In mammalian cells, the Sec61 complex and translocating chain-associat
ed membrane protein (TRAM) are necessary and sufficient to direct the
biogenesis, in the appropriate topology, of all secretory and membrane
proteins examined thus far. We demonstrate here that the proper trans
location of the prion protein (PrP), a substrate that can be synthesiz
ed in more than one topologic form, requires additional factors. In th
e absence of these additional factors, PrP is synthesized exclusively
in the transmembrane topology (termed the (PrP)-Pr-Ctm form) associate
d with the development of neurodegenerative disease, Thus, translocati
on accessory factors, acting on some but not other substrates, can fun
ction as molecular switches to redirect nascent proteins toward diverg
ent topologic fates with different functional consequences.