Despite great functional diversity, characterization of the ␣/-hydrolase fold proteins that encompass a superfamily of hydrolases, heterophilic adhesion proteins, and chaperone domains reveals a common structural motif. By incorporating the R451C mutation found in neuroligin (NLGN) and associated with autism and the thyroglobulin G2320R (G221R in NLGN) mutation responsible for congenital hypothyroidism into NLGN3, we show that mutations in the ␣/-hydrolase fold domain influence folding and biosynthetic processing of neuroligin3 as determined by in vitro susceptibility to proteases, glycosylation processing, turnover, and processing rates. We also show altered interactions of the mutant proteins with chaperones in the endoplasmic reticulum and arrest of transport along the secretory pathway with diversion to the proteasome. Time-controlled expression of a fluorescently tagged neuroligin in hippocampal neurons shows that these mutations compromise neuronal trafficking of the protein, with the R451C mutation reducing and the G221R mutation virtually abolishing the export of NLGN3 from the soma to the dendritic spines. Although the R451C mutation causes a local folding defect, the G221R mutation appears responsible for more global misfolding of the protein, reflecting their sequence positions in the structure of the protein. Our results suggest that disease-related mutations in the ␣/-hydrolase fold domain share common trafficking deficiencies yet lead to discrete congenital disorders of differing severity in the endocrine and nervous systems.The neuroligins (NLGNs) 3 are postsynaptic proteins that associate with cognate presynaptic partners, the neurexins (1-3, ␣ and ) (NRXNs) (1, 2), and are essential for selectivity in synaptic function (3). By virtue of a common structure in their extracellular domain, the NLGNs fall in the ␣/-hydrolase fold superfamily of proteins. To date, proteins of this family are known to serve three general functions: 1) catalyzing the hydrolysis of ester and amide substrates as with acetylcholinesterase, 2) serving as chaperones for secretion of hormone precursors such as with thyroglobulin (Tg), and 3) mediating heterophilic synaptic adhesion interactions as found for neuroligin. The common structure of the ␣/-hydrolase fold domain shared by the family members (4) suggests that despite the different functions, these proteins share common mechanisms of protein folding and processing.In NLGN, the ␣/-hydrolase fold domain is crucial for transsynaptic interactions with NRXN. Both the NRXNs and the NLGNs are transmembrane proteins; they facilitate associations with intracellular proteins at synaptic loci in pre-and postsynaptic neurons (5). Genetic aberrations in both the NLGN and the NRXN protein families have been identified in patients with autism spectrum disorders (6 -13). The R451C substitution in the ␣/-hydrolase fold domain of NLGN3 was found in two autistic brothers (7), and this mutation has been characterized extensively. Protein derived from R451C NLGN3 cDNA is predomin...