This hasn't happened to me "yet" (probably just cursed myself) but from the other threads I'd say either the switch or the actuator just died.
The rear hatch isn't like the doors. The doors have the internal/external handles connected via a linkage to release the latch. There really is no lock/unlock on the hatch (no little lever gets flipped like on the doors). This is because there's only a switch to open the back (the one on the hatch itself).
So all unlock functions are initiated from that little junky switch. When the vehicle is locked I assume that it just disables power going to the actuator so hitting the button does nothing, thereby "locking" the back hatch. At the same time there's still power going to the other hatch functions (defrost, window motor).
You might push in and/or pull out on the hatch while you try and press the switch. The hatch might be in a bind (any chance you've accidentally closed something in edge?). At this point I think your only option is to pop the little cover on the back hatch (assuming you can access it from the inside). There are some threads on this procedure here somewhere. Once you can get the hatch open again, clean and inspect the actuator. You can also use this diagram to help troubleshoot:
http://4runnerclub.com/i/4r_files/fs...r/05100910.pdf
If the actuator is functional then it's likely the switch. You should be able to test it pretty easily with a meter or test light.
Another troubleshooting link:
http://4runnerclub.com/i/4r_files/fs...err/051004.pdf
Good luck