Cardiomyocyte-specific deletion of acetyl-CoA carboxylase reduces insulin-dependent increases in malonyl-CoA and pyruvate dehydrogenase activation. Control (Acc1f/f/Acc2f/f and αMHC-MerCreMer) and ACC-1/2 knockout mice, 3 days post-tamoxifen, received an intraperitoneal injection of saline or insulin (0.05 U/g body weight) at 8 AM. Hearts were excised 10 min post-injection, a piece of the left ventricle was frozen for metabolite analysis, and the remainder was homogenized and mitochondria isolated (+DCA and NaF). Frozen tissue from control and ACC knockout ± insulin was extracted, and metabolites resolved by reverse phase HPLC and (A) malonyl-CoA, (B) acetyl-CoA, and (C) CoASH quantified by UV/Vis spectroscopy. Isolated mitochondria were evaluated for (D) PDH activity as measured spectrophotometrically and (E) E1α subunit content and phosphorylation status of each site on the PDH E1α subunit (Ser232, Ser293, and Ser300) by Western blot followed by densitometric analysis. Values are presented as the mean ± SD (n = 6) where significant differences (ANOVA with the Tukey test) are indicated by ∗p < 0.05, ∗∗p < 0.01, and ∗∗∗p < 0.001. Each data point indicates a separate animal.