HIREc-B cells (rat fibroblasts expressing the human insulin receptor) were incubated with myo-[3H]inositol for 48 hr, and the biosynthesis of chiro-[3HJinositol was investigated in the absence and presence of insulin following a time course up to 60 min. After phase separation, treatment with insulin for 15 min caused a 2.2-fold increase in the specific radioactivity of chiro-[3Hlinositol-containing phospholipids in contrast to a 1. The combination of D-chiro-inositol and galactosamine was originally discovered as an unexpected species of rat liver inositol phosphoglycan insulin mediator (1). A second species of insulin mediator, first described by Saltiel and Cuatrecasas (2), contained myo-inositol and glucosamine, the usual inositol and hexosamine commonly present in the inositol phosphoglycans. The chiro-inositol-containing mediator has been shown to activate pyruvate dehydrogenase phosphatase and glycogen synthase phosphatase (3, 4). Glycogen synthase and pyruvate dehydrogenase are the ratelimiting enzymes which control nonoxidative and oxidative insulin-sensitive glucose metabolic pathways, respectively. These two phosphatases are activated by insulin and the two pathways are now recognized to be defective in postreceptor insulin resistance in primates with type II diabetes (5). A lack of chiro-inositol together with an excess of myo-inositol has been noted in type II diabetic urine and skeletal muscle (5), leading us to suggest that insulin resistance may result from a possible defect in synthesis or metabolism of chiro-inositol (6). EXPERIMENTAL PROCEDURES Materials. Phosphatidylinositol (PI), phosphatidylserine (PS), phosphatidylcholine (PC), phosphatidylethanolamine (PE), and phosphatidic acid (PA) were obtained from Avanti Polar Lipids. PI 4,5-bisphosphate (PIP2), PI 4-phosphate (PIP), and lyso-PI were from Sigma. Silica gel G plates for thin-layer chromatography (TLC) were from Merck. Analytical-grade anion-exchange (AG1-X8) and cation-exchange (AG5OW-X8) resins were from Bio-Rad. All other reagents and chemicals were purchased from Sigma at analyticalgrade purity.Cell Culture and myo-[3HJInositol Labeling. The HIRc-B cells (7,8) were generously supplied by Donald McClain (University of Alabama, Birmingham). Cells were incubated at 37°C in air containing 5% CO2 at 90o relative humidity. Before labeling, cells were grown to =2 x 104 per cm2 in 10-cm-diameter dishes in Dulbecco's modified Eagle's medium (DMEM; GIBCO/BRL) supplemented to contain 10% fetal bovine serum (GIBCO/BRL) and 100 nM methotrexate (9). The medium in each dish was replaced with 7 ml of inositol-free DMEM containing 10%o dialyzed fetal bovine serum, 100 nM methotrexate, and myo-[1,2-3H]inositol (22 ,uCi/ml; 46.0 Ci/mmol, DuPont/New England Nuclear; 1 Ci = 37 GBq). After incubation for 24 hr, the cells were serum-starved by replacing the medium with 7 ml of inositolfree DMEM supplemented with human transferrin (5 Mg/ml), methotrexate (100 nM), and myo-[3H]inositol (3 uCi/ml) and incubating for an additional 24 hr.Insulin St...