SummaryGLUT4 is an insulin-regulated glucose transporter that is responsible for insulin-regulated glucose uptake into fat and muscle cells. In the absence of insulin, GLUT4 is mainly found in intracellular vesicles referred to as GLUT4 storage vesicles (GSVs). Here, we summarise evidence for the existence of these specific vesicles, how they are sequestered inside the cell and how they undergo exocytosis in the presence of insulin. In response to insulin stimulation, GSVs fuse with the plasma membrane in a rapid burst and in the continued presence of insulin GLUT4 molecules are internalised and recycled back to the plasma membrane in vesicles that are distinct from GSVs and probably of endosomal origin. In this Commentary we discuss evidence that this delivery process is tightly regulated and involves numerous molecules. Key components include the actin cytoskeleton, myosin motors, several Rab GTPases, the exocyst, SNARE proteins and SNARE regulators. Each step in this process is carefully orchestrated in a sequential and coupled manner and we are beginning to dissect key nodes within this network that determine vesicle-membrane fusion in response to insulin. This regulatory process clearly involves the Ser/Thr kinase AKT and the exquisite manner in which this single metabolic process is regulated makes it a likely target for lesions that might contribute to metabolic disease.
Key words: GLUT4 storage vesicles, GLUT4 trafficking, Exocytosis, Insulin regulationJournal of Cell Science 124, 4147-4159 © 2011. Published
Journal of Cell Sciencepresence of insulin or with other recycling membrane proteins such as the transferrin receptor (TFR) (Blot and McGraw, 2008;Govers et al., 2004;Habtemichael et al., 2011; Karylowski et al., 2004;Muretta et al., 2008). Whereas there are some quantitative discrepancies in the degree of plasma membrane recycling in the absence of insulin between various studies, presumably owing to differences in the techniques used, a consensus is emerging (see below). By contrast, trying to explain these differences with terms such as 'dynamic' versus 'static' retention is more problematic (Dugani and Klip, 2005;Martin et al., 2006;Muretta et al., 2008). The term 'dynamic' was originally used to describe high basal recycling, whereas 'static' referred to low basal recycling. However, the term 'static' precludes a model in which GSVs constantly (dynamically) move toward the plasma membrane with limited access to the fusion machinery in the absence of insulin. Thus, we suggest two new terms to differentiate between these different models of basal intracellular sequestration of GLUT4: retention, to describe the GSVs being physically prevented from moving towards the plasma membrane and repulsion, to describe the situation in which GSVs move close to the plasma membrane but are unable to fuse with it.Retention of GSVs could involve a mechanism that anchors the vesicles in the interior of the cell or restricts their access to the (cytoskeletal) tracks that shuttle them to the plasma membrane. In...