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Misato mitochondrial distribution and morphology regulator 1 (MSTO1) is an evolutionarily conserved, nuclear-encoded protein primarily localized in the cytoplasm with partial association at the mitochondrial outer membrane[1][2][4]. It shows homology to the tubulin/FtsZ GTPase superfamily and is essential for promoting mitochondrial fusion and maintaining the continuity and morphology of the mitochondrial network; loss of MSTO1 function leads to mitochondrial fragmentation, aggregation, and reduced mitochondrial DNA content without directly altering core bioenergetic enzymes[1][2][4]. Clinically, MSTO1 mutations are linked to autosomal dominant and recessive diseases presenting as mitochondrial myopathy, multisystem involvement, or neurodegenerative features; MSTO1 is not currently a therapeutic target and no drug interactions or targeted therapies are known[1][2][4][5].
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