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Mitochondrial intermediate peptidase (MIPEP) is a nuclear-encoded metalloprotease located in the mitochondrial matrix, essential for the secondary proteolytic processing of a specific subset of imported mitochondrial precursor proteins[1][3]. These proteins, initially cleaved by the mitochondrial processing peptidase (MPP), require further maturation by MIPEP, which removes an additional octapeptide from their N-termini, a step necessary for their proper folding and ultimate functionality within the mitochondrion[1][2][3]. MIPEP is highly expressed in tissues with high metabolic demand (heart, skeletal muscle, pancreas), and its disruption is linked to severe mitochondrial diseases, including forms of cardiomyopathy and syndromic metabolic diseases[1]. MIPEP does not currently have any known small-molecule interacting drugs or established biomarker applications in clinical settings[1][3].
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