The primary function of the GATC protein is to enable the formation of correctly charged Gln-tRNA (Gln) through the transamidation of misacylated Glu-tRNA (Gln) in the mitochondria . This reaction occurs in the presence of glutamine and ATP, resulting in an activated gamma-phospho-Glu-tRNA (Gln) . The proper functioning of this protein is essential for mitochondrial translation and overall cellular energy production .
Mutations in the GATC gene have been associated with combined oxidative phosphorylation deficiency 42 (COXPD42), a mitochondrial disorder . This condition is characterized by impaired mitochondrial protein synthesis and energy production, leading to various clinical manifestations . Patients with COXPD42 often exhibit symptoms such as muscle weakness, developmental delay, and other systemic issues .