Delineating the molecular basis for the metabolic switch from the well-fed state to starvation is crucial to understanding nutritionally regulated metabolic abnormalities. We have examined the molecular events associated with nutrient deprivation, using suppression subtractive hybridization to define the transcriptional programs up-regulated in rat liver by starvation. Of the genes that displayed significant increases in their hepatic mRNA levels following 48-h starvation, most could be assigned to one of five major functional classes. We found upregulation of genes involved in energy and protein metabolism, genes that respond to stress, and genes encoding nutrient transporters or signaling transducers. The genes with functions in energy and protein metabolism have roles in initiating gluconeogenesis, switching fuel sources from carbohydrates to fatty acids, and protein turnover. A variety of stress response genes, including acute-phase reactants, exhibited a marked increased in expression, indicating an attempt to restore homeostasis. The expression of several integrated membrane nutrient transporters that supply essential metabolic substrates was increased dramatically. Some known cytosolic signal transducers, likely involved in the metabolic shift from an anabolic to a catabolic state and in the stress response, were significantly enhanced as well. We also observed increased expression of a variety of other known and novel genes. Collectively, our findings indicate that starvation stimulates multiple signaling pathways, which likely lead to extensive metabolic alterations in the liver. These data should serve to enhance our understanding of the molecular mechanisms underlying energy and nitrogen expenditure in the starved state.Key Words: Starvation • expressed sequence tags •ÜJOXFRQHRJHQHVLV• protein turnover • fatty acid oxidation ammals have evolved precise mechanisms to maintain balance between food intake and energy expenditure, thereby permitting variable fuel and nitrogen consumption to meet anabolic and catabolic demands. These mechanisms are essential to maintain the energy requirements between meals during the starvation-feeding cycle (1). Imbalance between food consumption and energy expenditure results in nutrition-related abnormalities such as obesity, the most common form of malnutrition in affluent countries (2, 3). The mainstay of M treatment for obesity is decreased caloric intake combined with increased exercise. A decrease in basal metabolic rate, however, usually compensates for the decreased caloric intake, and this contributes to the fact that about 95% of people who lose weight regain it within a year (4, 5). Elucidating the mechanisms involved in the metabolic switch from the well-fed state to fasting or starvation may shed light on the mechanisms underlying states of altered nutrition.Although the systematic study of the metabolic effects of starvation began nearly a century ago (6, 7), the molecular basis of metabolic interrelationships during fasting or starvation has not been comple...