The field of inositol signaling has expanded greatly in recent years. Given the many reviews on phosphoinositide kinases, we have chosen to restrict our discussion to inositol lipid hydrolysis focused on the phosphatases and a brief mention of the lipase isoforms. We also discuss recent discoveries that link mutations in phosphoinositide phosphatases to disease. There are eight known phosphoinositides (also known as phosphatidylinositol phosphates or PIPs) with phosphate linked to diacylglycerol (DAG) and monoester phosphates in every possible combination of the 3, 4, and 5 positions of the inositol ring as shown in Fig. 1. Budding yeast have most of the PIPs, including PI(3)P, PI(4)P, PI(3,5)P 2 , and PI(4,5)P 2 , consistent with their evolutionarily conserved functions. The inositol phospholipids are interconverted by kinases and phosphatases as well as cleaved by phospholipase C (PLC) enzymes.A concept in the field has emerged in which each PIP has a distinct role: a so-called "lipid code" hypothesis. The lipid code postulates that distinct lipids mark each of the cellular membranes to maintain an orderly flow required for the complexities of membrane trafficking and the spatio-temporal signaling reaction. For example, Golgi membranes are enriched in PI(4)P, endosomal membranes are decorated with PI(3)P, and the plasma membrane with PI(4,5)P 2 .Among the most well-studied codes are the PIPs harboring a D-3 phosphate, including PI(3,4,5)P 3 (commonly referred to as PIP 3 ), PI(3,4)P 2 , PI(3,5)P 2 and PI3P. Importantly, the D-3 class of lipids are not substrates for PLC enzymes. This, along with the work showing that stimulation of cells by many growth factors activates receptorlinked phosphatidylinositol 3-kinases to transiently generate PIP 3 , helped secure the roles of inositol lipids as signaling molecules in their own right. While PI(3,4)P 2 was considered as the breakdown product of PI(3,4,5)P 3 , evidence points to a distinct role for this lipid in cell signaling. Remarkably, interpretation of the inositol lipid code has rested on hundreds of recently discovered lipid binding protein domains, which are found attached to numerous signaling proteins. There are about a half-dozen classes of lipid binding domains, for example PH, FYVE, and PX domains. Overall, the complexity of lipid signaling has exceeded expectations, and its importance is underscored by the identification of disease states that arise from mutations in these enzymes. Many of these diseases result from defects in inositol lipid hydrolysis. In the following pages, we will outline the diseases and describe the hydrolytic enzymes responsible for regulating these important chemical messengers within cells.
PATHOLOGY RESULTING FROM DERANGED INOSITOL SIGNALINGThe significance of inositol signaling with respect to human health is highlighted by the fact that mutations in enzymes of inositol signaling cause numerous diseases and pathologies ( Table 1). Mutation of the gene encoding a PIP 2 5-phosphatase (5-ptase) (OCRL) in humans causes ...