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Cubilin (for mammalian systems, the vitamin B12–intrinsic factor receptor); BtuB (for E. coli and other Gram-negative bacteria, the outer membrane vitamin B12 receptor) (Cubn (for Cubilin in mammals); BtuB (in bacteria))

Target
Cubn (for Cubilin in mammals); BtuB (in bacteria)
Molecular classification
Receptor, endocytic receptor, membrane-associated receptor, Transporter, outer membrane receptor, TonB-dependent receptor (bacteria)
01

Overview

Cubilin is a large, extracellular, endocytic receptor highly expressed in the apical membrane of ileal enterocytes and kidney proximal tubules, where it binds the intrinsic factor–vitamin B12 complex and mediates its internalization in a calcium-dependent manner through interaction with amnionless. Loss of Cubilin function results in severe vitamin B12 deficiency, contributing to diseases like Imerslund-Gräsbeck syndrome. Cubilin is also a multi-ligand receptor involved in reabsorption of various proteins. BtuB is an outer membrane, TonB-dependent transporter in Escherichia coli and related bacteria, highly specific for the uptake of vitamin B12 from the environment. Mutations in BtuB can render it non-functional, which blocks vitamin B12 transport in bacteria.

Other names
Intrinsic factor-cobalamin receptorCUBAM receptor complexOuter membrane cobalamin transporter
02

Mechanism of action

For Cubilin: Receptor-mediated endocytosis of vitamin B12–intrinsic factor complex. For BtuB: Facilitated transport of cobalamin across the outer membrane using the TonB-dependent active transport system.

03

Biological functions

Mediates uptake of cobalamin (vitamin B12) from the diet (Cubilin)Enables transport of vitamin B12 across the bacterial outer membrane (BtuB)
04

Disease associations

Cubilin deficiency or malfunction: Megaloblastic anemiamalabsorption syndromeshereditary cobalamin malabsorptionImerslund-Gräsbeck syndromeBtuB: Not directly a human disease target but relevant for bacterial growth; possible antimicrobial target
05

Safety considerations

Targeting Cubilin or BtuB directly has risks of interfering with essential nutrient uptake; unintended deficiency could lead to anemia and neurologic disordersNo common direct pharmacological interventions.
06

Interacting drugs

None classic; Vitamin B12 (in its various forms) is the primary ligand. Cobalamin-drug conjugates are under investigation for drug delivery and diagnostic agents
07

Biomarkers

Holo-transcobalamin: Plasma biomarker for functional vitamin B12 uptake (reflects activity downstream of Cubilin)Defective Cubilin or low serum vitamin B12 can serve as diagnostic markers for absorption disorders

Beyond the preview

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