The trafficking of prohormones and of regulated secretory proteins in gener
al has been studied extensively in the last decades of the last century. Pr
ohormone trafficking starts with correct folding and subsequently efficient
sorting into the secretory granule of the regulated secretory pathway. The
vasopressin/oxytocin prohormone is particularly interesting for studying p
rotein trafficking, because the physicochemical properties and three-dimens
ional structure have been largely elucidated. In the case of pro-vasopressi
n and pro-oxytocin, folding and sorting depend completely on both intramole
cular and intermolecular interactions. Proper folding is guided by the horm
one-neurophysin association and the sorting event relies on the aggregative
properties of the neurophysin domain in the prohormone, as well as a speci
fic sorting signal, which is revealed when the aggregative property of the
neurophysin domain is deleted. A comprehensive mechanism for trafficking of
the vasopressin/oxytocin prohormone from the endoplasmic reticulum to the
secretory granule is proposed.