Transport protein particle (TRAPP) represents a series of related protein complexes that function in specific stages of inter-organelle traffic. They share a core of subunits that can activate the GTPase Rab1 through a guanine nucleotide exchange factor (GEF) activity and are distinguished by 'accessory' subunits giving each complex its distinct function. The subunits are ubiquitously expressed and, thus, mutations in TRAPP subunits would be expected to be embryonic lethal. However, since its discovery, a number of subunits have been found to be mutated in several diverse human disorders suggesting that some of these subunits may have cell-or tissue-specific functions. Here we review the current state of knowledge with respect to TRAPP subunit mutations in human disease. We suggest ideas to explain their tissue-specific phenotypes and present avenues for future investigation. The process of guiding a cargo-containing transport vesicle that has emerged from a cellular organelle to its correct target compartment requires the concerted function of a number of factors including proteins that coat the vesicle, GTPases of the Rab family that act as molecular switches, fusogenic SNARE proteins and tethering factors that coordinate or participate in membrane tethering (1). A number of tethering factors have been described that assume either a coiled-coil structure or are composed of an aggregate of numerous proteins that have been termed multisubunit tethering complexes (MTCs) (2,3). The MTCs are composed of at least nine different complexes that localize to distinct compartments within the cell. It is important to note that a tethering function (i.e. the ability to tether two distinct membranous compartments to each other) has not been demonstrated for the vast majority of these complexes, prompting us to change the meaning of the MTC acronym to multisubunit trafficking complexes.MTCs as a whole appear to share some common mechanistic aspects such as interactions with SNARE proteins and GTPases (1,3). With two exceptions, their subunits adopt different structures and show little to no conservation between the complexes (4). One exception is the HOPS and CORVET complexes that have four subunits in common (5).The second exception is the transport protein particle (TRAPP) family of complexes. These complexes share a core of six polypeptides arranged into a seven subunit complex upon which other subunits bind. These additional subunits dictate the trafficking step in which the complex will function. This review will not focus on the structure and function of the TRAPP complexes because there have been several recent reviews on the subject either dedicated to or including TRAPP (1,3,4,6). Rather, salient features will be briefly introduced and then we shall focus on individual components of the complexes that have been shown to www.traffic.dk 803