Schematic representation of the de novo synthesis pathway (A–C) and the recycling pathway (1–4) of megalin in maleate-treated cells. Megalin and RAP, its associated protein, which acts as a chaperon, are synthesized and assembled in the rough endoplasmic reticulum (A) and are transported together across Golgi stacks (B); megalin then reaches the apical cell surface and is inserted into microvilli and clathrin-coated pits (C). Megalin, a receptor for many ligands, is internalized with its ligand (1) into early and late endosomes (2), where it dissociates from its ligand, which is taken up by the lysosome (3). The receptor is recycled back (4), via dense apical tubules, to the cell surface, where it becomes competent again to bind ligands. Maleate could act at the late endosome level (2) and also by blocking the formation of new dense apical tubules (4), which are remarkably absent in maleate-treated rats. Source: The Renal Fanconi Syndrome, The Online Metabolic and Molecular Bases of Inherited Disease Megalin and its ligands are trapped inside fused endosomes. Since there is no recycling of endosomes, there is a widespread dysfunction of reabsorptive Valle D, Beaudet AL, Vogelstein B, Kinzler KW,acids, Antonarakis SE, etc.) Ballabio Gibson K, Mitchell The endosomes Online Metabolic and Molecular mechanism; Citation: membrane receptors and transporters (glucose, amino phosphate, alsoA, will be trapped insideG. these (see text). Bases of Inherited Disease; 2014 Available at: http://mhmedical.com/ Accessed: July 31, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved
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