nuclear mechanistic links between sugar and fatty acid regulation remain elusive. Recent evidence suggests that peroxisome proliferator-activated receptors (PPARs), ligand-activated transcription factors belonging to the nuclear hormone receptor superfamily, play a central role in energy homeostasis by initiating transcription of multiple genes involved in fatty acid oxidation and glucose metabolism. In liver, PPAR ␣ induces transcription of genes involved in long-chain fatty acid (LCFA) uptake and transport (e.g., liver fatty acid binding protein [L-FABP]), fatty acid degradation by  -oxidation, and lipoprotein metabolism ( 4, 5 ). Thus, activation of PPAR ␣ induces transcription of a number of lipid metabolic proteins whose abnormal regulation may contribute to diabetes and obesity.Although it is known that exogenous LCFAs activate PPAR ␣ and that certain PPAR ␣ -targeting drugs (fi brates) used in cardiovascular and diabetes therapy enhance glucose uptake, increase fatty acid metabolism, and improve insulin sensitivity ( 6, 7 ), the identity of endogenous, highaffi nity PPAR ␣ ligands has proven more elusive. Only recently was it shown that PPAR ␣ exhibits high affi nity for unsaturated (but not saturated) LCFA ( 8, 9 ) and all examined CoA thioesters of LCFA (LCFA-CoA) ( 9, 10 ). Upon binding these lipids, PPAR ␣ undergoes a conformational change and increased activation, consistent with LCFA and LCFA-CoA being endogenous ligands. The latter is especially likely as nuclear concentrations of LCFA and LCFA-CoA are in the range of PPAR ␣ affi nity for these ligands ( 11,12 ). New fi ndings show that glucose is also an Elevated serum fatty acids and sugars are signifi cant cardiovascular risk factors in diabetes, obesity, and metabolic syndrome ( 1-4 ). While these nutrients regulate transcription of multiple genes involved in their own metabolism,