“…One of these modifying enzymes, mitochondrial translation optimization protein 1 (MTO1), has been identified in patients with cardiomyopathy, lactic acidosis, developmental delay and combined or isolated respiratory chain deficiency (Ghezzi et al, 2012;Baruffini et al, 2013;Charif et al, 2015;Martín et al, 2017;Kamps et al, 2018;O'Byrne et al, 2018;Li et al, 2019;Seo et al, 2019;Luo et al, 2021;Zhou et al, 2022;Monda et al, 2023). MTO1 synthesizes the taurinomethyl (τm5U) modification of the anticodon of mitochondrial tRNA Leu , tRNA Trp , tRNA Lys , tRNA Gln and tRNA Glu , which is essential for the accurate decoding of their corresponding codons (Suzuki et al, 2002;Suzuki and Suzuki, 2014).…”