Specific from of pinocytosis using receptor proteins and a coated pit, targeted intake of specific macromolecules that bind to plasma membrane receptors, forming coated vesicles at the plasma membrane, coated pits are regions lined with a fibrous protein, coating on the vesicle detaches, and the uncoated vesicle then fuses with a lysosome for degradation of its content, selective exchange of substances (e.g., between maternal and fatal blood) and is more efficient than basic pinocytosis, defects in this system can lead to diseases such as familial hypercholesterolemia, in hypercholesterolemia, LDL receptors fail to bind in the coated pits, preventing cholesterol uptake, excess cholesterol accumulates in the circulatory system, increasing the risk of heart attacks and atherosclerosis