PAQR signaling is mediated by sphingolipid metabolism. In yeast, Izh2p
leads to repression of the iron transporter FET3. This process is sequentially
mediated by 1) PAQ receptors binding to their cognate ligands, 2) the cleavage
of phytoceramide to regenerate phytosphingosine and fatty acid, 3) activation
of Pkh1/2p by sphingoid base, 4) activation of protein kinase A (PKA) by
Pkh1/2p, 5) PKA-induced inhibition of the transcriptional coactivator MSN2/4p
and nuclear export of AMP kinase (preventing inhibition of the transcriptional
corepressor NRG1/2p). In mammalian cells, circulating factors impair insulin
sensitivity via aberrant ceramide accumulation.