Mammalian cells take up extracellular material by a variety of differe
nt mechanisms that are collectively termed endocytosis. Endocytic mech
anisms serve many important cellular functions including the uptake of
extracellular nutrients, regulation of cell-surface receptor expressi
on, maintenance of cell polarity, and antigen presentation. Endocytic
pathways are also utilized by viruses, toxins, and symbiotic microorga
nisms to gain entry into cells. One of the best-characterized endocyti
c mechanisms is receptor-mediated endocytosis via clathrin-coated pits
. This type of endocytosis constitutes the major emphasis of this revi
ew, with a brief discussion of other endocytic mechanisms and their co
mparison with the receptor-mediated pathway. This review describes and
evaluates critically current understanding of the mechanisms of entry
of plasma membrane components such as the receptor-ligand complexes a
nd membrane lipids as well as the extracellular fluid into cells. The
intracellular sorting and trafficking of these molecules upon internal
ization are also described. The roles of endocytosis in physiological
and pathological processes are discussed. These include maintenance of
cell polarization, antigen presentation, glucose transport, atheroscl
erosis, Alzheimer's disease, and the endocytosis of toxins and viruses
.