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This version published online on August 23, 2007
Molecular Endocrinology, doi:10.1210/me.2007-0282
A more recent version of this article appeared on February 1, 2008
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Submitted on June 5, 2007
Accepted on August 17, 2007

The GLUT4 Code

Mark Larance, Georg Ramm, and David E. James*

Diabetes and Obesity Research Program, Garvan Institute of Medical Research, Sydney Australia 2010

* To whom correspondence should be addressed. E-mail: d.james{at}garvan.org.au.

Despite being one of the first recognised targets of insulin action the acceleration of glucose transport into muscle and fat tissue remains one of the most enigmatic processes in the insulin action cascade. Glucose transport is accomplished by a shift in the distribution of the insulin-responsive glucose transporter GLUT4 from intracellular compartments to the plasma membrane in the presence of insulin. The complexity in deciphering the molecular blueprint of insulin regulation of glucose transport arises because it represents a convergence of two convoluted biological systems – vesicular transport and signal transduction. While more than 60 molecular players have been implicated in this orchestral performance it has been difficult to distinguish between mainly passive participants versus those that are clearly driving the process. The maze-like nature of the endosomal system makes it almost impossible to dissect the anatomical nature of what appears to be a medley of many overlapping and rapidly changing transitions. A major limitation is technology. It is clear that further progress in teasing apart the GLUT4 code will require the development and application of novel and advanced technologies that can discriminate one molecule from another in the living cell and to superimpose this upon a system in which the molecular environment can be carefully manipulated. Many are now taking on this challenge.




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Am. J. Physiol. Endocrinol. Metab.Home page
E. Karnieli and M. Armoni
Transcriptional regulation of the insulin-responsive glucose transporter GLUT4 gene: from physiology to pathology
Am J Physiol Endocrinol Metab, July 1, 2008; 295(1): E38 - E45.
[Abstract] [Full Text] [PDF]




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