The effects of insulin on the synthesis of sterols and fatty acids and on the activity of 3-hydroxy-3-methylglutaryl coenzyme A reductase (EC 1.1.1.34), a rate-limiting enzyme for sterol synthesis, were studied in mammalian cells grown in culture. While in some established cell lines sterol synthesis was not affected significantly by the hormone, in the nonpermanent human and animal cells the synthesis of lipids, especially that of sterols, as well as the activity of the reductase were stimulated following an incubation with insulin in a medium containing serum albumin for a few hours or longer. These effects of insulin were also demonstrable in the presence of solvent-extracted serum, which itself increases sterol synthesis and reductase activity. In medium containing whole serum insulin was ineffective. Addition of glucose decreased sterol synthesis as well as reductase activity. The effects of insulin were prevented by cycloheximide and are probably due to an increased synthesis of 3-hydroxy-3-methylglutaryl CoA reductase or of a protein that regulates its activity.Insulin increases the activity of several biosynthetic processes in a number of mammalian tissues. Although little is known of its effects on the synthesis of sterols, increased cholesterol synthesis in rabbit aorta (1) and increased cholesterol synthesis and 3-hydroxy-3-methylglutaryl coenzyme A reductase (HMGCoA reductase; EC 1.1.1.34) activity in rat liver (2, 3) have been observed after administration of insulin in vivo.In cultured mammalian cells the rate of cholesterol synthesis is influenced by the lipid composition of the medium (4, 5) and it is probable that this is effected through alterations in HMGCoA reductase activity (6 Nonsaponifiable lipids, fatty acids, proteins, and DNA were isolated for radioassay as described earlier (4, 9). Incorporation is expressed as cpm/mg of total cell protein, which was determined by the method of Lowry (13).For assay of HMGCoA reductase activity, the washed cells from a single dish were scraped and suspended in 2 ml of 20 mM sodium phosphate buffer, pH 7.3, containing 2.5 mM EDTA, 3 mM MgCl2, and 10 mM 2-mercaptoethanol. After homogenization (Dounce homogenizer with "B" pestle) 0.2 ml of 1 M sodium phosphate buffer, pH 7.3, was added, and the homogenate was centrifuged, usually for 10 min at 600 X g. HMGCoA reductase was assayed in duplicate in a total volume of 1.5 ml containing 1.4 ml of 600 X g supernatant (100-300 Ag of protein), 3 mM NADP, 7 mM glucose-6-phosphate, 2.5 units of glucose-6-phosphate dehydrogenase (