The hexosamine biosynthesis pathway (HBP) serves as a nutrient sensor and has been implicated in the development of type 2 diabetes. We previously demonstrated that fatty acid oxidation was enhanced in transgenic mouse adipocytes, wherein the rate-limiting enzyme of the HBP, glutamine:fructose-6-phosphate amidotransferase (GFA), was overexpressed. To explore the molecular mechanism of the HBP-induced fatty acid oxidation in adipocytes, we studied AMP-activated protein kinase (AMPK), an energy sensor that stimulates fatty acid oxidation by regulating acetyl-CoA carboxylase (ACC) activity. Phosphorylation and activity of AMPK were increased in transgenic fat pads and in 3T3L1 adipocytes treated with glucosamine to stimulate hexosamine flux. Glucosamine also stimulated phosphorylation of ACC and fatty acid oxidation in 3T3L1 adipocytes, and these stimulatory effects were diminished by adenovirus-mediated expression of a dominant negative AMPK in 3T3L1 adipocytes. Conversely, blocking the HBP with a GFA inhibitor reduced AMPK activity, ACC phosphorylation, and fatty acid oxidation. These changes are not explained by alterations in the cellular AMP/ATP ratio. Further demonstrating that AMPK is regulated by the HBP, we found that AMPK was recognized by succinylated wheat germ agglutinin, which specifically binds O-GlcNAc. The levels of AMPK in succinylated wheat germ agglutinin precipitates correlated with hexosamine flux in mouse fat pads and 3T3L1 adipocytes. Moreover, removal of O-GlcNAc by hexosaminidase reduced AMPK activity. We conclude that chronically high hexosamine flux stimulates fatty acid oxidation by activating AMPK in adipocytes, in part through O-linked glycosylation.Although there is a major genetic contribution to type 2 diabetes, the largest predisposing factor remains caloric excess and/or obesity. Underlining the importance of this mechanism, excess glucose and lipids themselves can cause the pathological hallmarks of diabetes, insulin resistance, and -cell failure. One pathway by which excess nutrients can contribute to the diabetic phenotype is the hexosamine biosynthesis pathway (HBP) 2 (1-4). In this pathway, a relatively small amount of cellular glucose flux is converted to UDP-GlcNAc and other amino sugars. The rate-limiting step is catalyzed by enzyme glutamine:fructose-6-phosphate amidotransferase (GFA), and the levels of the product UDP-GlcNAc are proportional to cellular glucose flux and thus able to serve a nutrient sensing function. In the short run, hexosamines function as physiologic glucose sensors that serve an adaptive role in directing excess calories toward storage as fat. When chronically stimulated, however, the HBP can also lead to insulin resistance, hyperinsulinemia, hyperlipidemia, and hyperleptinemia (2, 3, 5-7).UDP-GlcNAc, the chief product of the pathway, is the substrate for O-glycosyltransferase, which catalyzes the O-linked glycosylation of nuclear and cytosolic proteins with a single N-acetylglucosamine (O-GlcNAc) moiety on serine and threonine residues (8 -11). It...