The hexose transport system in skeletal muscle is subject to complex regulation. We have previously shown that hexose uptake and utilisation in cultured rat myocytes and myotubes and in isolated rat soleus muscles in vitro are dependent on the D-glucose concentration to which the cells and muscles are pre-exposed [1][2][3][4][5]. Similar effects of glucose withdrawal and refeeding have been reported in cultured L6 [6] and BC3H1 skeletal muscle cells [7] as well as in human skeletal muscle [8]. The maximal velocity of hexose transport (V max ) was reduced in L8 skeletal muscle cells exposed to increasing glucose concentrations (0.5-20.0 mmol/l) in a concentration-dependent manner, while the affinity (K m ) was unaffected [2]. Cytochalasin B (CB) binding and GLUT1 Western blotting of enriched plasma-and microsomal-membrane fractions revealed that high glucose concentrations modulated the subcellular distribution of GLUT1, reducing their number at the plasma membrane of the cell [1]. Similar autoregulatory effects of glucose Diabetologia (1997) Summary Exposure of rat skeletal muscle and skeletal muscle cell lines to high glucose levels results in a time-and dose-dependent reduction of the rate of hexose uptake, paralleled by a reduction in the plasma membrane density of glucose transporters. The mechanism of this process was investigated in cultured L8 myocytes. Low concentrations (0.5-2.0 mmol/l) of deoxyglucose mimicked the downregulatory action of 20 mmol/l glucose both regarding the time-course and magnitude of the effect, but in an irreversible manner. A dose-dependent relationship between intracellular accumulation of deoxyglucose 6-phosphate and the magnitude of the downregulatory response was observed. Depletion of intracellular deoxyglucose 6-phosphate restored the rate of hexose transport to the control level. The reduction of hexose transport activity by deoxyglucose occurred independently of ATP depletion which by itself produced the opposite effect. The effects of deoxyglucose and high glucose on hexose transport were associated with reduced transport maximal velocity and GLUT1 transporter abundance in the plasma membranes of myocytes, as assessed by cell surface biotinylation. The reduction of myocyte GLUT1 mRNA content, observed after exposure to high glucose, did not accompany the transport downregulatory action of deoxyglucose. We suggest that hexose 6-phosphate is the mediator of the downregulatory signal for subcellular redistribution of GLUT1 in L8 myocytes. The signal responsible for reducing the GLUT1 mRNA level may be related to glucose metabolites downstream of the hexokinase reaction.