“…The membrane transport of vitamin B 12 has been investigated in various types of cells, and the previous studies have suggested the expression of cubilin, megalin (low density lipoprotein receptor-related protein 2; LRP2), and asialoglycoprotein receptor (ASGP-R) in the intestinal epithelial cells. − Intrinsic factor (IF) secreted by the gastric epithelium is involved in the intestinal absorption of vitamin B 12 . The IF-vitamin B 12 complex binds to cubilin in the ileal brush-border, and the interaction between cubilin and megalin is suggested to be crucial for the endocytosis of the IF-vitamin B 12 complex. − In addition, ASGP-R expressed in hepatocytes or intestinal epithelial cells is suggested to contribute to the uptake of vitamin B 12 formed complex with haptocorrin (transcobalamin I). − Regarding the tissue distribution of vitamin B 12 from the circulating blood, in vitro transport studies in various human-derived cells, such as skin fibroblasts, erythroleukemia (K562 cells), colorectal adenocarcinoma (SW48 cells), and embryonic kidney cell line (HEK293 cells), have suggested the involvement of transcobalamin II receptor (TCII-R/CD320/TCblR)-mediated endocytosis in the blood-to-tissue transport of vitamin B 12 . − Therefore, vitamin B 12 is required to form a complex with TCII protein, and the complex associates with TCII-R at the cell surface, followed by internalization mediated by clathrin-dependent endocytosis. Subsequently, the digestion of the complex by cathepsin L takes place in the lysosomes, and vitamin B 12 is freed to be transported from lysosomes to the cytosol by the ATP-biding cassette transporter subfamily D member 4 (ABCD4). , The acidic lysosomal interior is essential for the stability and activity of cathepsin L, and it has been suggested that the neutralization of lysosomal pH by lysosomotropic agents including chloroquine inhibits intracellular vitamin B 12 transport. , Based on TCII/TCII-R pathway, vitamin B 12 analogues such as [ 111 indium]-diethylenetriaminepentaacetate adenosylcobalamin ( 111 In-DAC) was synthesized to be an imaging tool for TCII-R with an implication that it can delineate tumors in their locations. − …”