Besides its well established role in control of cellular cholesterol homeostasis, the liver X receptor (LXR) has been implicated in the regulation of hepatic gluconeogenesis. We investigated the role of the major hepatic LXR isoform in hepatic glucose metabolism during the feeding-to-fasting transition in vivo. In addition, we explored hepatic glucose sensing by LXR during carbohydrate refeeding. Lxr␣ ؊/؊ mice and their wildtype littermates were subjected to a fasting-refeeding protocol and hepatic carbohydrate fluxes as well as whole body insulin sensitivity were determined in vivo by stable isotope procedures. Lxr␣ ؊/؊ mice showed an impaired response to fasting in terms of hepatic glycogen depletion and triglyceride accumulation. Hepatic glucose 6-phosphate turnover was reduced in 9-h fasted Lxr␣ ؊/؊ mice as compared with controls. Although hepatic gluconeogenic gene expression was increased in 9-h fasted Lxr␣ ؊/؊ mice compared with wild-type controls, the actual gluconeogenic flux was not affected by Lxr␣ deficiency. Hepatic and peripheral insulin sensitivity were similar in Lxr␣ ؊/؊ and wildtype mice. Compared with wild-type controls, the induction of hepatic lipogenic gene expression was blunted in carbohydraterefed Lxr␣ ؊/؊ mice, which was associated with lower plasma triglyceride concentrations. Yet, expression of "classic" LXR target genes Abca1, Abcg5, and Abcg8 was not affected by Lxr␣ deficiency in carbohydrate-refed mice. In summary, these studies identify LXR␣ as a physiologically relevant mediator of the hepatic response to fasting. However, the data do not support a role for LXR in hepatic glucose sensing.Liver X receptors ␣ and  (LXR␣/, 2 NR1H3/NR1H2) are important players in the transcriptional control of various metabolic pathways. LXR␣ is predominantly expressed in liver, intestine, and adipose tissue but is also present in kidney, lung, and spleen. LXR is expressed in almost all tissues and organs (1, 2). LXRs can be activated by oxidized cholesterol metabolites (oxysterols), which have been identified to be their natural ligands. Hence, LXRs act as intracellular "cholesterol sensors" (3). LXRs induce lipogenic gene expression upon activation, both directly (4) and indirectly via the transcription factors sterol regulatory element binding protein-1c (SREBP-1c) and carbohydrate response element binding protein (ChREBP) (4 -7). Both SREBP-1c and ChREBP are involved in control of the conversion of glucose into fatty acids. Thus, LXRs coordinate the interactions between sterol and fatty acid metabolism, for instance to enable cholesterol ester formation during cellular cholesterol overload. In the past years, several studies have been published that point toward a role of LXRs in the control of glucose homeostasis. These studies showed that pharmacological LXR activation improves glycemic control in diabetic rodent models by increasing peripheral glucose disposal (8, 9) and/or inhibition of hepatic gluconeogenesis (9 -12). Mitro et al. (13) recently reported that physiologically relevant co...