In the present study, we investigated the physiological significance of the microtubules in the subcellular localization and trafficking of GLUT4 in rat primary adipocytes. Morphological and biochemical analyses revealed a dose-and time-dependent disruption of the microtubules by treatment with nocodazole. With nearly complete disruption of the microtubules, the insulinstimulated glucose transport activity was inhibited by 55%. This inhibition was concomitant with a comparable inhibition of GLUT4 translocation measured by the subcellular fractionation and the cell-surface GLUT4 labeling by trypsin cleavage. In addition, the time-course of insulin stimulation of the glucose transport activity was significantly delayed by microtubule disruption (t ½ ½ were 7 and 2.3 min in nocodazole-treated and control cells, respectively), while the rate of GLUT4 endocytosis was little affected. The impaired insulin-stimulated glucose transport activity was not fully restored to the level in control cells by blocking GLUT4 endocytosis, suggesting that the inhibition was due to the existence of a microtubule-dependent subpopulation in the insulin-responsive GLUT4 pool. On the other hand, nocodazole partially inhibited insulin-induced translocation of the insulin-regulated aminopeptidase and the vesicle-associated membrane protein (VAMP)-2 without affecting GLUT1 and VAMP-3. In electrically permeabilized adipocytes, the insulin-stimulated glucose transport was inhibited by 40% by disruption of the microtubules whereas that stimulated with GTP␥S was not affected. Intriguingly, the two reagents stimulated glucose transport to the comparable level by disruption of the microtubules. These data suggest that insulin recruits GLUT4 to the plasma membrane from at least two distinct intracellular compartments via distinct traffic routes with differential microtubule dependence in rat primary adipocytes.Insulin stimulates glucose uptake mainly by promoting subcellular redistribution of a facilitative glucose transporter isoform GLUT4 from intracellular compartments to the plasma membrane in adipocyte and skeletal/cardiac muscles (1-3). While the subcellular trafficking pathways and the molecular mechanisms by which insulin recruits GLUT4 to the plasma membrane still remain obscure, several lines of evidence have suggested that GLUT4 is associated with more than one intracellular compartment. Morphologically, studies with immunoelectron microscopy have shown that most of GLUT4 localizes intracellularly to tubulovesicular structures clustered near the stacks of Golgi and the endosomes, or scattered throughout the cytoplasm in unstimulated adipocytes and that insulin decreases GLUT4 from all the intracellular compartments (4, 5). On the other hand, many biochemical studies have indicated that insulin-responsive GLUT4 is associated with the endosomal recycling pathway and with a more specialized postendosomal compartment (for review, see Ref. 1). Additionally, more recent works have suggested that insulin recruits GLUT4 to the plasma membrane f...