Proteins reach their extracellular destination by one of two distinct secretory pathways: the constitutive secretory pathway, common to all mammalian cells, is the default pathway in which proteins are rapidly released from the cell by exocytosis; the regulated secretory pathway, present in certain cell types such as neuronal, endocrine, and exocrine cells, is characterized by storage of selected proteins in secretory granules which are released in response to appropriate external stimuli (1, 2). The coexistence of constitutive and regulated secretory pathways within the same cell implies that segregation of proteins must occur, a process which is believed to take place in the trans-Golgi network (3-6). Previous studies have identified selective aggregation and interaction of proteins with the membrane of the trans-Golgi network as important elements in the sorting of proteins away from the constitutive pathway and into the regulated secretory pathway (7-10). To date no sorting receptor has been conclusively identified; however, the ability of different cell types to target heterologous proteins to the regulated secretory pathway supports the existence of a common sorting mechanism (2). Sorting signals recognized by the putative receptor(s) are not encoded in the primary sequence of secretory proteins but are comprised of a motif(s) generated by higher order structure of the molecule (2, 11). Such a sorting signal has recently been identified for chromogranin B and shown to consist of a 20-amino acid loop stabilized by an intramolecular disulfide bond (12, 13).The alveolar type II epithelial cell is a specialized exocrine cell, which synthesizes and secretes pulmonary surfactant, a complex mixture of phospholipids and proteins required for maintenance of alveolar patency. Both the lipid and protein components of surfactant are stored in secretory granules (lamellar bodies), which are released by exocytosis in response to secretagogue stimulation (14, 15). The regulated secretory pathway of the type II cell is atypical in that the lamellar body compartment communicates extensively with the endocytic pathway; up to 85% of surfactant lipids are recycled to the lamellar body for resecretion (16). A further unique characteristic of lamellar bodies is the lysosomal nature of this compartment, including hydrolytic enzymes (17) and at least one lysosomal membrane glycoprotein (18). Sorting determinants mediating the selective transport of secretory proteins to the lamellar body have not been studied previously, and it is consequently unclear if these determinants act in a cell-specific manner. The purpose of the present study was to identify peptide domains required for targeting SP-B 1 to the lamellar body and to determine if these targeting epitopes are recognized by the sorting machinery of both endocrine and neuronal cells.Human SP-B is synthesized by the alveolar type II epithelial cell as a preproprotein of 381 amino acids. Within the proprotein the 79-residue mature peptide is flanked by propeptides of 177 and 10...