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Glutamyl-tRNA(Gln) amidotransferase subunit C, mitochondrial (GATC) is a mitochondrial protein that forms part of the heterotrimeric GatCAB complex, which is essential for mitochondrial protein synthesis. This enzyme catalyzes the transamidation of misacylated Glu-tRNA(Gln) to correctly charged Gln-tRNA(Gln), compensating for the absence of a dedicated mitochondrial glutaminyl-tRNA synthetase. This pathway is crucial for the fidelity of protein translation in mitochondria. Pathogenic variants in GATC impair mitochondrial translation and lead to severe diseases such as combined oxidative phosphorylation deficiency and metabolic cardiomyopathy. GATC mutation or dysfunction can result in tissue-specific defects, particularly affecting tissues with high metabolic demand (notably heart and muscle), and can be lethal in humans and model organisms.
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