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Endocytosis and Paracellular Transport

Endocytosis et transportus paracellularis

For medical students2 min readUpdated 2026-10-10

Endocytosis is the process by which a cell engulfs large extracellular molecules via the formation of membrane vesicles. Paracellular transport represents the passive movement of hydrophilic substances through intercellular spaces, bypassing the cytoplasm. Both mechanisms play a key role in the absorption and distribution of drugs in the body.

Endocytosis substratesHigh-molecular-weight compounds such as insulin and lipoproteins.
Coat proteinsAdaptin and clathrin form the vesicle framework during specific uptake.
Endosome environmentAn acidic environment (pH 5) ensures the dissociation of the substance from its receptor.
Limiting factorMolecular size limits filtration through intercellular clefts.

Mechanisms of Vesicular Uptake

Pinocytosis is the uptake of extracellular fluid with macromolecules dissolved in it by the cell. The process begins with the contact of the substance with the cell membrane, after which the membrane invaginates, forming a vacuole or vesicle. The vesicle pinches off and immerses into the cytoplasm.

The subsequent fate of the captured substrate can follow two scenarios:

Receptor-Mediated Endocytosis

Unlike regular pinocytosis, this type of transport has high specificity and proceeds independently of the concentration gradient of substances.

Main stages of the process:

  1. Binding: the target molecule (ligand) interacts with a specific membrane receptor.
  2. Coat formation: the intracellular domain of the receptor binds to the protein adaptin, over which a lattice framework of the protein clathrin is assembled. A so-called coated pit is formed.
  3. Pinching off and uncoating: the vesicle enters the cytoplasm, sequentially sheds its clathrin coat, and then loses adaptin.
  4. Sorting: the free vesicle fuses with an early endosome. In the acidic environment of the endosome (at pH 5), the substance molecule detaches from the receptor. Receptors return to the cell membrane for reuse.
  5. Delivery: the substance is sent to organelles (e.g., to the nucleus or Golgi apparatus) or eliminated from the cell outward.

Paracellular Transport

Paracellular transport (transportus paracellularis) is the movement of substances in the aqueous phase of intercellular spaces, occurring past cells. This pathway is characteristic primarily of hydrophilic drugs and does not require energy expenditure.

Types of passive movement:

The main limiting factor of this pathway is the size of the transported molecules. Their diameter must not exceed the lumen of the intercellular clefts.

Anatomical Barriers for Hydrophilic Substances

The absorption of hydrophilic drugs directly depends on the histological structure of the tissue at the site of administration. For example, intestinal epithelial cells are interconnected by tight junctions (zonulae occludentes). This makes the intercellular spaces very narrow, significantly hindering the penetration of hydrophilic drugs from the intestinal lumen into the systemic circulation.

Similar obstacles to filtration are created by the renal tubular epithelium, the respiratory ciliary epithelium, and the mucous membranes of other parts of the digestive tract. As a result, hydrophilic substances are absorbed and distributed in the body extremely unevenly.

Mnemonic

To remember the endocytosis proteins: "Adaptin Adapts, Clathrin Constructs the Cell (framework)." Adaptin binds the receptor, while clathrin forms the outer protective lattice of the vesicle.

Frequently asked questions

How does receptor-mediated endocytosis differ from simple pinocytosis?

It has high specificity for specific macromolecules (e.g., insulin) and operates independently of the concentration gradient due to the formation of the ligand-receptor complex.

Why is the fusion of the transport vesicle with the endosome necessary?

An acidic environment (pH 5) is maintained inside the early endosome. This condition is required for the ligand to dissociate from the receptor.

Why are hydrophilic drugs poorly absorbed in the intestine?

They are transported paracellularly; however, intestinal epithelial cells are connected by tight junctions. Large molecules of hydrophilic substances cannot pass through the narrow intercellular clefts.

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