LRP2 (Megalin): A Multiligand Endocytic Receptor in Development and Disease

Explore the gene, protein, expression, mutations, and clinical significance of LRP2, a key player in renal and neural physiology.

Gene Information Card

Symbol LRP2
Full Name LDL receptor related protein 2
Gene Type protein coding
Chromosomal Location 2q31.1 (GRCh38)
NCBI Gene ID 4036 ncbi.nlm.nih.gov/gene/4036
Ensembl ID ENSG00000181449
UniProt ID P98164
OMIM ID 600073
HGNC ID 6694
Aliases Megalin, gp330, LRP-2

Description

LRP2 encodes megalin, a large endocytic receptor of the LDL receptor family. It is expressed on the apical surface of absorptive epithelia, notably in renal proximal tubules, where it mediates uptake of a wide range of ligands including lipoproteins, vitamins, hormones, and drugs. LRP2 is essential for normal development of the brain and kidneys, and its dysfunction leads to Donnai-Barrow syndrome and other renal and neurological disorders.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Donnai-Barrow syndrome Loss-of-function mutations in LRP2 impair endocytosis of ligands required for organ development, leading to diaphragmatic hernia, facial dysmorphism, and intellectual disability. OMIM #222448; ClinVar
Focal segmental glomerulosclerosis (FSGS) Reduced megalin expression in podocytes may contribute to proteinuria and glomerular injury. PubMed; ClinVar
Alzheimer's disease LRP2 mediates clearance of amyloid-beta; altered expression may influence disease risk. PubMed; NCBI
Chronic kidney disease Impaired tubular reabsorption of proteins due to LRP2 dysfunction contributes to tubular proteinuria and progression of CKD. PubMed; ClinVar

Expression Profile

Tissue Expression
Tissue nTPM level
Kidney High (nTPM ~ 200) High
Brain Moderate (nTPM ~ 20) Medium
Lung Low (nTPM ~ 5) Low
Liver Low (nTPM ~ 3) Low
Small intestine Moderate (nTPM ~ 15) Medium
Cell Line Expression
Cell Line nTPM Notes
HEK 293 Low Overexpression studies
Caco-2 Moderate Intestinal epithelial model
HK-2 High Renal proximal tubular cell line
SH-SY5Y Low Neuronal model
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.2227C>T (p.Arg743Ter) Nonsense Rare Loss of function; associated with Donnai-Barrow syndrome
c.4478G>A (p.Arg1493His) Missense Rare Impaired ligand binding; reported in FSGS
c.1045C>T (p.Arg349Trp) Missense Rare Reduced cell surface expression; likely pathogenic
c.1234del (p.Leu412fs) Frameshift Rare Loss of function; Donnai-Barrow syndrome
Mutation functional classification

Loss of Function (LOF)

Most pathogenic LRP2 mutations are loss-of-function, leading to impaired endocytosis and developmental defects.

Gain of Function (GOF)

No gain-of-function mutations have been reported; LRP2 acts as a receptor, and overexpression may increase ligand uptake but is not oncogenic.

Dominant Negative (DN)

Not documented; LRP2 mutations are typically recessive.

Gene Ontology (GO)

• endocytosis • receptor-mediated endocytosis
• lipoprotein metabolic process • vitamin metabolic process
• kidney development • brain development
• protein binding • calcium ion binding
• low-density lipoprotein particle receptor activity

Pathways

LDL receptor family mediated endocytosis
Vitamin D metabolism and transport
Retinol (vitamin A) metabolism
Protein reabsorption in renal proximal tubule
Amyloid-beta clearance

Protein Summary

Megalin (LRP2) is a 600 kDa type I transmembrane glycoprotein with a large extracellular domain containing multiple ligand-binding repeats. It functions as a scavenger receptor, internalizing diverse ligands via clathrin-mediated endocytosis. In the kidney, it is crucial for reabsorption of filtered proteins, including albumin and vitamin-binding proteins. In the brain, it participates in cholesterol and amyloid-beta metabolism. Mutations cause Donnai-Barrow syndrome, characterized by craniofacial and renal anomalies.

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