“…Several laboratories have suggested that this is due to both changes in UDP-GlcNAc levels and thus the O-GlcNAc modification (1, 3, 8, 31, 39, 40, 46, 54, 60, 72, 82, 101, 109, 110, 133-136, 155, 167, 169, 185, 187), as well as other metabolites (115,124) and possibly other forms of protein glycosylation (65,173). Key data that support a role for O-GlcNAc in mediating the complications associated with type II diabetes includes 1) overexpression of O-GlcO-GlcOGT in the muscle and adipose of mice results in insulin resistance and hyperleptinemia, two hallmarks of type II diabetes (117); 2) deletion of either OGT or O-GlcNAcase in Caenorhabditis elegans leads to changes in glucose and trehalose metabolism, as well as dauer phenotypes characteristic of disrupted insulin signaling (40,54); 3) PUGNAc treatment, an inhibitor of the O-GlcNAcase and lysosomal hexosaminidases, leads to insulin resistance in cell culture models and tissue explants (3,134,167); 4) in several models of diabetes O-GlcNAc levels are elevated on a subset of proteins (1,2,8,42,64,113,133,138,169); 5) numerous pathways are regulated by NAc, such as insulin signaling via Akt (3, 6, 40, 54, 119, 134 -136, 167, 185); and 6) reducing the levels of O-GlcNAc in models of type II diabetes reverses the some of the complications associated with type II diabetes (26,63,64,125). However, recent data suggests that elevating O-GlcNAc levels alone may not be sufficient to induce diabetes: 1) treating 3T3-L1 adipocytes with PUGNAc but not a more specific inhibitor of OGlcNAcase (Thiamet-G) results in insulin resistance (107), 2) treating mice for long periods of time with Thiamet-G does not alter glucose metabolism (108), and 3) overexpressing OGlcNAcase does not restore glucose metabolism in 3T3-L1 adipocytes (142).…”