Nucleophosmin (NPM1), one of the most abundant nucleolar proteins, is a frequent target of oncogenic mutations in acute myeloid leukaemia (AML). Mutation-induced changes at the C-terminal domain of NPM1 (Cter-NPM1) compromise its stability and cause the aberrant translocation of NPM1 to the cytosol. Hence, this protein represents a suitable candidate to investigate the relations between folding and disease. Since Cter-NPM1 folds via a compact denatured state, stabilization of the folded state of the mutated variants demands detailed structural information on both the native and denatured states. Here, we present the characterization of the complete folding pathway of Cter-NPM1 and provide molecular details for both the transition and the denatured states. The structure of the transition state was assessed by Φ-value analysis, whereas residual structure in the denatured state was mapped by evaluating the effect of mutations as modulated by conditions promoting denatured state compaction. Data reveal that folding of Cter-NPM1 proceeds via an extended nucleus and that the denatured state retains significant malleable structure at the interface between the second and third helices. Our observations constitute the essential prerequisite for structure-based drug-design studies, aimed at identifying molecules that may rescue pathological NPM1 mutants by stabilizing the native-like state.kinetics | mutagenesis | protein folding N ucleophosmin (NPM1) is a ubiquitously expressed protein that belongs to the nucleoplasmin family of nuclear chaperones and is one of the most represented nucleolar proteins (1). NPM1 is a key component of several cellular processes, ranging from ribosome biogenesis, control of centrosome duplication, maintenance of genomic stability, and cell-cycle regulation also by its direct interaction with the tumor suppressors p53 and p14arf (2). A distinctive feature of NPM1 resides in its property to rapidly shuttle from the nucleus to the cytoplasm and backwards (3), a property that may require some structural malleability.The NPM1 gene has been found overexpressed in several solid human cancers and is also a frequent target of translocations occurring in hematopoietic tumors. Mutation of the NPM1 gene is the most frequent genetic lesion in acute myeloid leukemia (AML) displaying a normal kariotype (4). Such mutations map at the C-terminal domain of the protein, and all result in its denaturation and appearance of an additional nuclear export signal. These two signatures concur and are both necessary to cause the stable and aberrant cytoplasmic localization of NPM1 mutants (1). Furthermore, NPM1 mutants enhance the translocation in the cytoplasm of several interacting partners, including the tumor suppressor p14arf and the c-Myc E3-ubiquitin ligase Fbw7-γ (5, 6). It has been proposed that this feature is involved in the mechanism for the oncogenic properties of NPM mutants (7).Recent work (8) has shown that some pathological mutations affect the stability of proteins, yielding partial or total denatura...