PMID- 21177945 OWN - NLM STAT- MEDLINE DCOM- 20110411 LR - 20211020 IS - 1477-9145 (Electronic) IS - 0022-0949 (Print) IS - 0022-0949 (Linking) VI - 214 IP - Pt 2 DP - 2011 Jan 15 TI - The physiological regulation of glucose flux into muscle in vivo. PG - 254-62 LID - 10.1242/jeb.048041 [doi] AB - Skeletal muscle glucose uptake increases dramatically in response to physical exercise. Moreover, skeletal muscle comprises the vast majority of insulin-sensitive tissue and is a site of dysregulation in the insulin-resistant state. The biochemical and histological composition of the muscle is well defined in a variety of species. However, the functional consequences of muscle biochemical and histological adaptations to physiological and pathophysiological conditions are not well understood. The physiological regulation of muscle glucose uptake is complex. Sites involved in the regulation of muscle glucose uptake are defined by a three-step process consisting of: (1) delivery of glucose to muscle, (2) transport of glucose into the muscle by GLUT4 and (3) phosphorylation of glucose within the muscle by a hexokinase (HK). Muscle blood flow, capillary recruitment and extracellular matrix characteristics determine glucose movement from the blood to the interstitium. Plasma membrane GLUT4 content determines glucose transport into the cell. Muscle HK activity, cellular HK compartmentalization and the concentration of the HK inhibitor glucose 6-phosphate determine the capacity to phosphorylate glucose. Phosphorylation of glucose is irreversible in muscle; therefore, with this reaction, glucose is trapped and the uptake process is complete. Emphasis has been placed on the role of the glucose transport step for glucose influx into muscle with the past assertion that membrane transport is rate limiting. More recent research definitively shows that the distributed control paradigm more accurately defines the regulation of muscle glucose uptake as each of the three steps that define this process are important sites of flux control. FAU - Wasserman, David H AU - Wasserman DH AD - Department of Molecular Physiology and Biophysics and the Mouse Metabolic Phenotyping Center, Vanderbilt University School of Medicine, Nashville, TN 37232, USA. david.wasserman@vanderbilt.edu FAU - Kang, Li AU - Kang L FAU - Ayala, Julio E AU - Ayala JE FAU - Fueger, Patrick T AU - Fueger PT FAU - Lee-Young, Robert S AU - Lee-Young RS LA - eng GR - R37 DK050277/DK/NIDDK NIH HHS/United States GR - DK54902/DK/NIDDK NIH HHS/United States GR - DK50277/DK/NIDDK NIH HHS/United States GR - DK59637/DK/NIDDK NIH HHS/United States GR - R01 DK054902/DK/NIDDK NIH HHS/United States GR - U24 DK059637/DK/NIDDK NIH HHS/United States GR - R01 DK050277/DK/NIDDK NIH HHS/United States GR - R56 DK054902/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - England TA - J Exp Biol JT - The Journal of experimental biology JID - 0243705 RN - 0 (Glucose Transporter Type 4) RN - 0 (Insulin) RN - EC 1.14.13.39 (Nitric Oxide Synthase) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - IY9XDZ35W2 (Glucose) SB - IM MH - AMP-Activated Protein Kinases/metabolism MH - Animals MH - Biological Transport MH - Exercise MH - Glucose/*metabolism MH - Glucose Transporter Type 4/metabolism MH - Humans MH - Insulin/metabolism MH - Insulin Resistance MH - Muscle, Skeletal/*metabolism MH - Nitric Oxide Synthase/metabolism MH - Phosphorylation PMC - PMC3008632 EDAT- 2010/12/24 06:00 MHDA- 2011/04/13 06:00 PMCR- 2012/01/15 CRDT- 2010/12/24 06:00 PHST- 2010/12/24 06:00 [entrez] PHST- 2010/12/24 06:00 [pubmed] PHST- 2011/04/13 06:00 [medline] PHST- 2012/01/15 00:00 [pmc-release] AID - 214/2/254 [pii] AID - 10.1242/jeb.048041 [doi] PST - ppublish SO - J Exp Biol. 2011 Jan 15;214(Pt 2):254-62. doi: 10.1242/jeb.048041.