RT Journal Article SR Electronic T1 Megalin is an endocytic receptor for insulin. JF Journal of the American Society of Nephrology JO J. Am. Soc. Nephrol. FD American Society of Nephrology SP 1759 OP 1766 DO 10.1681/ASN.V9101759 VO 9 IS 10 A1 Orlando, R A A1 Rader, K A1 Authier, F A1 Yamazaki, H A1 Posner, B I A1 Bergeron, J J A1 Farquhar, M G YR 1998 UL http://jasn.asnjournals.org/content/9/10/1759.abstract AB Renal clearance is a major pathway for regulating the levels of insulin and other low molecular weight polypeptide hormones in the systemic circulation. Previous studies have shown that the reabsorption of insulin from the glomerular filtrate occurs by binding to as yet unidentified sites on the luminal surface of proximal tubule cells followed by endocytosis and degradation in lysosomes. In this study, an insulin binding site was identified in renal microvillar membranes by chemical cross-linking procedures. By immunoprecipitation it was demonstrated that this binding site is megalin, the large multiligand binding endocytic receptor that is abundantly expressed in clathrin-coated pits on the apical surface of proximal tubule cells. Moreover, using cytochemical procedures, it was also shown that megalin is able to internalize insulin into endocytic vesicles. In ligand blotting assays, megalin also bound several other low molecular weight polypeptides, including beta2-microglobulin, epidermal growth factor, prolactin, lysozyme, and cytochrome c. These data suggest that megalin may play a significant role as a renal reabsorption receptor for the uptake of insulin and other low molecular weight polypeptides from the glomerular filtrate.