TSFM: Mitochondrial Translation Elongation Factor

Essential for mitochondrial protein synthesis and oxidative phosphorylation

Gene Information Card

Symbol TSFM
Full Name Ts translation elongation factor, mitochondrial
Gene Type Protein coding
Chromosomal Location 12q14.1
NCBI Gene ID 10102 ncbi.nlm.nih.gov/gene/10102
Ensembl ID ENSG00000123297
UniProt ID P43897
OMIM ID 604723
HGNC ID 12367
Aliases EF-Ts, EFTS, COXPD3

Description

The TSFM gene encodes the mitochondrial translation elongation factor Ts (EF-Ts), a guanine nucleotide exchange factor essential for mitochondrial protein synthesis. EF-Ts recycles mitochondrial elongation factor Tu (EF-Tu) by exchanging GDP for GTP, enabling the delivery of aminoacyl-tRNAs to the ribosome. This process is critical for the synthesis of 13 subunits of the oxidative phosphorylation (OXPHOS) complexes encoded by mitochondrial DNA. Mutations in TSFM impair mitochondrial translation, leading to combined OXPHOS deficiency and multisystem disorders.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Combined oxidative phosphorylation deficiency 3 (COXPD3) Loss-of-function mutations in TSFM reduce mitochondrial translation, causing deficiency of multiple OXPHOS complexes (I, III, IV, V) ClinVar, OMIM #610505
Leigh syndrome Severe TSFM mutations disrupt mitochondrial energy production, leading to neurodegeneration and lactic acidosis OMIM #256000, PubMed

Expression Profile

Tissue Expression
Tissue nTPM level
Heart 12.5 Medium
Skeletal muscle 10.8 Medium
Liver 8.2 Low
Brain 7.1 Low
Kidney 6.9 Low
Cell Line Expression
Cell Line nTPM Notes
HEK 293 15.3 Embryonic kidney cells
HeLa 12.1 Cervical carcinoma cells
K562 9.8 Leukemia cells
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.997C>T (p.Arg333Trp) Missense Rare Loss of function; reduced EF-Ts activity and mitochondrial translation
c.694C>T (p.Arg232*) Nonsense Rare Premature stop; loss of protein function
c.1A>G (p.Met1?) Start loss Rare No translation initiation; complete loss of function
Mutation functional classification

Loss of Function (LOF)

Most TSFM mutations are loss-of-function, reducing or abolishing EF-Ts activity, leading to impaired mitochondrial translation and OXPHOS deficiency.

Gain of Function (GOF)

No gain-of-function mutations reported.

Dominant Negative (DN)

No dominant-negative mutations reported; TSFM mutations are typically recessive.

Pathways

• Mitochondrial translation elongation (REACT: R-HSA-5389840)
• Oxidative phosphorylation (KEGG: hsa00190)

Protein Summary

TSFM encodes mitochondrial elongation factor Ts (EF-Ts), a 334-amino acid protein that forms a complex with EF-Tu to facilitate GTP exchange during mitochondrial translation. EF-Ts is essential for the elongation step of protein synthesis within mitochondria, enabling the production of key OXPHOS subunits. The protein localizes to the mitochondrial matrix and is ubiquitously expressed, with highest levels in tissues with high energy demand such as heart and skeletal muscle.

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