The mechanisms by which prohormone precursors are sorted to the regulated secretory pathway in neuroendocrine cells remain poorly understood. Here, we investigated the presence of sorting signal(s) in proneurotensin/neuromedin N. The precursor sequence starts with a long N-terminal domain followed by a Lys-Arg-(neuromedin N)-Lys-Arg-(neurotensin)-Lys-Argsequence and a short C-terminal tail. An additional ArgArg dibasic is contained within the neurotensin sequence. Mutated precursors were expressed in endocrine insulinoma cells and analyzed for their regulated secretion. Deletion mutants revealed that the N-terminal domain and the Lys-Arg-(C-terminal tail) sequence were not critical for precursor sorting to secretory granules. In contrast, the Lys-Arg-(neuromedin N)-Lys-Arg-(neurotensin) sequence contained essential sorting information. Point mutation of all three dibasic sites within this sequence abolished regulated secretion. However, keeping intact any one of the three dibasic sequences was sufficient to maintain regulated secretion. Finally, fusing the dibasic-containing C-terminal domain of the precursor to the C terminus of -lactamase, a bacterial enzyme that is constitutively secreted when expressed in neuroendocrine cells, resulted in efficient sorting of the fusion protein to secretory granules in insulinoma cells. We conclude that dibasic motifs within the neuropeptide domain of proneurotensin/neuromedin N constitute a necessary and sufficient signal for sorting proteins to the regulated secretory pathway.Whereas all cells secrete proteins constitutively, neuroendocrine and exocrine cells are also able to release a number of proteins and peptides, including hormones and neuropeptides, prohormone convertases (PCs) 1 and digestive enzymes, through a regulated secretory pathway (RSP) (1-3). Furthermore, in neuroendocrine cells, neuropeptides and peptide hormones are generally synthesized as part of large precursors in which they are flanked by processing sites, usually pairs of basic residues. The precursors must be cleaved at processing sites by PCs (for review, see Ref. 4) to yield the biologically active peptides that will be secreted under stimulation. Sorting between the constitutive and the regulated secretory pathway is thought to occur in the trans-Golgi network (TGN) and/or in immature secretory granules (IG) that originate from the TGN (for review, see Ref. 5), ultimately leading to the packaging and storage of regulated proteins and peptides into mature secretory granules.Despite considerable advancement in our understanding of the regulated secretion machinery in specialized cells, the sorting mechanisms into the RSP remain unclear. Moore and Kelly (6) demonstrated that a constitutive protein can be re-routed to the RSP when fused with a regulated protein. This result led to the idea that the targeting of proteins into the RSP is an active process, whereas constitutive secretion occurs by default. Furthermore, it was recognized early that aggregation of secreted proteins occurs in a late Gol...