Megalin and cubilin are the major endocytic receptors responsible for resorption of glomerular filtrate proteins, particularly
albumin, in the renal proximal tubule. In order to better understand the mechanism of the development of albuminuria with
age in rats, we investigated age-related change of the amount and cellular localization of both receptors in the kidney. Immunoblot
analysis of the kidney extracts showed that the amount of megalin significantly decreased with age. Although there was no
age-related change in the amount of intact cubilin, the amount of cubilin fragments increased with age. Immunohistochemical
study revealed that megalin and cubilin were predominantly localized in brush border membrane of proximal tubular cells in
young rats, but the receptors tended to diffuse into the cytoplasm in the old rats. Interestingly, low but significant amounts
of megalin and cubilin were present in the glomerular cells in addition to the proximal tubular cells. The quantity of receptors
progressively increased in the glomerulus with age. This age-related increase might be to compensate for the age-related defect
of the uptake of albumin by the proximal tubules. Thus, although it is unclear whether megalin and cubilin in the glomerulus
contribute to the uptake of albumin in primary urine, the age-related increase in the amount of albumin in urine might at
least partly be due to quantitative and qualitative alterations of both receptors in the proximal tubule.
Keywords Cubilin - Megalin - Albuminuria - Endocytosis - Kidney - Glomerulus - Proximal tubule - Transferrin - Albumin