Human aminopeptidase N (APN) is used as a routine marker for myelomonocytic cells in hematopoietic malignant disorders. Its gene and surface expressions are increased in cases of malignant transformation, inflammation, or T cell activation, whereas normal B and resting T cells lack detectable APN protein expression. In this study we elucidated the intracellular distribution, expression pattern, and enzymatic activity of a naturally occurring mutation in the coding region of the APN gene. At physiological temperatures the mutant protein is enzymatically inactive, persists as a mannoserich polypeptide in the endoplasmic reticulum, and is ultimately degraded by an endoplasmic reticulum-associated degradation pathway. It shows in part the distinct behavior of a temperaturesensitive mutant with a permissive temperature of 32°C, leading to correct sorting of the Golgi compartment accompanied by the acquisition of proper glycosylation but without reaching the cellsurface membrane and without regaining its enzymatic activity. Because the patient bearing this mutation suffered from leukemia, possible links to the pathogenesis of leukemia are discussed.Membrane alanyl aminopeptidase (aminopeptidase N, APN 2 (1), CD13, EC 3.4.11.2) is a 967-amino acid type II transmembrane protein that is expressed on the surface of a broad variety of cell types, most strongly in intestinal mucosa and kidney tissue (1, 2). Although not all aspects of its function are fully understood, it is established that the enzyme preferentially cleaves neutral amino acids from the N terminus of oligopeptides leading to degradation of neuropeptides (3-12), cytokines, immunomodulatory peptides (13-15), and angiotensins (16 -18). Depending on its location, APN is involved in terminal degradation of small peptides in the intestinal brush border (19), inactivation of endorphins and enkephalins in synaptic membranes (2), and angiogenesis (21-23).Furthermore, APN may contribute to extracellular matrix degradation (24, 25) and antigen processing via trimming of major histocompatibility complex class I and II associated peptides (26, 27). There are also several reports of its distinct functions as a receptor for various viruses like the human and murine cytomegalovirus (28 -30) Recently it has been shown that APN is capable of promoting phagocytosis by supporting Fc-␥ receptors on peripheral blood monocytes (41).APN has been implicated in the growth and function of immune cells, including T cells and T cell subsets (42-44). A significant fraction of malignant lymphocytes and corresponding cell lines appear CD13-positive in flow cytometry. In addition, CD13-negative T and B cell lines were shown to contain considerable amounts of APN mRNA (45). Therefore, it is suggested that a dysregulation of APN expression may contribute to or result from malignant transformation of lymphocytes and/or enhanced cellular growth. A previous study reported mutations in the gene coding for APN in 18 and 6% of cases of leukemia and lymphoma, respectively. No such mutations were f...