Malonyl-coenzyme A In fat synthesis, the enzyme pyruvate dehydrogenase, which forms acetyl-coA, and also acetyl CoA carboxylase which forms malonyl-coA are obvious control points. These are activated by insulin. This leads to an overall increase in the levels of malonyl-coenzyme A, which is the substrate required for fat synthesis. Thus, the flux down storage pathway is increased when there is sufficient glucose in the 'fed' state.
Pyruvate dehydrogenase dephosphorylation Pyruvate dehyrdrogenase dephosphorylation is increased with the release of insulin. The dephosphorylated form is more active.This mechanism is not clear, as insulin binds to extra-cellular parts of protein receptors and pyruvate dehydrogenase is found in the mitochondrial matrix. There must be some sort of secondary messenger process. This mechanism leads to the increased rate of catalysis of this enzyme, so increases the levels of acetyl-coA.