and PDK1 (1422.2 ± 880.80 vs. 2651.3 ± 1216.2, p = 0.0091) which attenuates the conversion of pyruvate to acetyl-CoA through inhibition of pyruvate dehydrogenase, stopping its entry to the citric acid cycle. Moreover monocyte-specific expression of PDK1 correlated with a decrease in systolic blood pressure from salt-loading to salt-depletion (r = 0.6753, p = 0.06608). Our data indicate that HIF1α may play a role the pathogenesis of SSBP by contributing to immune metabolic reprogramming. 1R03HL155041-01 (Kirabo, PI)1R01HL144941-01A1 (Kirabo, PI). This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.