Proton pumps participate in several aspects of endocytic protein trafficking. However, their involvement specifically in the GLUT4 pathway has been a matter of great controversy. Here, we report that incubation of 3T3-L1 adipocytes with specific inhibitors of V-type ATPase, concanamycin A and bafilomycin A1, inhibits insulin-regulated glucose transport and results in accumulation of GLUT4 in heavy, rapidly sedimenting intracellular membranes. Correspondingly, the amount of small responsive GLUT4 vesicles in concanamycin A-and bafilomycin A1-treated cells is decreased. We conclude that these drugs block translocation of GLUT4 in adipose cells by inhibiting formation of small insulin-responsive vesicles on donor intracellular membranes. At the same time, proton pump inhibitors do not affect insulin-dependent translocation of preexisting vesicles or GLUT4 sorting in recycling endosomes. On the contrary, wortmannin acutely inhibits insulindependent translocation of the preexisting vesicles but has no effect on vesicle formation. cellugyrin; adipocytes; bafilomycin; concanamycin; wortmannin IN ADIPOSE AND SKELETAL MUSCLE CELLS, insulin causes redistribution of glucose transporter isoform 4 (GLUT4) from its intracellular compartments to the cell surface (2, 24). The nature of the "GLUT4 pathway" in insulin-sensitive cells is not completely understood. It has been shown, however, that internalized GLUT4 passes from early endosomes (31) to recycling endosomes (17,37,40) and then to specialized insulin-responsive storage vesicles, or IRVs, that represent the final target of insulin regulation (19,22,36). Transport of GLUT4 from early to recycling endosomes may proceed via a distinct population of vesicles that are marked by the presence of cellugyrin, which is absent from the IRVs (14, 15). In basal adipose cells, IRVs accommodate 70 -75% of the total GLUT4 pool with the rest of the transporter residing in endosomes and interendosomal cellugyrin-positive vesicles (15, 18, 38, and this paper). GLUT4 continuously traffics between its intracellular compartments and the plasma membrane both in the absence and in the presence of insulin (6,12,29), indicating that IRVs and cellugyrin-positive vesicles are maintained in a dynamic equilibrium with their donor and target membranes.The mechanism of how small GLUT4 vesicles are formed on large donor membranes is not known. It is thought, however, that cargo molecules, such as GLUT4, must be somehow recognized by adaptors and protein coats and be recruited into coated buds. Weak binding to cytoplasmic tails of the cargo proteins may not be sufficient to recruit adaptor complexes and protein coats to the donor membranes. This process requires additional interactions between adaptors and small GTPases of the ADP ribosylation factor (ARF) family (3, 7). Because recruitment of ARF protein(s) onto endosomes may depend on the acidic luminal pH (10, 21), it may be mediated by a putative transmembrane pH sensor (1). Thus, to better understand the mechanisms of IRV formation, it is essential...