Cubilin Is Essential for Albumin Reabsorption in the Renal Proximal Tubule

INSERM UMR S968, Institut de la Vision, 17 rue Moreau, 75012 Paris, France.
Journal of the American Society of Nephrology (Impact Factor: 9.34). 11/2010; 21(11):1859-67. DOI: 10.1681/ASN.2010050492
Source: PubMed


Receptor-mediated endocytosis is responsible for protein reabsorption in the proximal tubule. This process involves two interacting receptors, megalin and cubilin, which form a complex with amnionless. Whether these proteins function in parallel or as part of an integrated system is not well understood. Here, we report the renal effects of genetic ablation of cubilin, with or without concomitant ablation of megalin, using a conditional Cre-loxP system. We observed that proximal tubule cells did not localize amnionless to the plasma membrane in the absence of cubilin, indicating a mutual dependency of cubilin and amnionless to form a functional membrane receptor complex. The cubilin-amnionless complex mediated internalization of intrinsic factor-vitamin B12 complexes, but megalin considerably increased the uptake. Furthermore, cubilin-deficient mice exhibited markedly decreased uptake of albumin by proximal tubule cells and resultant albuminuria. Inactivation of both megalin and cubilin did not increase albuminuria, indicating that the main role of megalin in albumin reabsorption is to drive the internalization of cubilin-albumin complexes. In contrast, cubulin deficiency did not affect urinary tubular uptake or excretion of vitamin D-binding protein (DBP), which binds cubilin and megalin. In addition, we observed cubilin-independent reabsorption of the "specific" cubilin ligands transferrin, CC16, and apoA-I, suggesting a role for megalin and perhaps other receptors in their reabsorption. In summary, with regard to albumin, cubilin is essential for its reabsorption by proximal tubule cells, and megalin drives internalization of cubilin-albumin complexes. These genetic models will allow further analysis of protein trafficking in the progression of proteinuric renal diseases.

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    • "Moreover, cubilin also binds amnionless, a protein that is necessary for the expression of cubilin on the cell membrane (Amsellem et al., 2010). Cubilin, in conjunction with megalin, has an essential role in the uptake of albumin (i.e., reabsorption) by the proximal tubules of the kidneys (Zhai et al., 2000; Amsellem et al., 2010). Cubilin- and/or megalin-deficiency in mice and dogs was shown to cause a decrease in the uptake of albumin in the proximal tubule resulting in albuminuria (Birn et al., 2000; Amsellem et al., 2010). "
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