Hosokawa, Masaya, and Bernard Thorens. Glucose release from GLUT2-null hepatocytes: characterization of a major and a minor pathway. Am J Physiol Endocrinol Metab 282: E794-E801, 2002; 10.1152/ajpendo.00374.2001.-We previously reported that glucose can be released from GLUT2-null hepatocytes through a membrane traffic-based pathway issued from the endoplasmic reticulum. Here, we further characterized this glucose release mechanism using biosynthetic labeling protocols. In continuous pulse-labeling experiments, we determined that glucose secretion proceeded linearly and with the same kinetics in control and GLUT2-null hepatocytes. In GLUT2-deficient hepatocytes, however, a fraction of newly synthesized glucose accumulated intracellularly. The linear accumulation of glucose in the medium was inhibited in mutant, but not in control, hepatocytes by progesterone and low temperature, as previously reported, but, importantly, also by microtubule disruption. The intracellular pool of glucose was shown to be present in the cytosol, and, in pulse-chase experiments, it was shown to be released at a relatively slow rate. Release was not inhibited by S-4048 (an inhibitor of glucose-6-phosphate translocase), cytochalasin B, or progesterone. It was inhibited by phloretin, carbonyl cyanide p-(trifluoromethoxy)phenylhydrazone, and low temperature. We conclude that the major release pathway segregates glucose away from the cytosol by use of a membrane traffic-based, microtubule-dependent mechanism and that the release of the cytosolic pool of newly synthesized glucose, through an as yet unidentified plasma membrane transport system, cannot account for the bulk of glucose release.gluconeogenesis; hepatic glucose output; intracellular traffic; glucose-6-phosphatase GLUCOSE RELEASE FROM HEPATOCYTES is an essential physiological function that is activated in the fasted state to prevent development of hypoglycemia. In diabetes, this function becomes progressively insensitive to inhibition by insulin and therefore contributes to increased hyperglycemia. Hepatic glucose production can result from activation of two metabolic pathways, glycogenolysis or gluconeogenesis, that converge at the level of glucose 6-phosphate (G-6-P) production. Conversion to glucose then requires G-6-P to enter the endoplasmic reticulum (ER), a process catalyzed by a glucose-6-phosphate translocase (4), followed by hydrolysis to glucose and phosphate by the membrane-associated glucose-6-phosphatase, whose catalytic site is located inside the ER lumen (9, 13). Release of glucose outside the cells has been classically viewed as involving diffusion of glucose back into the cytosol and transport across the plasma membrane by the glucose transporter GLUT2 (15). Recently, we reported that, in the absence of this transporter, glucose could, however, still be released at a normal rate, even though facilitated diffusion of 3-O-methylglucose (3-MG) across the plasma membrane was reduced by Ͼ95% (5). We presented evidence that glucose release in the absence of GLUT2 could...