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The intrinsic factor–vitamin B12 receptor, cubilin, is a high-affinity apolipoprotein A-I receptor facilitating endocytosis of high-density lipoprotein

Abstract

Cubilin is the intestinal receptor for the endocytosis of intrinsic factor–vitamin B12. However, several lines of evidence, including a high expression in kidney and yolk sac, indicate it may have additional functions. We isolated apolipoprotein A-I (apoA-I), the main protein of high-density lipoprotein (HDL), using cubilin affinity chromatography. Surface plasmon resonance analysis demonstrated a high-affinity binding of apoA-I and HDL to cubilin, and cubilin-expressing yolk sac cells showed efficient 125I-HDL endocytosis that could be inhibited by IgG antibodies against apoA-I and cubilin. The physiological relevance of the cubilin–apoA-I interaction was further emphasized by urinary apoA-I loss in some known cases of functional cubilin deficiency. Therefore, cubilin is a receptor in epithelial apoA-I/HDL metabolism.

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Figure 1: Identification of apoA-I as a cubilin ligand by affinity chromatography.
Figure 2: Binding of apoA-I and apoA-I-HDL to cubilin.
Figure 3: Uptake and degradation of 125I-HDL and 125I-LDL in cultured rat yolk sac epithelial cells.
Figure 4: Saturation curves for cell association of 125I-HDL in rat yolk sac epithelial cells at 4 °C (a, 4 h) and 37 °C (b, 30 min).
Figure 5: Cell association and degradation of 125I-HDL in cultured rat yolk sac cells.
Figure 6: Renal handling of apoA-I and urinary excretion of apoA-I in patients and dogs with Imerslund-Gräsbeck (I.G.) syndrome.

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Acknowledgements

The technical assistance of K. Lassen is acknowledged. The patients are thanked for their cooperation and S. Lindh, for sample collection. U. Gerdes and J. Møller are thanked for the cholesterol and creatinin measurements. J. Gliemann is thanked for comments on the manuscript. The work was financially supported by the Novo Nordisk Foundation, the Danish Medical Research Council, the Danish Biomembrane Center, Aarhus University Research Foundation, the Velux Foundation, a contract from ARC (9914, le Ministére des Affaires Etrangéres, France, NIH grant DK45341 (J.C.F.) and National Cancer Institute grant P30 CA16058.

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Correspondence to Søren K. Moestrup.

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Kozyraki, R., Fyfe, J., Kristiansen, M. et al. The intrinsic factor–vitamin B12 receptor, cubilin, is a high-affinity apolipoprotein A-I receptor facilitating endocytosis of high-density lipoprotein. Nat Med 5, 656–661 (1999). https://doi.org/10.1038/9504

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