Pelizaeus-Merzbacher disease (PMD) is a dysmyelinating disease caused by mutations, deletions, or duplications of the proteolipid protein (PLP) gene. Mutant forms of PLP are retained in the endoplasmic reticulum (ER), and the resulting accumulation of mutant protein is thought to be a direct cause of oligodendrocyte cell death, which is the primary clinical feature of PMD. The molecular mechanisms underlying the toxicity of mutant PLP are however currently unknown. We report here that PMD-linked mutations of PLP are associated with the accelerated assembly of the protein into stable homooligomers that resemble mature, native PLP. Thus although WT PLP forms stable oligomers after an extended maturation period, most likely at the cell surface, mutant forms of PLP rapidly assemble into such oligomers at the ER. Using PLP mutants associated with diseases of varying severity, we show that the formation of stable oligomers correlates with the development of PMD. Based on these findings, we propose that the premature oligomerization of PLP in the ER of oligodendrocytes contributes to the pathology of PMD.oligomer ͉ Pelizaeus-Merzbacher disease ͉ endoplasmic reticulum ͉ quality control ͉ membrane protein M yelin sheaths in the CNS are formed by the oligodendrocyte plasma membrane, which wraps around the axon. CNS myelin contains a number of specific lipids and membraneassociated proteins, of which two predominate. Myelin basic protein is a soluble protein that binds to the cytoplasmic surface of the myelin membrane and brings the cytoplasmic faces close together, allowing a tight spiral to form around the axon (1). Proteolipid protein (PLP) and its splice variant DM-20 are integral membrane proteins that together constitute Ϸ50% of the protein in CNS myelin (2). PLP is synthesized at the endoplasmic reticulum (ER) and then transported to the cell surface where it is incorporated into the myelin membrane. Although some evidence suggests that PLP may function as a channel-forming protein (3, 4), the primary role of PLP in myelin formation is currently thought to be the adhesion and stabilization of the extracellular surfaces of the myelin membrane (5, 6). Consistent with this finding, biochemical and biophysical studies suggest that native PLP forms homooligomers (7-9). However, it is not known how or where PLP oligomers are assembled within the cell, or what role the different domains play in oligomerization.Mutations in the PLP gene are associated with debilitating diseases of the CNS, including Pelizaeus-Merzbacher disease (PMD) and X-linked spastic paraplegia (10). The amino acid sequence of PLP is highly conserved, and a large number of naturally occurring mutations are associated with disease. Most of these mutations prevent PLP from reaching the cell surface (11, 12), and evidence suggests that the mutant PLP is misfolded (13,14). Mutant forms of PLP are retained in the ER, and the resulting accumulation of mutant PLP in the ER is thought to be a direct cause of the oligodendrocyte cell death that is the primary cl...