Recently, it has been suggested that only ϳ2% of human thyroid peroxidase (hTPO 933 ) reaches the surface of stably transfected (Chinese hamster ovary) cells, most being degraded intracellularly, and this might be representative of thyroid peroxidase (TPO) behavior in thyrocytes (Fayadat, L., Siffroi-Fernandez, S., Lanet, J., and Franc, J.-L. (2000) In the past decade, cell type-dependent differences in membrane and secretory protein trafficking have been increasingly recognized. Certainly, the rate and efficiency of protein folding and export from the endoplasmic reticulum (ER) 1 varies between cell types (1). Further, in the distal secretory pathway, the expression of cDNAs encoding regulated secretory proteins has been found to result in storage in secretory granules in some regulated secretory cell types but not others (2-5). Additionally, cell surface polarity signals can be differentially interpreted by different polarized cell types (6 -10). The identification of cell type-dependent differences in protein sorting and trafficking represents a crucial first step in elucidating the underlying molecular mechanisms that account for such differences (11).Thyroid peroxidase (TPO) is a key enzyme responsible for iodination of thyroglobulin during the synthesis of thyroid hormones. Electron microscope autoradiography studies have established that iodination activity is localized primarily at the (extracellular aspect of the) apical surface of thyrocytes delimiting the thyroid follicle lumen; suggesting that under physiological circumstances, TPO is primarily an apical plasma membrane enzyme (12). TPO is neither the sole gene product responsible for the diaminobenzidine oxidation reaction (a technique that has been used to detect peroxidase activity cytochemically) nor the sole protein immunoreacting with thyroid autoimmune antisera (used to immunolocalize the "antimicrosomal antigen" (Ref. 13)). Nevertheless, TPO cytochemical activity in thyrocytes is associated with apical membrane vesicles and the outer surfaces of apical microvilli (14), while additional reaction product can be detected in the thyrocyte ER and Golgi complex. Moreover, using patients' antisera, the thyroid microsomal antigen is immunolocalized to the apical surface of thyrocytes (15), while additional immunoreaction is found in the cytoplasm (16,17). Acute thyroid-stimulating hormone stimulation of the thyroid gland causes additional TPO enzymatic activity and immunoreactivity at the apical cell surface (18 -23). These results all indicate that TPO travels via the secretory pathway to the plasma membrane.Despite this, lingering questions persist about the trafficking of TPO to the cell surface in the thyroid and in various cell culture systems (24). In primary porcine thyrocytes after 7 days in culture, only ϳ30% of endogenously expressed TPO could be chemically modified at the cell surface with a non-permeant biotinylation reagent (25). Further, it has recently been reported that only ϳ2% of recombinant wild-type hTPO (fulllength hTPO 933 ) re...