The transcobalamin-vitamin B-12 complex is responsible for the transport of
B-12 from plasma and into the tissues. The complex is filtered in the rena
l glomeruli and is a high-affinity ligand for the endocytic receptor megali
n expressed in the proximal tubule. This study shows by the use of the prox
imal tubule LLC-PK1 cell line that transcobalamin B-12 is internalized by m
egalin-mediated endocytosis. After endocytosis and accumulation in endosome
s, transcobalamin is degraded and the B-12 molecule is released from the ce
lls in complex with newly synthesized proteins. The release is polarized in
such a way that vitamin in the apical medium is bound to proteins with the
size of haptocorrin, whereas the B-12 the pool of circulating vitamin. rel
eased at the basolateral side is complexed to two different proteins with t
he sizes of transcobalamin and haptocorrin. Furthermore, transcobalamin mRN
A was identified by reverse transcription-PCR in LLC-PK1 cells and human an
d pig kidney, whereas haptocorrin mRNA was identified only in LLC-PK1 cells
. The results strongly suggest that megalin located in the proximal tubule
cells is important for receptor-mediated tubular reabsorption followed by t
ranscellular transport and release of vitamin B-12 complexed to newly synth
esized carrier proteins. This mechanism is likely to play a significant rol
e in the maintenance of B-12 homeostasis by returning filtered B-12 to the
pool of circulating vitamin.