Objective-We hypothesized that GLUT4 is a predominant facilitative glucose transporter in vascular smooth muscle cells (VSMCs), and GLUT4 is necessary for agonist-induced VSMC contraction. Methods and Results-Glucose deprivation and indinavir, a GLUT4 antagonist, were used to assess the role of GLUT4and non-GLUT4 transporters in vascular reactivity. In isolated endothelium-denuded mouse aorta, Ϸ50% of basal glucose uptake was GLUT4-dependent. Norepinephrine-mediated contractions were dependent on both GLUT4 and non-GLUT4 transporters, serotonin (5-HT)-mediated contractions were mainly GLUT4-dependent, and prostaglandin (PG) F 2␣ -mediated contractions were dependent on non-GLUT4 transporters, whereas indinavir had no effect in GLUT4 knockout vessels. We also observed a 46% decrease in GLUT4 expression in aortas from angiotensin II hypertensive mice. Indinavir caused a less profound attenuation of maximal 5-HT-mediated contraction in these vessels, corresponding to the lower GLUT4 levels in the hypertensive aortas. Finally, and somewhat surprisingly, chronic GLUT4 knockout was associated with increased vascular reactivity compared with that in wild-type animals, suggesting that chronic absence or reduction of GLUT4 expression in VSMCs leads to opposite effects observed with acute inhibition of GLUT4. Conclusions-Thus, we conclude that GLUT4 is constitutively expressed in large arteries and likely participates in basal glucose uptake. In addition, GLUT4, as well as other non-GLUT4 facilitative glucose transporters, are necessary for agonist-induced contraction, but each transporter participates in VSMC contraction selectively, depending on the agonist, and changes in GLUT4 expression may account for some of the functional changes associated with vascular diseases like hypertension. Key Words: glucose Ⅲ GLUT4 Ⅲ indinavir Ⅲ vascular smooth muscle M ammalian cells use glucose for the generation of ATP through oxidative and nonoxidative metabolism, but because the lipid bilayer of cellular membranes is impermeable to carbohydrates, the cell must rely on a system of hexose transporters to facilitate uptake of these sugars. To date, at least 13 facilitative glucose transporters have been cloned. 1 The GLUT transporters are homologous glycosylated polypeptides with distinct substrate specificity, affinity, and tissue distribution. 2 GLUT4 is considered the major insulin-responsive transporter expressed in fat and striated muscle tissues. 2 In these tissues, the majority of GLUT4 molecules (Ϸ90%) are sequestered in intracellular vesicles in the absence of insulin or other stimuli such as muscle contraction. 3,4 In the presence of these stimuli, the GLUT4-containing vesicles translocate to the plasma membrane where they participate in glucose uptake.Vascular smooth muscle has been shown to express GLUT1 5 as well as GLUT4. 6 -10 However, the expression of other facilitative glucose transporters in vascular smooth muscle is unknown. Previous studies from our laboratory have demonstrated that in vascular diseases caused by ...