Aberrant folding of the mammalian prion protein (PrP) is linked to prion diseases in humans and animals. We show that during post-translational targeting of PrP to the endoplasmic reticulum (ER) the putative transmembrane domain induces misfolding of PrP in the cytosol and interferes with its import into the ER. Unglycosylated and misfolded PrP with an uncleaved N-terminal signal sequence associates with ER membranes, and, moreover, decreases cell viability. PrP expressed in the cytosol, lacking the N-terminal ER targeting sequence, also adopts a misfolded conformation; however, this has no adverse effect on cell growth. PrP processing, productive ER import, and cellular viability can be restored either by deleting the putative transmembrane domain or by using a N-terminal signal sequence specific for co-translational ER import. Our study reveals that the putative transmembrane domain features in the formation of misfolded PrP conformers and indicates that post-translational targeting of PrP to the ER can decrease cell viability.Prion diseases in humans and animals are characterized by the accumulation of PrP Sc , a partially protease-resistant isoform of the cellular prion protein PrP C . PrP Sc is generated through a conformational transformation of PrP C and represents the major component of infectious prions (reviewed in Refs. 1-4). PrP 1 is post-translationally modified by the attachment of two N-linked complex carbohydrate moieties (Asn 180 and Asn 196 ) (5-7) and a glycosylphosphatidylinositol (GPI) anchor at serine 231 (8) as well as by the formation of a disulfide bond between Cys 178 and Cys 213 . Studies with recombinant PrP purified from bacteria revealed that the formation of the disulfide bond is essential for the native folding of PrP (9).The co-and post-translational modifications of PrP C are initiated with the cleavage of the N-terminal signal peptide (aa 1-22) and the transfer of core glycans, whereas the nascent chain is still associated with the translocon. Shortly after the protein is fully translocated, the GPI anchor is attached to the acceptor amino acid close to the C terminus. The final maturation of PrP C includes the processing of the core glycans into complex-type glycans by a series of enzymatic reactions in the endoplasmic reticulum (ER) and Golgi compartment. Posttranslational modifications, like N-linked glycosylation and GPI anchor attachment, are often used as diagnostic markers to monitor efficient import into the ER. In the case of PrP, however, we and others have shown that PrP devoid of a GPI anchor remains mainly unglycosylated but is imported efficiently into the ER and transported through the secretory pathway (10 -14). It has been found that the only specific marker for ER import of PrP is a cleaved N-terminal signal sequence (10). 2 Misfolding of PrP C in the cytosol or in the ER can induce neurodegeneration in the absence of PrP Sc . Neurotoxic properties of cytosolic PrP aggregates were observed after proteasomal inhibition in cultured cells or after the forced expr...