Disruption of endolysosomal acidification causes toxic protein accumulation and neuronal dysfunction linked to neurodevelopmental and neurodegenerative disorders. However, the molecular mechanisms regulating neuronal endolysosomal pH remain unclear. TMEM184B is a conserved 7-pass transmembrane protein essential for synaptic function, and sequence disruption is associated with neurodevelopmental disorders. Here we identify TMEM184B as a key regulator of endolysosomal acidification. TMEM184B localizes to early and late endosomes, and proteomic analysis confirms that TMEM184B interacts with endosomal proteins, including the vacuolar ATPase (V-ATPase), a multi-subunit proton pump critical for lumenal acidification. Tmem184b-mutant mouse cortical neurons have reduced endolysosomal acidification compared to wild type neurons. We find reductions in V-ATPase complex assembly in Tmem184b-mutant mouse brains, suggesting TMEM184B facilitates endosomal flux by promoting V-ATPase activity. These findings establish TMEM184B as a regulator of neuronal endosomal acidification and provide mechanistic insight into its role in TMEM184B-associated nervous system disorders.

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First page of Transmembrane protein 184B (TMEM184B) modulates endolysosomal acidification via the vesicular proton pump

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