Dominant mutations in the tetraspan membrane protein peripheral myelin protein 22 (PMP22) are known to result in peripheral neuropathies such as Charcot-Marie-Tooth Type 1A (CMT1A) disease via mechanisms that appear to be closely linked to misfolding of PMP22 in the membrane of the endoplasmic reticulum (ER). To characterize the molecular defects in PMP22, we examined the structure and folding stability of two human disease mutant forms of PMP22 that are also the basis for mouse models of peripheral neuropathies: G150D (Trembler phenotype), and L16P (Trembler-J phenotype). Circular dichroism and NMR spectroscopic studies indicated that, when folded, the 3-D structures of these disease-linked mutants are similar to the folded wild type protein. However, the folded forms of the mutants were observed to be destabilized relative to the wild type protein, with the L16P mutant being particularly unstable. The rate of refolding from an unfolded state was observed to be very slow for the wild type protein, and no refolding was observed for either mutant. These results lead to the hypothesis that ER quality control recognizes the G150D and L16P mutant forms of PMP22 as defective through mechanisms closely related to their conformational instability and/or slow folding. It was also seen that wild type PMP22 binds Zn(II) and Cu(II) with micromolar affinity, a property that may be important to the stability and function of this protein. Zn(II) was able to rescue the stability defect of the Tr mutant.Peripheral myelin protein 22 (PMP22) is a 160 residue integral membrane protein with four putative transmembrane spans. PMP22 is a major protein of the peripheral nervous system myelin(1;2), where it is known to play important roles in regulating Schwann cell proliferation and in myelin formation and maintenance(3;4). A high resolution structure is yet to be determined for PMP22, although some of its general structural and topological features have been established(5;6). PMP22 represents the PMP22/EMP/MP20/Claudin superfamily (pfam00822 in NCIB (7)), which share both sequence homology and their predicted tetraspan topology. PMP22 and some of these other proteins are found at specialized membrane junctions found in myelin and in epithelia(8-11).PMP22 is highly expressed in Schwann cells and represents 2-5% of the total protein content of the myelin membrane. Changes in gene dosage or dominant missense mutations in the gene encoding PMP22 result in several inherited peripheral neuropathies(12), including hereditary neuropathy with liability to pressure palsies (HNPP), Dejerine-Sottas syndrome (DSS), and