Secretory and endocytic pathways of mammalian cells. CD40 molecules synthesized in the ER are delivered to the cell surface via the trans-Golgi network and vesicles that subsequently fuse with the plasma membrane. Some CD40 mutants carrying missense mutations or small in-frame deletions cannot complete this pathway but are retained instead in the ER. The 3 novel CD40 mutants identified by Lanzi et al in this issue exhibit distinct fates in the ER: (1) the P4 mutant does not leave the ER and is promptly degraded by ERAD; (2) the P2 mutant CD40 persists in the ER and activates UPR as determined by increased HSP production and XBP-1 splicing; and (3) the P5 mutant accumulates in the ER but neither is degraded nor elicits UPR. The P5 CD40 mutant is a candidate for therapies based on pharmacologic chaperones. (Professional illustration by Kenneth X. Probst.)

Secretory and endocytic pathways of mammalian cells. CD40 molecules synthesized in the ER are delivered to the cell surface via the trans-Golgi network and vesicles that subsequently fuse with the plasma membrane. Some CD40 mutants carrying missense mutations or small in-frame deletions cannot complete this pathway but are retained instead in the ER. The 3 novel CD40 mutants identified by Lanzi et al in this issue exhibit distinct fates in the ER: (1) the P4 mutant does not leave the ER and is promptly degraded by ERAD; (2) the P2 mutant CD40 persists in the ER and activates UPR as determined by increased HSP production and XBP-1 splicing; and (3) the P5 mutant accumulates in the ER but neither is degraded nor elicits UPR. The P5 CD40 mutant is a candidate for therapies based on pharmacologic chaperones. (Professional illustration by Kenneth X. Probst.)

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