The present study was conducted to examine the involvement of Rab4, a low molecular weight GTP-binding protein, in the action of insulin on glucose transport. A synthetic peptide corresponding to the Rab4 hypervariable carboxyl-terminal domain, Rab4-(191-210), was successfully transferred into rat adipocytes by electroporation and inhibited insulin-stimulated glucose transport by about 50% without affecting the basal transport activity. In contrast, synthetic peptides corresponding to the Rab3C and Rab3D carboxyl-terminal hypervariable domain had little effect on insulin action on glucose transport. The Rab4-(191-210) peptide also reduced insulin-induced GLUT4 translocation from the intracellular pool to the plasma membrane. Furthermore, the Rab4-(191-210) peptide reduced both insulin-induced glucose transport and GLUT4 translocation in the presence of a major histocompatibility complex class I antigen-derived peptide, D k -(62-85), which is a potent inhibitor of GLUT4 internalization, suggesting that the peptide inhibited exocytotic recruitment of GLUT4-containing vesicles. The Rab4-(191-210) peptide also inhibited GTP␥S-stimulated glucose transport. In addition, insulin-stimulated glucose transport was inhibited by the addition of anti-Rab4 antibody. These results suggest that Rab4 protein plays a crucial role in insulin action on GLUT4 translocation, especially in exocytotic recruitment by the hormone of the glucose transporter to the plasma membrane from the intracellular retention pool.Insulin stimulates glucose uptake in skeletal/cardiac muscles and adipocytes by promotion of translocation of glucose transporter isoform, GLUT4, from the intracellular pool to the plasma membrane (1-3). Although the precise mechanism(s) of insulin-induced GLUT4 redistribution is still unclear, several lines of evidence indicate that GTP-binding protein(s) is involved in the insulin action. Thus, nonhydrolyzable GTP analogues induce GLUT4 translocation (4, 5) and stimulate glucose transport (6, 7) in permeabilized adipocytes. Furthermore, by dissecting the recycling pathway of GLUT4 into exocytosis and endocytosis, we have demonstrated recently that GTP␥S 1 stimulates exocytotic fusion of GLUT4-containing vesicles, whereas the nucleotide inhibits endocytosis of the glucose transporter (8). Our previous study also indicated that the number of GLUT4 molecules in recycling pool is not large in the basal state and the rate-limiting step of insulin-induced redistribution of GLUT4 is the exocytotic recruitment from the intracellular retention pool to the plasma membrane (8).The Rab family proteins of Ras-related small GTP-binding proteins have been implicated in regulation of intracellular vesicular traffic (9). Given that exocytotic movement of vesicles is regulated by the Rab family protein(s), GTP␥S may promote exocytosis of GLUT4-containing vesicles by stimulation of the Rab protein(s) associated with the vesicles, although other candidates (e.g. trimeric GTP-binding proteins) cannot be ruled out. In this regard, Baldini et al....