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Mitochondrial transcription termination factor 4 (MTERF4) is a nuclear-encoded, mitochondrial-localized protein belonging to the MTERF family. It is characterized by a repeat all-α-helical domain structure and acts as an rRNA binding protein essential for the proper assembly of the mitochondrial large ribosomal subunit. MTERF4 forms a stoichiometric complex with the rRNA methyltransferase NSUN4, directing NSUN4 to its substrate and conferring sequence specificity for 16S rRNA methylation, a critical modification in ribosome assembly. Mutations or loss of MTERF4 disrupt ribosomal biogenesis and mitochondrial translation, causing severe defects in cellular energy metabolism. MTERF4 is implicated genetically in several human diseases, notably familial restrictive cardiomyopathy and Williams-Beuren syndrome, and is considered an essential factor in mitochondrial function and health.
Not applicable; no targeted drugs or modulators reported.
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