. Exchange 3-O-methylglucose (3MG) import and export are monophasic in the absence of cytoplasmic ATP but are biphasic when ATP is present. Biphasic exchange is observed as the rapid filling of a large compartment (66% cell volume) followed by the slow filling of the remaining cytoplasmic space. Biphasic exchange at 20 mM 3MG eliminates the possibility that the rapid exchange phase represents ATP-dependent 3MG binding to the glucose transport protein (GLUT1; cellular [GLUT1] of Յ20 M). Immunofluorescence-activated cell sorting analysis shows that biphasic exchange does not result from heterogeneity in cell size or GLUT1 content. Nucleoside transporter-mediated uridine exchange proceeds as rapidly as 3MG exchange but is monoexponential regardless of cytoplasmic [ATP]. This eliminates cellular heterogeneity or an ATP-dependent, nonspecific intracellular diffusion barrier as causes of biphasic exchange. Red cell ghost 3MG and uridine equilibrium volumes (130 fl) are unaffected by ATP. GLUT1 intrinsic activity is unchanged during rapid and slow phases of 3MG exchange. Two models for biphasic sugar transport are presented in which 3MG must overcome a sugar-specific, physical (diffusional), or chemical (isomerization) barrier to equilibrate with cell water. Partial transport inhibition with the use of cytochalasin B or maltose depresses both rapid and slow phases of transport, thereby eliminating the physical barrier hypothesis. We propose that biphasic 3MG transport results from ATP-dependent, differential transport of 3MG anomers in which V max/apparent Km for -3MG exchange transport is 19-fold greater than Vmax/apparent Km for ␣-3MG transport.carrier-mediated transport; transport kinetics; transport regulation A FAMILY OF INTEGRAL MEMBRANE proteins called glucose transporters (GLUTs) (40) mediates equilibrative sugar transport in mammalian cells. The glucose transport protein GLUT1 catalyzes sugar transport in cells of the reticuloendothelial system (7, 61) and presents an interesting experimental puzzle. The steady-state kinetics of GLUT1-mediated sugar transport in rabbit (70), rat (38, 62), and avian (7, 8) erythrocytes and in basal (insulin-starved) rat adipocytes (76) are consistent with classical models for carrier-mediated solute transport (5, 47). GLUT1-mediated sugar transport in human red cells, however, displays a kinetic complexity that has proven difficult to reconcile with models for carrier-mediated transport (4,21,32,49,56,79).Transport complexity is especially obvious in zero-trans exit and infinite-cis entry conditions (13). In the zero-trans exit condition, cells are loaded with various starting sugar concentrations and the initial rate of exit is measured (49, 56), or the complete time course of exit is analyzed by using an integrated Michaelis-Menten equation (4,16,42,56). Initial rate measurements (49, 56) routinely provide estimates of apparent K m [K m(app) ] for sugar exit that are two to three times lower than those obtained by analysis of the complete time course of sugar exit (4,16,42,...