Brefeldin A (BFA) treatment of Caco-2 cells (5 g/ml for 12 h) reduced by 90% the cholesterol, but not the phospholipid (PL), levels of the basolateral membrane (BLM), thus altering its PL/cholesterol molar ratio from 2.6 to 22.0, and decreasing its steady state fluorescent anisotropy (r s ) from 0.27 to 0.15. BFA treatment for 12 h also resulted in complete loss of transcobalamin II receptor (TC II-R) activity/protein levels in the BLM and the disappearance of trans-Golgi network (TGN) morphology as revealed by confocal immunofluorescence microscopy using antibody to TGN 38. However, BFA treatment had no effect on either total cellular cholesterol, TC II-R activity, or PL levels. When cells treated with BFA for 12 h were exposed to BFA-free medium for 0 -24 h, all of the effects were reversed, including reappearance of normal TGN morphology. TC II-R delivered to the BLM during this period was progressively sialylated and changed its physical state from a monomer (8 h) to a dimer (12 h), coinciding with increased delivery (11-53 pmol) of cholesterol to the BLM and an increase in the BLM r s from 0.15 to 0.21. These results indicate that cholesterol, but not PL, delivery to the BLM of Caco-2 cells is BFA-sensitive, and cholesterol, by influencing the higher order of the BLM, is essential for TC II-R dimerization.Circulatory cobalamin (Cbl 1 ; vitamin B 12 ) bound to plasma transporter, transcobalamin II (TC II), is taken up by all tissues/cells by receptor-mediated endocytosis via plasma membrane (PM) transcobalamin II receptor (TC II-R) (1). TC II/TC II-R-mediated delivery of Cbl is the only physiological uptake system that provides Cbl to all cells to be utilized as Cbl coenzyme. TC II-R, a glycoprotein with a molecular mass of 62 kDa (2) is expressed in all tissue PMs as a noncovalent functional homodimer with a molecular mass of 124 kDa (2). TC II-R homodimers are resistant to treatment with sodium dodecylsulfate (2, 3) and, thus, can be separated on SDS-PAGE and detected by immunoblotting (3). Studies using this technique (4) have revealed that at steady state, TC II-R dimer levels are 8 -10-fold higher than that of the monomer in all total tissue membranes tested and that TC II-R dimers are present in the PM and in some PM-derived vesicles, while TC II-R monomers are the only species present in the microsomes (4).Earlier in vitro studies (3) using isolated tissue PMs and microsomes have revealed that TC II-R dimerization is supported in the plasma but not in the microsomal membranes due to their higher cholesterol content. Additional studies using symmetrical phosphatidylcholine (PC) vesicles have shown that a minimum of 10 mol % of cholesterol is essential to support TC II-R dimerization above the transition temperatures of these PC vesicles (3). Although the importance of membrane cholesterol levels and cholesterol-phospholipid interactions in the dimerization of TC II-R in tissue-derived PMs and in PC vesicles is established (3), it is not known how the dimerization of TC II-R is regulated at a cellular l...