Target intelligence / Profile preview

Cubilin (CUBN)

Target
CUBN
Molecular classification
Receptor (specifically, endocytic receptor), Peripheral membrane protein (not a transmembrane receptor; requires amnionless for membrane anchoring), Multi-ligand protein receptor (CUB domain superfamily, contains 27 CUB domains)
01

Overview

Cubilin is a large, multi-ligand endocytic receptor that serves as the principal receptor for absorption of the intrinsic factor–vitamin B12 complex in the distal ileum of mammals. It has a unique architecture comprising 27 CUB (complement C1r/C1s, Uegf, Bmp1) domains and is anchored to the cell membrane via association with the transmembrane protein amnionless, forming the so-called "cubam" complex. Cubilin is essential for dietary vitamin B12 uptake and also mediates the reabsorption of multiple proteins from renal filtrate in the kidney. Genetic deficiencies in cubilin or amnionless result in clinical syndromes of cobalamin malabsorption (Imerslund–Gräsbeck syndrome), megaloblastic anemia, and proteinuria. Crystal structure studies have detailed its modular ligand recognition and interactions dependent on calcium binding, providing insight into its critical biological roles and the molecular basis of disease when mutated.

Other names
Intrinsic factor–cobalamin receptorIF–cobalamin receptorVitamin B12 receptorCubilin (preferred molecular/gene name)CUBN (gene symbol)Cubam (the functional heteromeric complex including cubilin and amnionless)
02

Mechanism of action

Receptor-mediated endocytosis: Intrinsic factor binds vitamin B12 in the gut, this complex binds cubilin on ileal enterocytes; the complex is endocytosed and B12 absorbed systemically. Calcium-dependent binding: Some CUB domains require Ca²⁺ for ligand binding and structural stability.

03

Biological functions

Mediates intestinal absorption of vitamin B12 (by binding intrinsic factor–B12 complex)Endocytosis of proteins in the intestine and kidney (e.g., reabsorption of albumin)Ligand binding via CUB domains (modular binding to multiple ligands: IF–B12, albumin, receptor-associated protein)
04

Disease associations

Inherited vitamin B12 deficiency (Imerslund–Gräsbeck syndrome)Megaloblastic anemiaProteinuria (due to impaired renal protein reabsorption)
05

Safety considerations

Congenital mutations cause serious malabsorption of B12, leading to neurological and hematological complications in infants and childrenNo known toxicity from targeting cubilin directly; clinical concern is mainly with loss of function
06

Interacting drugs

None directly approved or clinically used as drugs targeting cubilin

1 more in the full profile.

07

Biomarkers

Low serum vitamin B12/cobalamin as an indirect marker of defective receptor functionUrinary protein loss (proteinuria) in cases of genetic mutationsGene sequencing for CUBN mutations in suspected congenital deficiency

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