Salas M, Obando P, Ojeda L, Ojeda P, Pérez A, VargasUribe M, Rivas CI, Vera JC, Reyes AM. Resolution of the direct interaction with and inhibition of the human GLUT1 hexose transporter by resveratrol from its effect on glucose accumulation. Am J Physiol Cell Physiol 305: C90 -C99, 2013. First published April 24, 2013; doi:10.1152/ajpcell.00387.2012.-Resveratrol acts as a chemopreventive agent for cancer and as a potential antiobesity and antidiabetic compound, by leading to reduced body fat and improved glucose homeostasis. The exact mechanisms involved in improving hyperglycemic state are not known, but most of the glucose uptake into mammalian cells is facilitated by the GLUT hexose transporters. Resveratrol is structurally similar to isoflavones such as genistein, which inhibit the glucose uptake facilitated by the GLUT1 hexose transporter. Here we examined the direct effects of resveratrol on glucose uptake and accumulation in HL-60 and U-937 leukemic cell lines, which express mainly GLUT1, under conditions that discriminate transport from the intracellular substrate phosphorylation/ accumulation. Resveratrol blocks GLUT1-mediated hexose uptake and thereby affects substrate accumulation on these cells. Consequently, we characterized the mechanism involved in inhibition of glucose uptake in human red cells. Resveratrol inhibits glucose exit in human red cells, and the displacement of previously bound cytochalasin B revealed the direct interaction of resveratrol with GLUT1. Resveratrol behaves as a competitive blocker of glucose uptake under zero-trans exit and exchange kinetic assays, but it becomes a mixed noncompetitive blocker when zero-trans entry transport was assayed, suggesting that the binding site for resveratrol lies on the endofacial face of the transporter. We propose that resveratrol interacts directly with the human GLUT1 hexose transporter by binding to an endofacial site and that this interaction inhibits the transport of hexoses across the plasma membrane. This inhibition is distinct from the effect of resveratrol on the intracellular phosphorylation/accumulation of glucose. glucose transport; GLUT1 transporter; hexose uptake; leukemic cells; resveratrol CANCER CELLS PRODUCE ENERGY predominantly via the anaerobic degradation of glucose. This process, which occurs even in the presence of high concentration of oxygen, assures the high rate of proliferation of cancer cells (67). Recent evidence indicates that the rapid breakdown of glucose through both the glycolytic and pentose phosphate pathways provides not only a quick source of energy but also an immediate supply of metabolites intermediates that will finally feed the biosynthetic pathways (13,24,61). Consistently, the consumption of glucose in cancer cells is significantly enhanced compared with normal cells, indicating that glucose plays a key role in the survival of cancer cells (12,20,25). Indeed, cancer cells are sensitive to glucose deprivation, as limiting the supply of glucose prevents cell proliferation and induces apoptosis (4,36,...