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Macropinocytosis is an actin-dependent cellular endocytic process that mediates the non-selective uptake of large volumes of extracellular fluid, solutes, and macromolecules into large vesicles termed macropinosomes[7][1][2][3]. Unlike receptor-mediated endocytosis or phagocytosis, macropinocytosis does not require ligand binding or receptor engagement—it is initiated by plasma membrane ruffling and cup formation driven by actin dynamics[2][3]. Macropinosomes may fuse with lysosomes for cargo degradation or recycle contents back to the plasma membrane[5][1]. The pathway plays essential roles in nutrient sensing, immune surveillance, antigen presentation, signal transduction, and cellular adaptation to metabolic stress[6][4][3]. Pathogens and cancer cells can exploit macropinocytosis for invasion or metabolic sustenance[1][3]. Although not a canonical molecular drug target, regulators of the process (e.g., small GTPases, kinases) are being investigated for therapeutic intervention, especially in cancer and infectious diseases.
Inhibition of sodium/hydrogen exchange (amiloride derivatives), disrupting actin-driven membrane ruffling and macropinosome formation; Interference with GTPase and PI3K signaling, affecting pathway activation and progression.
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