Function
Locations
The insulin-activated AKT isoform required for GLUT4 translocation; phosphorylates the RabGAPs and Synip to drive and de-repress the trafficking machinery.
In fat cells and in skeletal and cardiac muscle, insulin raises glucose uptake by moving the facilitative glucose transporter GLUT4 (SLC2A4) from intracellular stores to the cell surface. In the unstimulated cell most GLUT4 sits in small GLUT4 storage vesicles (GSVs, the insulin-responsive compartment) that are retained inside the cell. Insulin receptor signalling through IRS proteins and class I PI3K activates the kinase AKT2. AKT2 phosphorylates the Rab GTPase-activating proteins TBC1D4 (AS160) and its paralogue TBC1D1, which suppresses their GAP activity toward GSV Rabs. The GTP-bound Rab that results is RAB10 in adipocytes, loaded by the exchange factor DENND4C, and RAB8A and RAB13 in muscle cells. Active Rabs, together with kinesin-1 (KIF5B) on microtubules and the myosins MYO5A (itself an AKT2 substrate) and MYO1C on cortical actin, carry GSVs to the cell periphery. In muscle, insulin also activates RAC1, which through PAK1 and the ARP2/3 complex remodels the cortical actin meshwork beneath the plasma membrane, a cycle of actin branching and cofilin-mediated severing that is needed for GLUT4 to reach the surface. GSVs then fuse with the plasma membrane through a SNARE complex of the vesicle SNARE VAMP2 with the plasma membrane SNAREs syntaxin-4 (STX4) and SNAP23, regulated by the syntaxin-4-binding proteins Munc18c (STXBP3) and Synip (STXBP4); AKT2 phosphorylation of Synip releases it from syntaxin-4. GLUT4 inserted into the plasma membrane then transports D-glucose down its gradient into the cell. Defects at several of these steps (AKT2 mutations, truncating TBC1D4 variants, reduced syntaxin-4) cause insulin resistance.
Derived from RGD PW:0000639 through the RGD_PATHWAY_ONTOLOGY project's diagram->module route. RGD curates 54 human genes. Modelled here (18): AKT2, TBC1D4, TBC1D1, RAB10, DENND4C, RAB8A, RAB13, KIF5B, MYO5A, MYO1C, RAC1, PAK1, the ARP2/3 complex (one family descriptor with ACTR2, ACTR3 and ARPC2 as representatives), STX4, SNAP23, VAMP2, STXBP3, STXBP4 and SLC2A4. The IR-IRS-PI3K-AKT steps are included by reference to insulin_receptor_signaling#akt_foxo_output, the AKT step of that module (PW:0000143 and PW:0000232 are mentioned here but not listed as evidence, since this module does not cover them). Molecular functions come from QuickGO experimental rows (October 2026) where they exist: SLC2A4 GO:0055056 (IDA), AKT2 and PAK1 GO:0004674 (IDA), RAB10, RAB8A, RAB13 and RAC1 GTPase activity GO:0003924 (IDA/EXP; core in the RAB8A review), DENND4C GO:0005085 (IDA), KIF5B GO:0008574 and MYO5A GO:0000146 (core in their reviews), ACTR2/ACTR3 GO:0005200 (IDA; core in the ARPC1B/ARPC4/ARPC5 reviews), SNAP23 GO:0005484 (IDA; core in the SNAP23 review), STXBP3 and STXBP4 syntaxin binding GO:0019905 (IPI). TBC1D4 and TBC1D1 GTPase activator activity GO:0005096, STX4 and VAMP2 GO:0005484 and MYO1C GO:0000146 rest on IBA rows plus the cited biochemistry, because no experimental MF row exists in human GOA. Comparator check (CLAUDE.md). QuickGO annotations to GO:0044381 in human, mouse and rat are carried only by SLC2A4, TRARG1, ZDHHC7, SLC27A1, SLC27A4 and SGCB. None of the trafficking machinery (TBC1D4, Rabs, motors, SNAREs) carries it; GO:0044381 is_a D-glucose import across plasma membrane, so it describes the transport event, which SLC2A4 performs. The term is therefore the module concept and is attached only to the SLC2A4 annoton; the other annotons carry functions, not this process. TRARG1 and ZDHHC7 (GLUT4 palmitoylation) are not on the RGD list and are left for a later revision. Boundary decisions. (1) AKT1 is excluded: AKT2 is the isoform required (PMID:15494023), and AKT2 has a direct annoton here with TBC1D4, TBC1D1, MYO5A and STXBP4 as substrates. (2) Of the eight GSV Rabs in the RGD text, RAB10 (adipocyte) and RAB8A/RAB13 (muscle) are modelled because they are the AS160 targets shown to be required for GLUT4 translocation (PMID:17403373, PMID:21041651); RAB2A and RAB14 are AS160 substrates in vitro (PMID:15971998) and RAB4A, RAB5A, RAB8B and RAB11A act in GLUT4 endosomal recycling, so they are context. DENND4C is modelled as the RAB10 GEF; DENND4A, DENND4B, RAB3IP (Rabin8) and DENND1C are other Rab GEFs named by RGD without GLUT4-specific loss-of-function data here. (3) LNPEP (IRAP) is excluded by the substrate-vs-participant rule: it is GSV cargo that co-translocates with GLUT4, and its aminopeptidase activity performs no step of insulin-stimulated glucose import; its cytoplasmic-tail role sorts GLUT4 into GSVs in the basal state (GSV biogenesis and retention), and it does not recruit AS160 (PMID:20410133). (4) The CAP (SORBS1)-CBL-CRK-RAPGEF1 (C3G)-RHOQ (TC10) arm is not a part. It was reported as a PI3K-independent requirement (PMID:11309621 but a later siRNA screen found depletion of CAP, CrkII and Cbl did not diminish insulin signalling to GLUT4 (PMID:15494023), so the arm is contested; it is recorded here and as a BIOLOGY knowledge gap. (5) The RHOQ-TRIP10-GAPVD1-RAB31 negative-regulator branch on the RGD diagram belongs to that same contested arm and is left out. (6) Cofilin (CFL1), LIMK1 and SSH1 tune actin dynamics downstream of RAC1/ARP2/3; the actin-remodelling part names RAC1, PAK1 and the ARP2/3 complex (the nucleator), with cofilin cycling described in prose. Other RGD genes not modelled: ARPC1A-5 and the remaining ACTR subunits are folded into the ARP2/3 family descriptor; BAIAP2, CYFIP1, IQGAP1, PREX1, PLEKHG4 and TIAM1 are RAC1 effectors/GEFs recorded as context; KIF3A is a second kinesin; MYO5B is a recycling myosin; SNAP23's partners are modelled, STXBP4 and STXBP3 included. (7) The fusion part follows the well-established STX4-SNAP23-VAMP2 SNARE with Munc18c (STXBP3) and Synip (STXBP4) regulation (PMID:10394363, PMID:11375421, PMID:15690082); AKT2 phosphorylation of Synip (STXBP4) on Ser99 releases it from syntaxin-4 (PMID:17336927). GO-CAM / GOA observations for upstream review. No single GO-CAM models insulin-stimulated GLUT4 translocation end to end; the project's best_gocam (gomodel:63d320cd00001536) is a RAC1 degradation model unrelated to glucose uptake, matching only on the RAC1 GTPase-activity node. TBC1D4, TBC1D1, STX4, VAMP2 and MYO1C lack experimental molecular-function rows in human GOA despite strong functional literature; these functions here rest on IBA plus the cited biochemistry. STXBP4 and STX4's only informative MF is syntaxin/SNAP-receptor binding.
knowledge_gaps[0] · boundary
(0/1)knowledge_gaps[0] · status
(0/1)knowledge_gaps[0] · provenance
(0/1)✗ none found
No MODULE:glut4_insulin_stimulated_glucose_uptake deep-research report alongside the module YAML.
✓ every leaf node grounds to a representative protein.
✓ every declared conforms_to bundle matches its template motif.
6 gene-function check(s) reflected in core functions · 0 conflict(s) · 16 evidence or coverage gap(s) (22 comparison(s))
Retained noncore functions are reported separately; they do not require promotion to core functions. Support from representative genes does not establish conservation across the whole family. Missing reviews or identifiers leave a claim unverified.
| Annoton | Participant | Function | Assessment |
|---|---|---|---|
| akt2_kinase | AKT2 UniProtKB:P31751 Gene |
protein serine/threonine kinase activity GO:0004674 |
Core Supported
The GO molecular function is reflected in core_functions (exact term or a reviewed subclass). |
| tbc1d4_gap | TBC1D4 UniProtKB:O60343 Gene |
GTPase activator activity GO:0005096 |
Review Missing
No ai-review exists for this protein; its function and core-function coverage cannot yet be checked. |
| tbc1d1_gap | TBC1D1 UniProtKB:Q86TI0 Gene |
GTPase activator activity GO:0005096 |
Review Missing
No ai-review exists for this protein; its function and core-function coverage cannot yet be checked. |
| dennd4c_gef | DENND4C UniProtKB:Q5VZ89 Gene |
guanyl-nucleotide exchange factor activity GO:0005085 |
Review Missing
No ai-review exists for this protein; its function and core-function coverage cannot yet be checked. |
| rab10_gtpase | RAB10 UniProtKB:P61026 Gene |
GTPase activity GO:0003924 |
Review Missing
No ai-review exists for this protein; its function and core-function coverage cannot yet be checked. |
| rab8a_gtpase | RAB8A UniProtKB:P61006 Gene |
GTPase activity GO:0003924 |
Core Supported
The GO molecular function is reflected in core_functions (exact term or a reviewed subclass). |
| rab13_gtpase | RAB13 UniProtKB:P51153 Gene |
GTPase activity GO:0003924 |
Review Missing
No ai-review exists for this protein; its function and core-function coverage cannot yet be checked. |
| kif5b_motor | KIF5B UniProtKB:P33176 Gene |
plus-end-directed microtubule motor activity GO:0008574 |
Core Supported
The GO molecular function is reflected in core_functions (exact term or a reviewed subclass). |
| myo5a_motor | MYO5A UniProtKB:Q9Y4I1 Gene |
microfilament motor activity GO:0000146 |
Core Supported
The GO molecular function is reflected in core_functions (exact term or a reviewed subclass). |
| myo1c_motor | MYO1C UniProtKB:O00159 Gene |
microfilament motor activity GO:0000146 |
Review Missing
No ai-review exists for this protein; its function and core-function coverage cannot yet be checked. |
| rac1_gtpase | RAC1 UniProtKB:P63000 Gene |
GTPase activity GO:0003924 |
Core Supported
The GO molecular function is reflected in core_functions (exact term or a reviewed subclass). |
| pak1_kinase | PAK1 UniProtKB:Q13153 Gene |
protein serine/threonine kinase activity GO:0004674 |
Review Missing
No ai-review exists for this protein; its function and core-function coverage cannot yet be checked. |
| arp23_nucleator | ACTR2 (Arp2) UniProtKB:P61160 Family Representative |
structural constituent of cytoskeleton GO:0005200 |
Review Missing
No ai-review exists for this protein; its function and core-function coverage cannot yet be checked. |
| arp23_nucleator | ACTR3 (Arp3) UniProtKB:P61158 Family Representative |
structural constituent of cytoskeleton GO:0005200 |
Review Missing
No ai-review exists for this protein; its function and core-function coverage cannot yet be checked. |
| arp23_nucleator | ARPC2 (p34-ARC) UniProtKB:O15144 Family Representative |
structural constituent of cytoskeleton GO:0005200 |
Review Missing
No ai-review exists for this protein; its function and core-function coverage cannot yet be checked. |
| stx4_tsnare | STX4 UniProtKB:Q12846 Gene |
SNAP receptor activity GO:0005484 |
Review Missing
No ai-review exists for this protein; its function and core-function coverage cannot yet be checked. |
| snap23_tsnare | SNAP23 UniProtKB:O00161 Gene |
SNAP receptor activity GO:0005484 |
Core Supported
The GO molecular function is reflected in core_functions (exact term or a reviewed subclass). |
| vamp2_vsnare | VAMP2 UniProtKB:P63027 Gene |
SNAP receptor activity GO:0005484 |
Review Missing
No ai-review exists for this protein; its function and core-function coverage cannot yet be checked. |
| stxbp3_munc18c | STXBP3 UniProtKB:O00186 Gene |
syntaxin binding GO:0019905 |
Review Missing
No ai-review exists for this protein; its function and core-function coverage cannot yet be checked. |
| stxbp4_synip | STXBP4 UniProtKB:Q6ZWJ1 Gene |
syntaxin binding GO:0019905 |
Review Missing
No ai-review exists for this protein; its function and core-function coverage cannot yet be checked. |
| slc2a4_transporter | SLC2A4 (GLUT4) UniProtKB:P14672 Gene |
D-glucose transmembrane transporter activity GO:0055056 |
Review Missing
No ai-review exists for this protein; its function and core-function coverage cannot yet be checked. |
| arp23_nucleator | ARP2/3 actin-nucleating complex (seven subunits) Family |
structural constituent of cytoskeleton GO:0005200 |
Family Id Missing
The family has no identifier linking it to a curated family review. |
4 complete review(s) · 2 with deep research · 15 missing review · 4 reviewed but lacking deep research
| Gene | Review | Complete | Deep research |
|---|---|---|---|
| AKT2 P31751 | ✓ | 88/92 | ✗ |
| KIF5B P33176 | ✓ | ✓ | ✗ |
| MYO5A Q9Y4I1 | ✓ | ✓ | ✓ |
| MYO1C O00159 | ✗ | — | — |
| STXBP3 O00186 | ✗ | — | — |
| ARPC2 (p34-ARC) O15144 | ✗ | — | — |
| TBC1D4 (AS160) O60343 | ✗ | — | — |
| SLC2A4 (GLUT4) P14672 | ✗ | — | — |
| RAB13 P51153 | ✗ | — | — |
| RAB10 P61026 | ✗ | — | — |
| ACTR3 (Arp3) P61158 | ✗ | — | — |
| ACTR2 (Arp2) P61160 | ✗ | — | — |
| VAMP2 P63027 | ✗ | — | — |
| STX4 Q12846 | ✗ | — | — |
| PAK1 Q13153 | ✗ | — | — |
| DENND4C Q5VZ89 | ✗ | — | — |
| STXBP4 (Synip) Q6ZWJ1 | ✗ | — | — |
| TBC1D1 Q86TI0 | ✗ | — | — |
| RAB8A P61006 | ✓ | ✓ | ✓ |
| RAC1 P63000 | ✓ | ✓ | ✗ |
| SNAP23 O00161 | ✓ | 72/73 | ✗ |
Insulin binding to the insulin receptor, IRS phosphorylation, class I PI3K recruitment and AKT activation, included by reference to the AKT output step of the insulin receptor signaling module. In this pathway the required AKT isoform is AKT2 (PMID:15494023); its targets relevant here (TBC1D4, TBC1D1, Synip/STXBP4, MYO5A) are modelled in the steps below.
Realized by module
insulin_receptor_signaling#akt_foxo_output
AKT2 phosphorylates the Rab GTPase-activating proteins TBC1D4 (AS160) and TBC1D1, suppressing their GAP activity toward GSV Rabs. The de-repressed Rab is loaded with GTP and triggers GLUT4 vesicle movement. Which Rab depends on cell type: RAB10 in adipocytes (GEF DENND4C) and RAB8A with RAB13 in muscle.
The insulin-activated AKT isoform required for GLUT4 translocation; phosphorylates the RabGAPs and Synip to drive and de-repress the trafficking machinery.
Rab GAP whose AKT2 phosphorylation switches off its activity toward GSV Rabs; the brake on basal GLUT4 retention. Its GAP domain is active against Rabs 2A, 8A, 10 and 14.
TBC1D4 paralogue with the same Rab specificity; the predominant RabGAP in skeletal muscle, also an Akt substrate. Its R125W variant affects obesity susceptibility.
The RAB10 GEF required for GLUT4 translocation in adipocytes; loads RAB10 with GTP once TBC1D4 is switched off. Found on isolated GLUT4 vesicles.
RAB10 is the required AS160 target in adipocytes; RAB8A and RAB13 are the required targets in muscle cells (RAB8A acting before RAB13). All are closely related Rab8 subfamily GTPases and AS160/TBC1D1 GAP substrates.
The GTP-loaded GSV Rab that triggers GLUT4 vesicle movement and fusion in adipocytes; downstream target of AS160.
Insulin-activated GSV Rab in muscle, acting before RAB13.
Insulin-activated GSV Rab in muscle; its knockdown blocks the insulin-induced increase of surface GLUT4, rescued by RAB13 but not RAB8A.
GTP-loaded GSV Rabs recruit cytoskeletal motors that carry GLUT4 vesicles to the cell periphery: the kinesin-1 heavy chain KIF5B moves them along microtubules, while the myosins MYO5A (an AKT2 substrate) and MYO1C move them on cortical actin. All three act in a PI3K-pathway-coupled but, for KIF5B and MYO1C, wortmannin-insensitive manner.
Conventional kinesin that moves GLUT4 vesicles along microtubules in response to insulin; dominant-negative kinesin light chain blocks GLUT4 translocation.
Actin-based motor that is phosphorylated by AKT2 on Ser1650; phosphorylation enhances its binding to actin and facilitates anterograde movement of GLUT4 vesicles to the surface.
Myosin present on GLUT4 vesicles that functions in a PI3K-independent pathway moving GLUT4 vesicles to the plasma membrane; dominant-negative cargo domain blocks translocation.
In muscle, insulin activates RAC1, which through PAK1 and the ARP2/3 actin-branching complex remodels the cortical actin meshwork beneath the plasma membrane. A dynamic cycle of ARP2/3-driven branching and cofilin (CFL1)-mediated severing — cofilin being dephosphorylated by slingshot (SSH1) and rephosphorylated by LIMK1 — is required for GLUT4 to reach the cell surface. Optional because this cortical-actin arm is prominent in muscle and dispensable for the core RabGAP-Rab-SNARE axis in adipocytes.
Insulin-activated Rho GTPase required for insulin-stimulated glucose uptake in skeletal muscle; dysregulated in insulin-resistant muscle.
RAC1 effector kinase; insulin-stimulated PAK1 (Thr423) phosphorylation is reduced in insulin-resistant muscle, linking RAC1 to cortical actin remodelling.
The actin-branching nucleator downstream of Rac1; silencing Arp3 or the p34 subunit abrogates insulin-induced cortical actin remodelling and impairs GLUT4 translocation.
GSVs fuse with the plasma membrane through a SNARE complex of the vesicle SNARE VAMP2 with the plasma membrane t-SNAREs syntaxin-4 (STX4) and SNAP23. Two syntaxin-4-binding Sec1/Munc18 and tomosyn-family proteins regulate the step: Munc18c (STXBP3) and Synip (STXBP4). In the basal state Synip binds syntaxin-4 and restrains fusion; AKT2 phosphorylation of Synip on Ser99 releases it, permitting SNARE assembly.
Plasma membrane t-SNARE for GLUT4 vesicle fusion; syntaxin-4 heterozygous mice have reduced muscle insulin-stimulated glucose uptake and GLUT4 translocation.
The plasma membrane SNAP-25-family t-SNARE of the GLUT4 fusion complex.
The GSV vesicle SNARE (v-SNARE) that pairs with syntaxin-4 and SNAP23 to drive fusion; insulin promotes VAMP2 insertion into plasma membrane lipid rafts.
Sec1/Munc18 protein that binds syntaxin-4 and gates GLUT4 vesicle fusion; Munc18c heterozygous mice have reduced muscle GLUT4 translocation and insulin sensitivity.
Syntaxin-4-binding protein (Synip) that restrains fusion in the basal state; AKT2 phosphorylation on Ser99 triggers its dissociation from syntaxin-4 to permit GLUT4 translocation.
GLUT4 (SLC2A4) inserted into the plasma membrane transports D-glucose down its concentration gradient into the cell, the end step that produces insulin-stimulated glucose uptake.
The insulin-responsive facilitative glucose transporter whose arrival at the plasma membrane raises glucose uptake.