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Xiaoyong Yang1, Pat P. Ongusaha2, Philip D. Miles3, Joyce C. Havstad1, Fengxue Zhang4, W. Venus So5, Jeffrey E. Kudlow4, Robert H. Michell6, Jerrold M. Olefsky3, Seth J. Field3 & Ronald M. Evans1
Correspondence to: Ronald M. Evans1 Correspondence and requests for materials should be addressed to R.M.E. (Email: evans@salk.edu).
Glucose flux through the hexosamine biosynthetic pathway leads to the post-translational modification of cytoplasmic and nuclear proteins by O-linked -N-acetylglucosamine (O-GlcNAc). This tandem system serves as a nutrient sensor to couple systemic metabolic status to cellular regulation of signal transduction, transcription, and protein degradation. Here we show that O-GlcNAc transferase (OGT) harbours a previously unrecognized type of phosphoinositide-binding domain. After induction with insulin, phosphatidylinositol 3,4,5-trisphosphate recruits OGT from the nucleus to the plasma membrane, where the enzyme catalyses dynamic modification of the insulin signalling pathway by O-GlcNAc. This results in the alteration in phosphorylation of key signalling molecules and the attenuation of insulin signal transduction. Hepatic overexpression of OGT impairs the expression of insulin-responsive genes and causes insulin resistance and dyslipidaemia. These findings identify a molecular mechanism by which nutritional cues regulate insulin signalling through O-GlcNAc, and underscore the contribution of this modification to the aetiology of insulin resistance and type 2 diabetes.