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Blood First Edition Paper, prepublished online November 6, 2009; DOI 10.1182/blood-2009-07-232587.
Submitted July 22, 2009; accepted October 1, 2009.
Identification of multidrug resistance protein 1 (MRP1/ABCC1) as a molecular gate for cellular export of cobalamin1 Department of Medical Biochemistry, University of Aarhus, Aarhus; 2 Division of Molecular Biology, The Netherlands Cancer Institute, Amsterdam, Netherlands; 3 Department of Clinical Biochemistry, Aarhus University Hospital, Aarhus * Corresponding author; email: skm{at}biokemi.au.dk Abstract Cobalamin (Cbl, vitamin B12) deficiency in humans is a common cause of hematological and neurological disorders. We show here that the cellular export of Cbl, in contrast to the carrier- and receptor-dependent cellular import of Cbl, occurs by transmembrane transport of 'free' Cbl. Screening of candidate transporters by cellular gene silencing revealed a role in cellular cobalamin efflux of the ATP-binding cassette (ABC)-drug transporter, ABCC1, alias Multidrug Resistance Protein 1 (MRP1), which is present in the basolateral membrane of intestinal epithelium and in other cells. The ability of MRP1 to mediate ATP-dependent Cbl transport was confirmed by vesicular transport experiments, and a physiological role of MRP1 in mammalian Cbl homeostasis is indicated by the phenotype of knockout mice with targeted disruption of MRP1. These animals have a reduced concentration of Cbl in plasma and in the storage organs liver and kidney. In contrast, Cbl accumulates in the terminal part of the intestine of these mice suggesting a functional malabsorbtion due to a lower epithelial basolateral Cbl efflux. The identification of this Cbl export mechanism now allows the delineation of a coherent pathway for Cbl trafficking from food to the body cells.
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