. Acute hepatic steatosis in mice by blocking -oxidation does not reduce insulin sensitivity of very-low-density lipoprotein production. Am J Physiol Gastrointest Liver Physiol 289: G592-G598, 2005. First published April 7, 2005; doi:10.1152/ajpgi.00063.2005.-Accumulation of triglycerides (TG) in the liver is generally associated with hepatic insulin resistance. We questioned whether acute hepatic steatosis induced by pharmacological blockade of -oxidation affects hepatic insulin sensitivity, i.e., insulin-mediated suppression of VLDL production and insulin-induced activation of phosphatidylinositol 3-kinase (PI3-kinase) and PKB. Tetradecylglycidic acid (TDGA), an inhibitor of carnitine palmitoyl transferase-1 (CPT1), was used for this purpose. Male C57BL/6J mice received 30 mg/kg TDGA or its solvent intraperitoneally and were subsequently fasted for 12 h. CPT1 inhibition resulted in severe microvesicular hepatic steatosis (19.9 Ϯ 8.3 vs. 112.4 Ϯ 25.2 nmol TG/mg liver, control vs. treated, P Ͻ 0.05) with elevated plasma nonesterified fatty acid (0.68 Ϯ 0.25 vs. 1.21 Ϯ 0.41 mM, P Ͻ 0.05) and plasma TG (0.39 Ϯ 0.16 vs. 0.60 Ϯ 0.10 mM, P Ͻ 0.05) concentrations. VLDL-TG production rate was not affected on CPT1 inhibition (74.9 Ϯ 15.2 vs. 79.1 Ϯ 12.8 mol TG ⅐ kg Ϫ1 ⅐ min Ϫ1 , control vs. treated) although treated mice secreted larger VLDL particles (59.3 Ϯ 3.6 vs. 66.6 Ϯ 4.5 nm diameter, P Ͻ 0.05). Infusion of insulin under euglycemic conditions suppressed VLDL production rate in control and treated mice by 43 and 54%, respectively, with formation of smaller VLDL particles (51.2 Ϯ 2.5 and 53.2 Ϯ 2.8 nm diameter). Insulin-induced insulin receptor substrate (IRS)1-and IRS2-associated PI3-kinase activity and PKB-phosphorylation were not affected on TDGA treatment. In conclusion, acute hepatic steatosis caused by pharmacological inhibition of -oxidation is not associated with reduced hepatic insulin sensitivity, indicating that hepatocellular fat content per se is not causally related to insulin resistance. tetradecylglycidic acid; triglycerides; carnitine palmitoyl transferase-1 THE LIVER IS A KEY PLAYER in the control of whole body energy metabolism by its ability to synthesize, oxidize, store, and distribute the major sources of energy, i.e., glucose and fatty acids. In fed conditions, when excess glucose is available from the intestine, plasma insulin levels are high, and glucose is stored in the liver as glycogen or enters the glycolytic pathway. High insulin suppresses hepatic glucose production (HGP), increases hepatic glucose uptake, and stimulates de novo lipogenesis (11). In addition, insulin suppresses the secretion of VLDL particles by the liver (36). The actions of insulin on the liver, initiated by binding of insulin to its receptor, involve signaling pathways that transduce its effects on gene transcription, protein metabolism, and, finally, fluxes of substrates. Of relevance for this work is insulin signaling through the phosphatidylinositol 3-kinase (PI3-kinase) pathway. On insulin binding, the insuli...