Ivy. Effect of glycogen synthase overexpression on insulin-stimulated muscle glucose uptake and storage. Am J Physiol Endocrinol Metab 286: E363-E369, 2004. First published October 21, 2003 10.1152/ ajpendo.00115.2003.-Insulin-stimulated muscle glucose uptake is inversely associated with the muscle glycogen concentration. To investigate whether this association is a cause and effect relationship, we compared insulin-stimulated muscle glucose uptake in noncontracted and postcontracted muscle of GSL3-transgenic and wild-type mice. GSL3-transgenic mice overexpress a constitutively active form of glycogen synthase, which results in an abundant storage of muscle glycogen. Muscle contraction was elicited by in situ electrical stimulation of the sciatic nerve. Right gastrocnemii from GSL3-transgenic and wild-type mice were subjected to 30 min of electrical stimulation followed by hindlimb perfusion of both hindlimbs. Thirty minutes of contraction significantly reduced muscle glycogen concentration in wild-type (49%) and transgenic (27%) mice, although transgenic mice retained 168.8 Ϯ 20.5 mol/g glycogen compared with 17.7 Ϯ 2.6 mol/g glycogen for wild-type mice. Muscle of transgenic and wildtype mice demonstrated similar pre-(3.6 Ϯ 0.3 and 3.9 Ϯ 0.6 mol⅐g Ϫ1 ⅐h Ϫ1 for transgenic and wild-type, respectively) and postcontraction (7.9 Ϯ 0.4 and 7.0 Ϯ 0.4 mol⅐g Ϫ1 ⅐h Ϫ1 for transgenic and wild-type, respectively) insulin-stimulated glucose uptakes. However, the [ 14 C]glucose incorporated into glycogen was greater in noncontracted (151%) and postcontracted (157%) transgenic muscle vs. muscle of corresponding wild-type mice. These results indicate that glycogen synthase activity is not rate limiting for insulin-stimulated glucose uptake in skeletal muscle and that the inverse relationship between muscle glycogen and insulin-stimulated glucose uptake is an association, not a cause and effect relationship. glucose transporter-4; glycogen synthesis; insulin; muscle contraction; protein kinase B/Akt INSULIN-STIMULATED GLUCOSE UPTAKE during postexercise recovery appears to be inversely related to the muscle glycogen concentration (5,6,14,18,33). When muscle glycogen is elevated above normal levels, the ability of insulin to activate glucose transport (6,12,14,20,25,33) and glycogen synthase (11, 27), the rate-limiting enzyme in glycogen synthesis, is significantly depressed. Several studies have demonstrated an inverse relationship between muscle glycogen concentration and the association of the glucose transporter GLUT4 with the plasma membrane following insulin stimulation (12,13,24). This may be a direct result of the glycogen macromolecule (8) or an indirect result of glycogen-mediated inhibition of PKB/ Akt (12, 25). PKB/Akt is a key insulin-signaling protein involved in stimulation of GLUT4 translocation to the plasma membrane (7,17,26,38) and inactivation of glycogen synthase kinase-3 (GSK-3) in skeletal muscle (9). GSK-3, in turn, has been implicated in inhibition of glycogen synthase (10). Thus PKB/Akt may play a pivot...