Recombinant Human Mitochondrial Import Inner Membrane Translocase Subunit Tim22, referred to here as TIMM22, is a crucial component of the TIM22 complex. This complex plays a pivotal role in the import and insertion of hydrophobic carrier proteins into the mitochondrial inner membrane. TIMM22 is essential for maintaining mitochondrial function and cellular metabolism.
The TIM22 complex in humans is a large protein assembly with a molecular weight of approximately 440 kDa, consisting of several subunits including Tim22, Tim9, Tim10a, Tim10b, Tim29, and acylglycerol kinase (AGK) . Tim22 itself is a key pore-forming unit within this complex, facilitating the translocation of hydrophobic proteins across the inner mitochondrial membrane.
| Subunit | Function in TIM22 Complex |
|---|---|
| Tim22 | Pore-forming unit for protein translocation |
| Tim9, Tim10a, Tim10b | Chaperone functions, assisting in protein folding and transport |
| Tim29 | Stability and assembly of the TIM22 complex, interaction with TOM complex |
| AGK | Integral component, though its specific role is less defined |
The TIM22 complex is specialized for the insertion of multi-transmembrane spanning proteins into the mitochondrial inner membrane. These proteins include members of the mitochondrial carrier family, such as the ADP/ATP carrier and the phosphate carrier . The process involves the recognition of internal targeting elements within these proteins, which are distinct from the N-terminal presequences used by other import pathways like the TIM23 complex.
Recent studies have elucidated the cryo-EM structure of the human TIM22 complex, revealing detailed insights into its assembly and function . The identification of Tim29 as a novel subunit highlights the differences between human and yeast TIM22 complexes, emphasizing the importance of cross-species comparisons in understanding mitochondrial import mechanisms .
Variants in the TIMM22 gene have been identified, though their functional implications are not fully understood. These variants include insertions, deletions, and point mutations, some of which may affect protein function or expression levels .
| Variant ID | Description |
|---|---|
| TIMM22_000001 | Frameshift mutation leading to premature stop codon |
| TIMM22_000002 | Missense mutation (Asn7Ser) |
| TIMM22_000003 | Silent mutation (no amino acid change) |
Recombinant Human Mitochondrial import inner membrane translocase subunit Tim22 (TIMM22) is an essential core component of the TIM22 complex. This complex facilitates the import and insertion of multi-pass transmembrane proteins into the mitochondrial inner membrane. Within the TIM22 complex, TIMM22 forms a voltage-activated and signal-gated channel, acting as a twin-pore translocase that utilizes the membrane potential as the driving force in two voltage-dependent steps.
TIMM22 (Translocase of Inner Mitochondrial Membrane 22) serves as the central subunit of the TIM22 complex, which is responsible for inserting carrier proteins into the inner mitochondrial membrane (IMM) in a membrane potential (Δψ)-dependent manner. As the core component, TIMM22 forms the critical insertion channel that integrates carrier proteins into the inner membrane . The TIM22 complex represents a distinct import system that mediates the translocation of polytopic membrane proteins, ensuring their proper folding and assembly within the mitochondrial inner membrane . This function is essential for maintaining mitochondrial integrity and function, as it enables the correct positioning of proteins involved in various metabolic pathways and transport processes across the inner membrane.
TIMM22 is generally predicted to have four hydrophobic transmembrane (TM) segments, though the precise membrane topology has not been experimentally determined with certainty. The predicted TM segments include residues 50-69, 81-99, 129-146, and 174-191, with the second predicted segment (residues 81-99) being less hydrophobic . The protein contains conserved cysteine residues (specifically Cys-42 and Cys-141 in yeast) that form an intramolecular disulfide bond critical for protein stability and function . This disulfide bond appears to stabilize the protein's structure, particularly at elevated temperatures, through interactions with Tim18, which in turn maintains the integrity of the entire TIM22 complex . The N-terminus of TIMM22 likely faces the intermembrane space, based on sequence similarity with Tim23 .
The TIM22 complex shows notable differences in its composition between humans and yeast:
In yeast:
The complex includes Tim18 and Sdh3, which are required for assembly and stability
Tim54 tethers the small TIM chaperones (Tim9-Tim10-Tim12 complex) to the translocase
The central subunit Tim22 associates with these partner proteins
In humans:
TIM22 associates with acylglycerol kinase (AGK) and TIM29, both required for full import capacity
The human complex lacks direct homologs of yeast Tim18 and Tim54
These compositional differences suggest species-specific adaptations in the protein import machinery while maintaining the core function of carrier protein insertion into the inner mitochondrial membrane.
For effective expression and purification of recombinant TIMM22, researchers should consider the following methodological approach:
Expression System Selection: E. coli BL21(DE3) or similar strains are commonly used for initial attempts, though eukaryotic expression systems (yeast, insect cells) may provide better folding for this membrane protein.
Construct Design:
Include a cleavable N-terminal tag (His6 or GST) positioned to avoid interference with transmembrane domains
Consider codon optimization for the expression host
Remove the mitochondrial targeting sequence for bacterial expression
Solubilization Protocol:
Use mild detergents like n-dodecyl-β-D-maltoside (DDM) or digitonin
Include reducing agents during initial extraction to prevent non-native disulfide bonds
Optimize detergent concentration to maintain native structure
Purification Strategy:
Employ metal affinity chromatography for initial capture
Follow with size exclusion chromatography to separate aggregates
Consider ion exchange chromatography as a polishing step
Quality Control Assessments:
This approach accounts for the challenging nature of membrane protein purification while addressing the specific characteristics of TIMM22, including its disulfide bond formation and membrane topology.
Researchers can analyze TIMM22 interactions with other TIM complex components through several complementary approaches:
Co-immunoprecipitation (Co-IP): This technique can identify protein-protein interactions by using antibodies against TIMM22 or its potential partner proteins. Gentle solubilization of mitochondria with mild detergents (such as digitonin) is crucial to preserve protein interactions. This approach has successfully demonstrated interactions between oxidized Tim22 and Tim18 in yeast studies .
Blue Native PAGE (BN-PAGE): This allows visualization of intact protein complexes after gentle solubilization. Research has shown that Tim22 comigrates with other subunits of the TIM22 complex on nondenaturing gels, enabling assessment of complex integrity . Comparing migration patterns between wild-type and mutant TIMM22 can reveal structural alterations in the complex.
In vitro Assembly Assays: Using radiolabeled TIMM22 to track its assembly into the TIM22 complex in isolated mitochondria provides dynamic information about complex formation. Studies have shown differences in assembly rates between wild-type and cysteine mutant Tim22 proteins .
Crosslinking Approaches: Chemical crosslinking followed by mass spectrometry can map interaction interfaces between TIMM22 and its partners, providing structural insights into the arrangement of proteins within the complex.
Proximity-based Labeling: Techniques like BioID or APEX can identify transient or weak interactions by labeling proteins in close proximity to TIMM22 within the native mitochondrial environment.
Fluorescence Resonance Energy Transfer (FRET): For studying dynamic interactions in live cells, fluorescently tagged versions of TIMM22 and potential interaction partners can be used to monitor real-time associations.
The combination of these approaches provides a comprehensive understanding of TIMM22's interaction network within the mitochondrial import machinery.
When designing site-directed mutagenesis experiments for TIMM22, researchers should consider several critical factors:
Conservation-Based Selection: Target highly conserved residues across species, particularly those in functional domains. The cysteine residues that form intramolecular disulfide bonds (Cys-42 and Cys-141 in yeast) represent prime candidates as they are conserved and functionally significant .
Structural Context: Consider the predicted membrane topology when selecting residues. Mutations in transmembrane regions may affect protein insertion and folding, while mutations in loop regions might impact interactions with other components of the TIM22 complex.
Substitution Choice:
For cysteine studies, serine substitutions (e.g., C42S, C141S) maintain similar size while eliminating disulfide bonding capacity
For charged residues, conservative substitutions (e.g., K→R, D→E) can distinguish between charge-dependent and structure-dependent effects
Alanine scanning can identify functionally important residues without introducing major structural perturbations
Functional Readouts: Design experiments to assess multiple aspects of TIMM22 function:
Control Mutations: Include mutations in non-conserved residues as controls for general structural perturbation versus specific functional effects.
Combined Mutations: Consider both single and double/triple mutations to assess potential synergistic effects, as demonstrated in the Tim22 C42/141S double mutant studies .
Expression Systems: Evaluate mutations both in vitro (with recombinant protein) and in vivo (in yeast or mammalian cell systems) to comprehensively assess their impact.
This systematic approach to mutagenesis can provide valuable insights into structure-function relationships of TIMM22 and its role in mitochondrial protein import.
TIMM22 mutations have been associated with combined oxidative phosphorylation deficiency 43 (COXPD43), a mitochondrial disorder . This association is supported by evidence from human genetic studies that link specific TIMM22 variants to disease phenotypes. The pathophysiology relates to TIMM22's essential role in mitochondrial protein import, particularly for carrier proteins that transport metabolites across the inner mitochondrial membrane.
When TIMM22 function is compromised by mutations, the import and assembly of these carrier proteins becomes inefficient, leading to broader defects in mitochondrial respiration and energy production. This manifests as oxidative phosphorylation deficiency, which can affect multiple organ systems, particularly those with high energy demands such as muscle and nervous tissue.
Research investigating the specific molecular mechanisms by which TIMM22 mutations cause disease has focused on:
Protein stability effects - mutations may destabilize the TIMM22 protein structure, particularly if they affect the formation of critical disulfide bonds
Assembly defects - mutations may impair the assembly of the TIM22 complex
Functional impairment - even properly assembled complexes may show reduced carrier protein insertion activity
Protein import clogging - destabilized mitochondrial proteins may 'clog' import channels, creating a trafficking bottleneck
Understanding these mechanisms is crucial for developing potential therapeutic strategies targeting the fundamental defects in TIMM22-related disorders.
TIMM22 dysfunction can contribute to mitochondrial import clogging through several interconnected mechanisms that ultimately lead to disease progression:
Primary Import Deficiency: As the central channel-forming subunit of the TIM22 complex, dysfunction of TIMM22 directly impairs the insertion of carrier proteins into the inner mitochondrial membrane. This creates a bottleneck in the import process, as substrate proteins accumulate at the translocase without being properly inserted .
Destabilization of Import Machinery: Research has demonstrated that disruption of the disulfide bond in Tim22 destabilizes the protein itself, particularly at elevated temperatures, which subsequently affects the integrity of the entire TIM22 complex through weakened interactions with Tim18 and potentially other components . This structural instability further compromises import efficiency.
Adaptation and Compensation Mechanisms: In response to import clogging, cells may upregulate components of the import machinery. Mitochondrial proteomics has revealed a global increase in TIM22 pathway components as a potential adaptive response, with immunoblot validation showing approximately 40% increase in Tim22 levels . This compensation may be insufficient to restore normal function.
Unique Stress Responses: Unlike other mitochondrial stressors that activate the integrated stress response (ISR), specific forms of import clogging trigger alternative cellular responses. Transcription factor enrichment analysis has identified activation of pathways controlled by FOXO1 and FOXO3, which are involved in metabolic homeostasis and autophagy . This suggests that import clogging elicits a distinct cellular response pattern.
Disease Progression Pathway: The compromised import of carrier proteins leads to defective metabolite transport across the inner membrane, disrupting essential processes like ATP/ADP exchange, which ultimately results in combined oxidative phosphorylation deficiency . This manifests as progressive energy deficits in affected tissues.
These findings highlight the central role of TIMM22 in maintaining mitochondrial functionality and suggest that therapeutic strategies might target either the stabilization of the TIM22 complex or the downstream stress response pathways to mitigate disease progression.
TIMM22 dysfunction triggers specific cellular stress responses that differ from those activated by other mitochondrial stressors. Research has revealed these distinctive patterns:
Absence of Classical Integrated Stress Response (ISR): Surprisingly, expression of mutant Slc25a4 (a substrate of the TIM22 pathway) does not activate the typical integrated stress response seen with many mitochondrial insults. Studies show no increase in eIF2α phosphorylation (a hallmark of ISR) in affected mouse skeletal muscle at multiple ages . Similarly, transcriptomic analysis failed to show induction of ISR target genes, indicating that TIMM22-related import defects trigger alternative response pathways.
Activation of FOXO-Mediated Pathways: Transcription factor enrichment analysis of significantly upregulated genes revealed activation of pathways controlled by novel transcriptional factors, particularly FOXO1 and FOXO3, which are involved in metabolic homeostasis and autophagy . This represents a specific adaptation to the stress caused by import deficiencies.
Unique Transcriptional Signature: TIMM22-related dysfunction induces an entirely unique transcriptional profile compared to other mitochondrial defects. For instance, when directly compared to Slc25a4 knockout mice, there is very limited overlap in the enrichment profile among significantly altered genes, indicating that the primary stress in affected tissues is distinct .
Autophagy Induction: Among the upregulated genes in response to TIMM22 pathway dysfunction is Depp1, which is known to activate autophagy . This suggests that cells may attempt to clear damaged mitochondria through enhanced autophagy as a compensatory mechanism.
TIM22 Complex Adaptation: At the protein level, mitochondrial proteomics data suggests a global increase in TIM22 pathway components, with immunoblot validation showing an approximately 40% increase in Tim22 levels . This appears to be a chronic adaptation to carrier protein import clogging.
This distinct stress response profile provides valuable insights for therapeutic targeting, suggesting that modulation of FOXO-mediated pathways or enhancement of selective autophagy might be beneficial in TIMM22-related disorders, rather than targeting the classical ISR.
The intramolecular disulfide bond in TIMM22 plays a crucial role in maintaining both protein stability and the functional integrity of the TIM22 complex. Research on yeast Tim22 has provided significant insights into this mechanism:
Structural Stabilization: The disulfide bond between conserved cysteine residues (Cys-42 and Cys-141 in yeast) stabilizes the Tim22 protein structure, particularly at elevated temperatures . When this bond is disrupted through site-directed mutagenesis (C42S, C141S, or C42/141S), the protein becomes more thermolabile.
Protein-Protein Interactions: Co-immunoprecipitation experiments revealed that the oxidized (disulfide-bonded) form of Tim22 interacts more strongly with Tim18 than the reduced form . This enhanced interaction is critical for the stability of the entire TIM22 complex, as Tim18 functions in assembly and stabilization of the complex .
Assembly and Turnover Dynamics: Studies comparing wild-type Tim22 with cysteine mutants demonstrated altered assembly characteristics. Interestingly, assembly of wild-type Tim22 into the TIM22 complex was accelerated in mitochondria containing cysteine mutants, suggesting that the lack of disulfide bonds alters quaternary structures of the complex in a way that facilitates protein exchange .
Functional Consequences: The disulfide bond affects not only Tim22 stability but also its function in the import pathway. When handling excess amounts of substrate proteins, mitochondria with Tim22 lacking the disulfide bond show impaired assembly of TIM22 pathway substrate proteins into the inner membrane .
Folding Mechanism: Research suggests that Tim22 spontaneously forms a disulfide bond between the conserved cysteine residues after proper folding, which is achieved by correct assembly into the TIM22 complex that brings the cysteine residues into close proximity . This indicates a relationship between proper complex assembly and disulfide bond formation.
This mechanistic understanding provides potential targets for stabilizing mutant TIMM22 in disease scenarios and highlights the importance of oxidative folding in mitochondrial protein complexes, even in the absence of the typical Tim40(Mia40)/Erv1 disulfide relay system.
Resolving conflicting data on TIMM22 membrane topology requires a multi-faceted approach combining biochemical, genetic, and structural techniques. The following methodological strategy addresses this research challenge:
Cysteine Scanning Mutagenesis and Accessibility Studies:
Systematically replace residues throughout TIMM22 with cysteine
Treat intact mitochondria with membrane-impermeable thiol-reactive reagents
Analyze accessibility patterns to determine which regions are exposed to the intermembrane space versus the matrix
This approach can test the conflicting models of 3 versus 4 transmembrane segments
Protease Protection Assays with Domain-Specific Antibodies:
Generate antibodies against different domains of TIMM22
Perform protease treatment of mitoplasts (mitochondria with disrupted outer membrane)
Compare protection patterns to determine orientation of specific domains
This can specifically address the controversy regarding the second predicted transmembrane segment (residues 81-99)
Fluorescence-Based Approaches:
Create TIMM22 constructs with fluorescent proteins or tags at different positions
Analyze their localization and accessibility in mitochondria
Employ pH-sensitive fluorescent proteins to determine exposure to different mitochondrial compartments
Crosslinking Mass Spectrometry:
Use chemical crosslinkers of defined length to identify residues in close proximity
Analyze crosslinked peptides by mass spectrometry
Build distance constraint models to validate potential topological arrangements
Cryo-Electron Microscopy:
Comparative Analysis:
Split-GFP Complementation:
Place fragments of GFP on different domains of TIMM22
Complementation will occur only when both fragments are in the same compartment
This provides in vivo validation of topological models
By integrating data from these complementary approaches, researchers can resolve the current ambiguities regarding whether TIMM22 contains three or four transmembrane segments and determine the precise orientation of the protein within the inner mitochondrial membrane.
Beyond the well-characterized intramolecular disulfide bond, TIMM22 function is likely regulated by additional post-translational modifications (PTMs) that fine-tune its activity in response to cellular conditions. While current research on TIMM22-specific PTMs is limited, several potential regulatory mechanisms can be inferred from studies of related mitochondrial translocases and membrane proteins:
Phosphorylation:
Potential phosphorylation sites in loop regions could regulate interactions with partner proteins
Kinases known to act within mitochondria (such as PKA, PINK1, or CK2) might target TIMM22
Phosphorylation could modulate channel activity or assembly of the TIM22 complex in response to energy status
Acetylation:
Mitochondrial proteins are frequently acetylated, particularly in response to metabolic changes
Acetylation of lysine residues in TIMM22 could affect protein-protein interactions within the complex
Sirtuin deacetylases (particularly SIRT3) might regulate TIMM22 function
Ubiquitination and SUMOylation:
These modifications could regulate TIMM22 turnover and quality control
Under stress conditions, damaged or misfolded TIMM22 might be targeted for degradation
SUMOylation might provide stress protection by preventing aggregation
Proteolytic Processing:
Redox-Based Regulation:
Beyond the structural disulfide bond, transient oxidation of other cysteine residues might occur
Thiol modifications like glutathionylation could provide redox-responsive regulation
Oxidative stress might induce additional disulfide bonds or other oxidative modifications
Glycosylation:
While less common in mitochondrial proteins, specialized glycosylation might occur
This could affect protein stability or recognition by quality control systems
Methodologically, researchers should approach this question through:
Mass Spectrometry-Based PTM Mapping:
Enrich for TIMM22 from mitochondria under various conditions
Perform comprehensive PTM analysis using high-resolution mass spectrometry
Compare modification patterns between normal and stress conditions
Site-Directed Mutagenesis of Potential Modification Sites:
Generate phospho-mimetic (S/T to D/E) and phospho-deficient (S/T to A) mutants
Create lysine mutants (K to R) to prevent acetylation/ubiquitination
Assess functional consequences on protein stability, complex assembly, and import activity
In Vitro Modification Assays:
Test if purified TIMM22 can be modified by mitochondrial kinases, acetyltransferases, etc.
Determine how modifications affect interaction with partner proteins
Understanding these regulatory mechanisms could provide new therapeutic approaches for TIMM22-related disorders by targeting specific modifying enzymes to enhance protein stability or function.
TIMM22 functions as part of a specialized translocase system that differs significantly from other mitochondrial protein import pathways in terms of substrates, mechanism, and complex composition:
The TIM22 complex shows several distinctive features:
Substrate Specificity: While the TIM23 complex handles matrix-targeted proteins with N-terminal presequences, the TIM22 complex specializes in the insertion of membrane proteins with internal targeting signals, particularly the mitochondrial carrier family proteins .
Mechanistic Differences: The TIM22 complex functions purely as an insertion machinery, laterally releasing substrates into the inner membrane, whereas TIM23 can either complete translocation into the matrix or perform stop-transfer insertion into the inner membrane.
Energy Requirements: The TIM22 complex relies exclusively on the membrane potential across the inner membrane for insertion activity, while the TIM23 system additionally requires ATP hydrolysis via associated motor proteins for complete translocation .
Evolutionary Adaptations: The composition of the TIM22 complex shows significant variation between yeast and humans, with humans utilizing AGK and TIM29 instead of the yeast-specific Tim18 and Tim54 . This reflects evolutionary adaptation while maintaining the core insertion function.
Understanding these comparative differences provides valuable context for interpreting TIMM22 dysfunction in disease states and may suggest alternative import pathways that could be targeted for therapeutic intervention.
The evolutionary divergence between human and yeast TIMM22 complexes offers significant insights into mitochondrial protein import adaptation across eukaryotic lineages:
Functional Conservation with Structural Divergence:
Despite substantial differences in auxiliary components (human TIM22 associates with AGK and TIM29, while yeast Tim22 partners with Tim18, Sdh3, and Tim54) , both complexes maintain the core function of carrier protein insertion. This represents a classic example of functional conservation despite structural divergence, suggesting that the fundamental mechanism of carrier protein insertion is indispensable while the regulatory and stabilizing components can be more flexible.
Adaptation to Cellular Environment:
The human-specific components (AGK and TIM29) likely reflect adaptation to the more complex cellular environment and signaling networks in multicellular organisms. AGK, for instance, has dual functions as both a lipid kinase and a TIM22 complex component, potentially linking mitochondrial protein import to lipid metabolism in higher eukaryotes. This integration may enable more sophisticated regulation of mitochondrial function in response to cellular metabolic states.
Disulfide Bond Conservation:
Despite compositional differences, the importance of the intramolecular disulfide bond in Tim22 appears to be evolutionarily conserved . This conservation suggests a fundamental role in protein stability that has been maintained across evolutionary distance, despite changes in other aspects of the complex.
Implications for Disease Modeling:
The significant differences between human and yeast TIM22 complexes raise important considerations for using yeast as a model for human TIMM22-related diseases. While yeast models can provide valuable insights into basic mechanisms, the species-specific components may lead to different pathological outcomes when the system is disrupted. This necessitates careful translation of findings from yeast to human disease contexts.
Evolutionary Rate Analysis:
Comparative genomic studies suggest that core components like TIMM22 evolve more slowly than the auxiliary components, reflecting stronger selective pressure on the channel-forming subunit. This pattern of conservation versus innovation provides a window into the evolutionary constraints on mitochondrial import machinery.
Convergent Evolution Possibilities:
The different compositions between species may represent cases of convergent evolution, where distinct proteins have been recruited to fulfill similar stabilizing or regulatory roles in the complex. This suggests flexibility in how the core Tim22 channel can be supported within the membrane environment.
These evolutionary insights not only deepen our understanding of mitochondrial biology but also inform experimental approaches when studying TIMM22 in different model organisms and interpreting the relevance of findings to human disease.
By carefully addressing these methodological considerations, researchers can more accurately translate findings between model systems and ultimately to human health applications.
The field of TIMM22 research presents several critical unresolved questions that merit focused investigation:
Precise Membrane Topology: The exact membrane topology of TIMM22 remains contested, with uncertainty about whether it contains three or four transmembrane segments. Resolving this fundamental structural question is essential for understanding disulfide bond formation and channel function .
Channel Gating Mechanism: While TIMM22 is known to form the insertion channel for carrier proteins, the molecular details of how this channel opens, recognizes substrates, and facilitates lateral release into the membrane remain poorly defined.
Disease Mechanism Specificity: How specific TIMM22 mutations lead to combined oxidative phosphorylation deficiency 43 requires further elucidation, particularly regarding whether different mutations affect distinct aspects of TIMM22 function (stability, assembly, channel activity) and how these relate to tissue-specific disease manifestations.
Regulatory Network: The complete set of post-translational modifications beyond the characterized disulfide bond , and how these might regulate TIMM22 function in response to cellular conditions, represents a significant knowledge gap.
Therapeutic Targeting Potential: Whether TIMM22 dysfunction can be addressed through small molecule stabilizers, gene therapy approaches, or manipulation of compensatory pathways remains largely unexplored.
Stress Response Integration: The precise mechanism by which TIMM22 dysfunction leads to activation of FOXO-mediated pathways rather than the classical integrated stress response , and how this unique stress signature might be therapeutically leveraged, requires further investigation.
Evolutionary Adaptability: Understanding why the TIM22 complex shows greater variation in composition between species compared to other mitochondrial translocases could provide insights into fundamental aspects of mitochondrial evolution.
Assembly Pathway: The complete sequence of events in TIM22 complex assembly, including the timing of disulfide bond formation relative to partner protein association, remains to be fully characterized.
Addressing these questions will require innovative methodological approaches combining structural biology, systems genetics, and advanced imaging techniques. The findings will not only advance fundamental understanding of mitochondrial biology but also inform therapeutic strategies for mitochondrial disorders.
Several emerging technologies show exceptional promise for advancing TIMM22 research in the coming decade:
These technological advances will collectively transform our understanding of TIMM22 biology and potentially lead to breakthrough therapeutic strategies for mitochondrial disorders associated with carrier protein import deficiencies.
Targeting TIMM22 offers several promising avenues for developing novel therapeutic approaches for mitochondrial disorders, particularly those involving carrier protein import deficiencies: