CRES (cystatin-related epididymal spermatogenic), a member of the cystatin superfamily of cysteine protease inhibitors, is expressed in the epididymis and spermatozoa, suggesting specialized roles in reproduction. Several cystatin family members oligomerize, including cystatin C that forms amyloid deposits associated with cerebral amyloid angiopathy. Our studies demonstrate that CRES also forms oligomers. Size exclusion chromatography revealed the presence of multiple forms of CRES in the epididymal luminal fluid, including SDS-sensitive and SDSresistant high molecular mass complexes. In vitro experiments demonstrated that CRES is a substrate for transglutaminase and that an endogenous transglutaminase activity in the epididymal lumen catalyzed the formation of SDS-resistant CRES complexes. The use of a conformation-dependent antibody that recognizes only the oligomeric precursors to amyloid, negative stain electron microscopy, and Congo Red staining showed that CRES adopted similar oligomeric and fibrillar structures during its aggregation as other amyloidogenic proteins, suggesting that CRES has the potential to form amyloid in the epididymal lumen. The addition of transglutaminase, however, prevented the formation of CRES oligomers recognized by the conformation antibody by cross-linking CRES into an amorphous structure. We propose that transglutaminase activity in the epididymal lumen may function as a mechanism of extracellular quality control by diverting proteins such as CRES from the amyloidogenic pathway.As spermatozoa migrate through the long convoluted tubule known as the epididymis, they undergo maturation and acquire motility and fertility. Since sperm are synthetically inactive, the maturation process requires the interaction of sperm with proteins that are synthesized and secreted in a region-dependent manner by the epididymal epithelium. Following secretion, the fate of proteins in the epididymal lumen is varied. Some proteins bind to sperm and presumably affect sperm function directly, whereas others remain in the lumen throughout the length of the tubule (1, 2). Other proteins are present in the epididymal lumen for only a short time, suggesting that their continued presence may be detrimental to sperm maturation and/or epididymal cell functions, and thus selective mechanisms are in place for their removal.CRES is the defining member of a reproductive subgroup of family 2 cystatins within the cystatin superfamily of cysteine protease inhibitors (MEROPS classification subfamily I25B) (3, 4). CRES is synthesized and secreted into the lumen by the epithelial cells in the most proximal part of the epididymis and then abruptly disappears from the lumen a short time later (5). In vitro CRES does not inhibit cysteine proteases but rather inhibited the serine protease prohormone convertase 2, suggesting an intracellular rather than an extracellular role for CRES (6). Although a function of CRES within the secretory pathway of the epididymal epithelial cells would make it dispensable once it was secrete...