; 10.1152/ ajpendo.00309.2003.-Muscle glucose uptake (MGU) is determined by glucose delivery, transport, and phosphorylation. C57Bl/6J mice overexpressing GLUT4, hexokinase II (HK II), or both were used to determine the barriers to MGU. A carotid artery and jugular vein were catheterized for arterial blood sampling and venous infusions. Experiments were conducted in conscious mice ϳ7 days after surgery.
2-Deoxy-[3 H]glucose was administered during rest or treadmill exercise to calculate glucose concentration-dependent (R g) and -independent (K g) indexes of MGU. Compared with wild-type controls, GLUT4-overexpressing mice had lowered fasting glycemia (165 Ϯ 6 vs. 115 Ϯ 6 mg/dl) and increased R g by 230 and 166% in the gastrocnemius and superficial vastus lateralis (SVL) muscles under sedentary conditions. GLUT4 overexpression was not able to augment exercise-stimulated R g or Kg. Whereas HK II overexpression had no effect on fasting glycemia (170 Ϯ 6 mg/dl) or sedentary R g, it increased exercise-stimulated R g by 82, 60, and 169% in soleus, gastrocnemius, and SVL muscles, respectively. Combined GLUT4 and HK II overexpression lowered fasting glycemia (106 Ϯ 6 mg/dl), increased nonesterified fatty acids, and increased sedentary R g. Combined GLUT4 and HK II overexpression did not enhance exercisestimulated Rg compared with HK II-overexpressing mice because of the reduced glucose concentration. GLUT4 combined with HK II overexpression resulted in a marked increase in exercise-stimulated K g. In conclusion, control of MGU shifts from membrane transport at rest to phosphorylation during exercise. Glucose transport is not normally a significant barrier during exercise. However, when the phosphorylation barrier is lowered by HK II overexpression, glucose transport becomes a key site of control for regulating MGU during exercise.delivery; glucose transporter 4; hexokinase; exercise; 2-deoxyglucose THE CONTROL OF skeletal muscle glucose uptake (MGU) is distributed over the following three serial steps: delivery of glucose from the blood to the sarcolemma, transport across the sarcolemmal membrane, and intracellular phosphorylation by hexokinase (HK; see Ref. 42). Both blood flow and capillary recruitment are important determinants of glucose delivery. Glucose transport is mediated by the facilitated diffusion of glucose through a GLUT family member. Under basal and sedentary conditions, GLUT1 facilitates much of the transport into skeletal muscle (10,30,38); however, after stimulation by contractions (3,8,37), GLUT4 translocates from an intracellular pool to the cell surface, thereby increasing the permeability of the sarcolemma to glucose. Whether HK activity or localization and hence the functional rate of glucose phosphorylation to glucose 6-phosphate (G-6-P) changes during acute stimulation by exercise remains to be clearly determined. While one step may exert dominance in controlling MGU under one condition, the primary control step may shift with physiological stimuli (11)(12)(13)(14)34).During sedentary conditions...