Glucose uptake and homeostasis are regulated mainly by skeletal muscle (SM), white adipose tissue (WAT), pancreas, and the liver. Participation of estradiol in this regulation is still under intense investigation. We have demonstrated that, in SM of male mice, expression of the insulinregulated glucose transporter (GLUT)4 is reduced by estrogen receptor (ER) agonists. In the present study, to investigate the relative contributions of ER␣ and ER in glucose homeostasis, we examined the effects of tamoxifen (Tam) on GLUT4 expression in SM and WAT in wild-type (WT) and ERϪ/Ϫ mice. ERϪ/Ϫ mice were characterized by fasting hypoglycemia, increased levels of SM GLUT4, pancreatic islet hypertrophy, and a belated rise in plasma insulin in response to a glucose challenge. ER␣Ϫ/Ϫ mice, on the contrary, were hyperglycemic and glucose intolerant, and expression of SM GLUT4 was markedly lower than in WT mice. Tam had no effect on glucose tolerance or insulin sensitivity in WT mice. In ER␣Ϫ/Ϫ mice, Tam increased GLUT4 and improved insulin sensitivity. i.e., it behaved as an ER antagonist in SM but had no effect on WAT. In ERϪ/Ϫ mice, Tam did not affect GLUT4 in SM but acted as an ER␣ antagonist in WAT, decreasing GLUT4. Thus, in the interplay between ER␣ and ER, ER-mediated repression of GLUT4 predominates in SM but ER␣-mediated induction of GLUT4 predominates in WAT. This tissue-specific difference in dominance of one ER over the other is reflected in the ratio of the expression of the two receptors. ER␣ predominates in WAT and ER in SM.estrogen receptor-␣; estrogen receptor-; glucose transporter 4; tamoxifen FOR SEVERAL DECADES the multiple and sometimes contradictory effects of estrogens on human physiology and disease have puzzled endocrinologists. Even today, the modulatory effects of estrogen on glucose homeostasis are not completely understood. The effects of estrogen on gene regulation are mediated by two sometimes opposing forces, estrogen receptor (ER)␣ and ER (20, 28), in both females and males (19,25). Recent experimental evidence has revealed that estradiol (E 2 ) is an important modulator in tissues previously not considered to be classical estrogen targets.In mice, insulin resistance develops when there is no estrogen (in aromatase-knockout mice) and when ER␣ is inactivated (ER␣Ϫ/Ϫ mice) (5,17,19). In women, a clear relationship between E 2 and glycemia has been observed during the menstrual cycle (32), in gestation (7), in gestational diabetes mellitus, and in polycystic ovarian syndrome (11). In normal males, because of the absence of estrogen cyclicity, the effect of estrogen on glycemia is less obvious, but men with hypoestrogenism or with mutations in the aromatase (13) or ER␣ (31) genes do develop insulin resistance.Insulin is the most important hormone for the maintenance of euglycemia. It regulates carbohydrate metabolism in the liver and glucose uptake in insulin-sensitive tissues, i.e., skeletal muscle (SM) and white adipose tissue (WAT) (12). On binding to its receptors on the cell membrane o...