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Transcobalamin II receptor (TCblR (also known as CD320))

Target
TCblR (also known as CD320)
Molecular classification
Receptor, Cell surface protein, Member of the low-density lipoprotein receptor (LDLR) family
01

Overview

The transcobalamin II receptor (TCblR, CD320) is a glycosylated cell surface receptor essential for cellular uptake of vitamin B12 (cobalamin) in complex with its carrier transcobalamin II. TCblR belongs to the low-density lipoprotein receptor (LDLR) family and specifically recognizes the transcobalamin-cobalamin complex on the plasma membrane, internalizing it through endocytosis. The receptor contains two LDL receptor class A domains and is heavily glycosylated, with a mature protein size of 58–62 kDa. Its gene, CD320, is located on chromosome 19p13.2. TCblR is expressed at higher levels in rapidly proliferating cells to meet increased vitamin B12 demand, making it relevant in cancer biology. Defects or deficiencies in this receptor impair cellular B12 uptake, leading to megaloblastic anemia and neurological disorders. While direct pharmacological targeting is still experimental, TCblR has attracted attention for targeted drug delivery using vitamin B12 conjugates due to its efficient and specific cellular uptake pathway[3][1][5][8].

Other names
CD320TCII receptorTCblRhuman transcobalamin receptortranscobalamin II receptor
02

Mechanism of action

Mediates internalization of transcobalamin-cobalamin complex into cells via receptor-mediated endocytosis[3][1]. Experimental antibody-drug conjugates or B12-drug bioconjugates use TCblR-mediated uptake for targeted delivery to specific cells[7][4].

03

Biological functions

Cellular uptake of vitamin B12 (cobalamin)Receptor-mediated endocytosisRegulation of cellular proliferation and DNA synthesis via cobalamin delivery
04

Disease associations

Cancer (elevated expression in rapidly dividing cells, including tumors)Megaloblastic anemia (defects cause impaired cobalamin uptake)Neurological disorders (via B12 deficiency pathway)Other (general role in vitamin B12 transport-related diseases)
05

Safety considerations

Potential off-target effects if receptor-targeted therapies affect normal proliferating tissues (e.g., bone marrow, gut epithelium)Risk of disrupting B12 homeostasis, which can impair hematopoiesis and neurological function[3][1].
06

Interacting drugs

No clinically approved small-molecule drugs directly target the transcobalamin II receptor; however, cobalamin (vitamin B12) and transcobalamin II protein-drug conjugates interact with this receptor for targeted delivery[3][1].
07

Biomarkers

CD320 overexpression can serve as a biomarker for proliferating cells and certain cancer types[3].Cellular B12 uptake capacity (CD320 expression) may inform patient vitamin B12 status[3].

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