SEC24A is a paralog-specific COPII cargo adaptor that selects discrete cargoes for ER-to-Golgi anterograde transport while also serving a non-canonical role at ER–mitochondria contact sites (PMID:23580231, PMID:33622772). As a cargo adaptor it is required for efficient ER exit of the soluble protein PCSK9, and its loss in mice lowers plasma PCSK9 and raises hepatic LDLR through a receptor-mediated lipoprotein clearance mechanism, with Apoe and Ldlr mutations epistatic to Sec24a loss (PMID:23580231). SEC24A also mediates anterograde trafficking of the transmembrane voltage-gated potassium channel Kv1.3, with which it associates directly, while showing only partial overlap in cargo selectivity with the paralog SEC24B (PMID:23580231, PMID:26156069). Beyond canonical secretion, SEC24A controls the physical colocalization of peripheral tubular ER with mitochondria and the resulting ER-to-mitochondria Ca2+ flux; its loss impairs ER Ca2+ efflux and mitochondrial Ca2+ influx, increases autophagic flux, and reduces apoptosis upon SERCA inhibition, a function not shared by SEC24B, SEC24C, or SEC24D (PMID:33622772). Consistent with this Ca2+-coupled role, SEC24A is an essential mediator of thapsigargin-induced ER stress cell death acting upstream of the UPR, specifically for the SERCA inhibitor and not for tunicamycin or brefeldin A (PMID:30588337). SEC24A is additionally co-opted by hepatitis B virus, forming a specific complex with SEC23B that exports HBV subviral envelope particles via interaction with the envelope S domain through its N-terminal half (PMID:32017353).