Mediators that facilitate the cell surface localization of GRP78. Under normal physiological conditions, GRP78 is retained in the ER through interactions with the KDEL sequence and the KDEL receptor. ① Under conditions of ER stress, GRP78 can escape ER retention and pass through the Golgi apparatus. ② Moreover, several proteins, including GIV, Par-4, MTJ-1, and CD44v, interact with GRP78 in the ER, which facilitates GRP78 translocation to the cell surface. ③ Alternatively, GRP78 can escape the ER with the assistance of DNAJC3 within an ER-derived vesicle and undergo endosome formation and fusion mediated by several Rab GTPases. Image generated with BioRender.