MTX2

UniProt ID: O75431
Organism: Homo sapiens
Review Status: COMPLETE
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Gene Description

MTX2 (metaxin-2) is a non-enzymatic mitochondrial outer membrane metaxin-family factor that partners with MTX1 in the mammalian SAM machinery. Its best-supported core role is mitochondrial outer membrane protein biogenesis/organization, especially SAM-mediated integration and assembly of beta-barrel outer membrane proteins, with additional links to MICOS/MIB architecture, mitochondrial transport, apoptosis, and MTX2-associated mandibuloacral dysplasia.

Existing Annotations Review

GO Term Evidence Action Reason
GO:0045040 protein insertion into mitochondrial outer membrane
IBA
GO_REF:0000033
ACCEPT
Summary: Correct phylogenetic inference. MTX2 is an MTX1 partner in the SAM machinery supporting integration/assembly of beta-barrel proteins into the mitochondrial outer membrane.
Supporting Evidence:
file:human/MTX2/MTX2-deep-research-falcon.md
The **mitochondrial Sorting and Assembly Machinery (SAM)** is an OMM pathway that supports the **correct integration of β-barrel proteins into the OMM**.
GO:0070096 mitochondrial outer membrane translocase complex assembly
IBA
GO_REF:0000033
ACCEPT
Summary: Accepted as a SAM/metaxin assembly function. MTX2 supports the organization and assembly of outer membrane translocase components and beta-barrel proteins.
GO:0001401 SAM complex
IBA
GO_REF:0000033
ACCEPT
Summary: Correct. MTX2 is a metaxin component of the mammalian SAM machinery with MTX1 and SAMM50.
GO:0001401 SAM complex
IEA
GO_REF:0000002
ACCEPT
Summary: Correct InterPro-derived annotation. The Falcon synthesis supports MTX2 as a SAM/metaxin factor at the mitochondrial outer membrane.
GO:0005739 mitochondrion
IEA
GO_REF:0000044
MARK AS OVER ANNOTATED
Summary: Correct but too general. MTX2 is specifically localized to the mitochondrial outer membrane and SAM machinery.
Reason: Subsumed by mitochondrial outer membrane and SAM complex annotations.
GO:0005741 mitochondrial outer membrane
IEA
GO_REF:0000044
ACCEPT
Summary: Correct UniProt-derived localization. MTX2 is an outer mitochondrial membrane metaxin protein facing the cytosolic compartment.
GO:0005515 protein binding
IPI
PMID:25416956
A proteome-scale map of the human interactome network.
REMOVE
Summary: Proteome-scale protein binding is too generic to capture MTX2 function. The supported biology is MTX2 partnership with MTX1 in SAM/metaxin outer membrane protein biogenesis.
Reason: Protein binding is uninformative; use SAM complex and assembly terms instead.
GO:0005515 protein binding
IPI
PMID:32296183
A reference map of the human binary protein interactome.
REMOVE
Summary: Generic binary-interactome protein binding does not represent MTX2's curated mitochondrial outer membrane/SAM function.
Reason: Protein binding is uninformative; complex membership captures the supported function.
GO:0005739 mitochondrion
IDA
GO_REF:0000052
MARK AS OVER ANNOTATED
Summary: Correct but less specific than the mitochondrial outer membrane/SAM localization.
Reason: Subsumed by mitochondrial outer membrane and SAM complex annotations.
GO:0001401 SAM complex
IPI
PMID:17510655
Conserved roles of Sam50 and metaxins in VDAC biogenesis.
ACCEPT
Summary: Accepted. Conserved Sam50/metaxin evidence supports MTX2 as part of the SAM machinery for VDAC/beta-barrel biogenesis.
GO:0005741 mitochondrial outer membrane
NAS
PMID:31387448
Mitochondria-hubs for regulating cellular biochemistry: emer...
ACCEPT
Summary: Accepted. MTX2 is consistently described as a mitochondrial outer membrane metaxin/SAM component.
GO:0045040 protein insertion into mitochondrial outer membrane
NAS
PMID:31387448
Mitochondria-hubs for regulating cellular biochemistry: emer...
ACCEPT
Summary: Accepted as the core SAM/metaxin process: correct integration and assembly of beta-barrel proteins into the mitochondrial outer membrane.
GO:0005739 mitochondrion
HTP
PMID:34800366
Quantitative high-confidence human mitochondrial proteome an...
MARK AS OVER ANNOTATED
Summary: High-throughput mitochondrial proteome evidence supports mitochondrial localization, but this is less specific than the outer membrane/SAM annotation.
Reason: Subsumed by mitochondrial outer membrane and SAM complex annotations.
GO:0006839 mitochondrial transport
IMP
PMID:32917887
Loss of MTX2 causes mandibuloacral dysplasia and links mitoc...
KEEP AS NON CORE
Summary: Valid but broad disease-mechanism annotation. MTX2 loss disrupts mitochondrial function and transport/biogenesis, but the more precise core process is SAM-mediated outer membrane protein insertion and assembly.
Reason: Broad process term; retained as a disease-relevant non-core phenotype/process.
GO:0001401 SAM complex
HDA
PMID:26477565
Evolution and structural organization of the mitochondrial c...
ACCEPT
Summary: Accepted. High-throughput complex evidence is consistent with MTX2 in SAM-associated mitochondrial outer membrane assemblies.
GO:0007007 inner mitochondrial membrane organization
IC
PMID:26477565
Evolution and structural organization of the mitochondrial c...
KEEP AS NON CORE
Summary: Supported as a secondary consequence/context of SAM-MICOS/MIB bridging and mitochondrial architecture effects, but not the primary MTX2 function.
Reason: MIB/MICOS-associated architecture is secondary to the core SAM role.
GO:0140275 MIB complex
HDA
PMID:26477565
Evolution and structural organization of the mitochondrial c...
KEEP AS NON CORE
Summary: Supported as an additional SAM-MICOS/MIB-associated context. Keep as non-core because the strongest MTX2 function is SAM/metaxin outer membrane protein biogenesis.
Reason: MIB complex association is secondary to the primary SAM/metaxin role.
GO:0005739 mitochondrion
IDA
PMID:25997101
QIL1 is a novel mitochondrial protein required for MICOS com...
MARK AS OVER ANNOTATED
Summary: Correct but too general for MTX2, which localizes to the mitochondrial outer membrane and SAM machinery.
Reason: Subsumed by mitochondrial outer membrane and SAM complex annotations.
GO:0005741 mitochondrial outer membrane
TAS
PMID:10381257
Metaxin 1 interacts with metaxin 2, a novel related protein ...
ACCEPT
Summary: Accepted. MTX2 was identified as an MTX1-interacting protein associated with the mammalian mitochondrial outer membrane.
GO:0006839 mitochondrial transport
TAS
PMID:10381257
Metaxin 1 interacts with metaxin 2, a novel related protein ...
KEEP AS NON CORE
Summary: Broad but directionally correct for metaxin biology. The more specific function is outer membrane protein biogenesis/insertion through SAM.
Reason: Broad process term; more specific SAM-mediated insertion terms exist.

Core Functions

MTX2 is a non-enzymatic metaxin/SAM factor at the mitochondrial outer membrane that partners with MTX1 to support SAM-mediated integration and assembly of beta-barrel outer membrane proteins.

Supporting Evidence:
  • file:human/MTX2/MTX2-deep-research-falcon.md
    MTX2 is localized to the **outer mitochondrial membrane** and is described as **facing the cytosolic compartment**.
  • file:human/MTX2/MTX2-deep-research-falcon.md
    The **mitochondrial Sorting and Assembly Machinery (SAM)** is an OMM pathway that supports the **correct integration of β-barrel proteins into the OMM**.
  • file:human/MTX2/MTX2-deep-research-falcon.md
    MTX2 **interacts directly with MTX1** and is positioned as part of the **SAM machinery**

References

Gene Ontology annotation through association of InterPro records with GO terms
Annotation inferences using phylogenetic trees
Gene Ontology annotation based on UniProtKB/Swiss-Prot Subcellular Location vocabulary mapping, accompanied by conservative changes to GO terms applied by UniProt
Gene Ontology annotation based on curation of immunofluorescence data
Metaxin 1 interacts with metaxin 2, a novel related protein associated with the mammalian mitochondrial outer membrane.
Conserved roles of Sam50 and metaxins in VDAC biogenesis.
A proteome-scale map of the human interactome network.
QIL1 is a novel mitochondrial protein required for MICOS complex stability and cristae morphology.
Evolution and structural organization of the mitochondrial contact site (MICOS) complex and the mitochondrial intermembrane space bridging (MIB) complex.
Mitochondria-hubs for regulating cellular biochemistry: emerging concepts and networks.
A reference map of the human binary protein interactome.
Loss of MTX2 causes mandibuloacral dysplasia and links mitochondrial dysfunction to altered nuclear morphology.
Quantitative high-confidence human mitochondrial proteome and its dynamics in cellular context.
file:human/MTX2/MTX2-deep-research-falcon.md
Falcon deep research report for human MTX2

Suggested Questions for Experts

Q: Which MTX2-MTX1 interfaces are required for SAM-mediated beta-barrel insertion versus broader SAM-MICOS/MIB architecture?

Q: How do pathogenic MTX2 splice or null variants alter SAM composition, MTX1 stability, and mitochondrial outer membrane protein assembly in patient cells?

Suggested Experiments

Experiment: Perform endogenous MTX2 knockout/rescue and patient-variant rescue in human cells, then measure MTX1 stability, SAM complex assembly, VDAC/TOM40 import, mitochondrial network morphology, and apoptosis/respiration phenotypes.

Hypothesis: MTX2 stabilizes MTX1-containing SAM assemblies required for beta-barrel outer membrane protein biogenesis.

Type: endogenous rescue and mitochondrial import/assembly assay

Deep Research

Falcon

(MTX2-deep-research-falcon.md)
this with annotations you find in gene/protein databases, but these can be outdated or inaccurate. Falcon Edison Scientific Literature 15 citations 2026-05-11T12:20:15.782421

The research report should be a detailed narrative explaining the function, biological processes, and localization of the gene product. Citations should be given for all claims.

You should prioritize authoritative reviews and primary scientific literature when conducting research. You can supplement
this with annotations you find in gene/protein databases, but these can be outdated or inaccurate.

We are specifically interested in the primary function of the gene - for enzymes, what reaction is catalyzed, and what is the substrate specificity? For transporters, what is the substrate? For structural proteins or adapters, what is the broader structural role? For signaling molecules, what is the role in the pathway.

We are interested in where in or outside the cell the gene product carries out its function.

We are also interested in the signaling or biochemical pathways in which the gene functions. We are less interested in broad pleiotropic effects, except where these elucidate the precise role.

Include evidence where possible. We are interested in both experimental evidence as well as inference from structure, evolution, or bioinformatic analysis. Precise studies should be prioritized over high-throughput, where available.

Research report: Human MTX2 / Metaxin-2 (UniProt O75431)—functional annotation and biomedical relevance

0) Target verification (gene/protein identity)

The target of this report is human MTX2 (Metaxin-2), corresponding to UniProt O75431, a 263–amino-acid mitochondrial protein localized to the outer mitochondrial membrane (OMM); the literature evidence used here explicitly matches this identity and organism context and does not refer to an unrelated “MTX2” symbol from another species. (elouej2020lossofmtx2 pages 1-2)

1) Key concepts and definitions (current understanding)

1.1 Metaxin family and “GST-like” fold (definition vs. enzyme function)

MTX2 is a member of the metaxin family and is described in recent clinical genetics literature as having two annotated regions: an N-terminal Sam37/metaxin_N domain (reported as aa 41–162) and a glutathione S-transferase (GST)-like domain. (dogan2023anovelmtx2 pages 5-5, fu2024casereporta pages 2-4)

Importantly, the “GST-like” designation in MTX2 is best interpreted as a structural fold similarity, not evidence that MTX2 catalyzes canonical GST conjugation reactions; the strongest experimental and genetic evidence supports a non-enzymatic role in mitochondrial outer membrane protein biogenesis/organization rather than a metabolic enzyme function. (elouej2020lossofmtx2 pages 1-2, elouej2020lossofmtx2 pages 2-4)

1.2 SAM (Sorting and Assembly Machinery) and β-barrel insertion (definition)

The mitochondrial Sorting and Assembly Machinery (SAM) is an OMM pathway that supports the correct integration of β-barrel proteins into the OMM. MTX2 and its partner Metaxin-1 (MTX1) are described as components of this machinery in the context of human disease genetics and functional studies. (elouej2020lossofmtx2 pages 1-2)

1.3 MICOS–SAM / MIB bridging (definition)

The SAM complex is described as a binding partner of Mic60, a core component of MICOS (mitochondrial contact site and cristae organizing system). These interactions form larger assemblies described as mitochondrial intermembrane space bridging complexes implicated in cristae junction organization and mitochondrial architecture. (elouej2020lossofmtx2 pages 1-2)

2) Molecular function, pathways, and subcellular localization

2.1 Subcellular localization and topology

MTX2 is localized to the outer mitochondrial membrane and is described as facing the cytosolic compartment. It is proposed to associate with the OMM through direct interaction with MTX1. (elouej2020lossofmtx2 pages 1-2, talarmingas2024validationofmetaxin2 pages 1-2)

2.2 Primary molecular function: OMM protein biogenesis/assembly and mitochondrial architecture

Multiple converging lines of evidence support MTX2’s primary function as a mitochondrial outer membrane protein biogenesis/assembly factor:

  • Complex membership and partner interaction: MTX2 interacts directly with MTX1 and is positioned as part of the SAM machinery, supporting β-barrel protein integration in the OMM. (elouej2020lossofmtx2 pages 1-2)
  • Systems/architecture linkage: SAM is described as interacting with Mic60/MICOS in higher-order bridging assemblies, linking MTX2’s SAM role to broader mitochondrial ultrastructure organization. (elouej2020lossofmtx2 pages 1-2)

2.3 Apoptosis and stress response linkage (secondary functional axis)

MTX1/MTX2 have also been discussed as contributing to TNF-α–induced apoptosis via interaction with the pro-apoptotic protein Bak, linking OMM composition to cell-death signaling. (elouej2020lossofmtx2 pages 1-2)

Consistent with this, patient fibroblasts lacking MTX2 show resistance to apoptosis induction (e.g., TNFα/CHX and staurosporine) and reduced caspase-3 activation. (elouej2020lossofmtx2 pages 6-7)

3) Human genetics and disease association (real-world relevance)

3.1 Disease: Mandibuloacral dysplasia associated with MTX2 (MADaM)

A key real-world “implementation” of MTX2 biology is in clinical genetics, where biallelic MTX2 loss-of-function variants cause a severe progeroid syndrome.

Discovery cohort (primary literature): Elouej et al. (Nature Communications; published Sep 2020; URL: https://doi.org/10.1038/s41467-020-18146-9) evaluated 7 patients from 5 consanguineous families and reported 5 homozygous null MTX2 variants, establishing MADaM. (elouej2020lossofmtx2 pages 1-2)

Clinical features included growth retardation and multisystem disease (e.g., renal involvement and severe hypertension), with cellular phenotypes implicating mitochondrial dysfunction. (elouej2020lossofmtx2 pages 1-2)

Variant spectrum expansion (recent):
* A 2023 clinical report (American Journal of Medical Genetics A; Oct 2023; URL: https://doi.org/10.1002/ajmg.a.63010) described a new splice-site variant c.543+1G>T causing exon 8 skipping (cDNA evidence) and noted that previously only five MTX2 pathogenic variants had been reported in the original discovery paper. (dogan2023anovelmtx2 pages 5-5)
* A 2024 case report (Frontiers in Endocrinology; published 13 Mar 2024; URL: https://doi.org/10.3389/fendo.2024.1345067) reported a novel homozygous splice-site mutation c.378+1G>A and summarized that 7 molecularly diagnosed MADaM cases had been reported worldwide prior to their report; they also describe deep sequencing coverage (99.80%, >100× depth) supporting diagnostic confidence. (fu2024casereporta pages 1-2, fu2024casereporta pages 2-4)

3.2 Mechanistic cellular consequences of MTX2 loss in human patient fibroblasts (quantitative)

Elouej et al. quantified mitochondrial morphology and function changes in MTX2-deficient fibroblasts:

(a) Secondary depletion of MTX1: Patient fibroblasts show loss of MTX2 and a complete secondary depletion of MTX1 protein, without reduction in MTX1 transcript levels (consistent with MTX1 instability when MTX2 is absent). (elouej2020lossofmtx2 pages 4-5)

(b) Mitochondrial network fragmentation / fission bias: Mitochondrial network analysis (MiNA macro) scored 53 (WT), 46 (MADM2), and 51 (MADM3) cells from n=5 independent experiments, showing significant reductions in network features (mitochondrial footprint, individuals, networks, branches per network). DRP1 was significantly increased (e.g., pMADM2 = 0.0015; pMADM3 = 0.042), consistent with increased fission. (elouej2020lossofmtx2 pages 4-5)

(c) Respiratory chain protein composition: Multiple respiratory chain subunits were significantly reduced (complex I/III/IV/V) while complex II SDHA was not. (elouej2020lossofmtx2 pages 5-6)

(d) Mitochondrial respiration: Respiration analyses showed a significant decrease in respiration dedicated to ATP synthesis (expressed as R–O/F) and decreased basal routine respiration (R/F) in patient fibroblasts; reported as n=4 independent experiments with p=0.015. (elouej2020lossofmtx2 pages 5-6, elouej2020lossofmtx2 media 62f590fd)

(e) Membrane potential: TMRM FACS showed increased mitochondrial membrane potential in at least one patient line (MADM2; reported p=0.015). (elouej2020lossofmtx2 pages 5-6, elouej2020lossofmtx2 media 1c141a95)

(f) Apoptosis resistance and mitophagy/autophagy: In patient fibroblasts, apoptosis induction was significantly blunted with strong p-values (e.g., TNFα/CHX pMADM2 = 4.0×10−5; pMADM3 = 2.1×10−7; staurosporine pMADM2 = 3.7×10−7; pMADM3 = 4.0×10−4). Autophagy markers (LC3B-II/LC3B-I) were increased (e.g., pMADM2 = 0.0002; pMADM3 = 0.026), and mitophagy was described as LC3C-associated rather than Parkin/ubiquitin-mediated. (elouej2020lossofmtx2 pages 6-7)

4) Recent developments (prioritizing 2023–2024)

4.1 2023: New splice-site pathogenic variant with functional transcript evidence

The 2023 splice-site variant report provides transcript-level evidence (exon skipping) strengthening the causal link between MTX2 splicing disruption and MADaM, and independently reiterates MTX2’s SAM/β-barrel insertion role as the mechanistic frame for disease. (dogan2023anovelmtx2 pages 5-5)

4.2 2024: Expanded global clinical reporting and molecular diagnostics rigor

The 2024 Frontiers case report contributes (i) a new likely pathogenic splice-site variant (c.378+1G>A), (ii) explicit clinical laboratory abnormalities (e.g., proteinuria, microhematuria, hypercholesterolemia, low IgG) in a pediatric presentation, and (iii) reporting of sequencing QC metrics (coverage/depth), illustrating how MTX2 is now used in real-world diagnostic workflows. (fu2024casereporta pages 2-4, fu2024casereporta pages 1-2)

4.3 2024: Model organism validation for mechanism and therapeutic discovery

Talarmin-Gas et al. (Communications Biology; Oct 2024; URL: https://doi.org/10.1038/s42003-024-06967-z) further validated mtx-2–deficient C. elegans as a MADaM model, using AFM, oxygen consumption rate analyses, and transcriptomics. They reported perturbations in aging, TOR, and WNT-signaling pathways and multiple quantitative phenotypes (e.g., body length reduction, pharyngeal pumping differences, and mitochondrial morphometrics). (talarmingas2024validationofmetaxin2 pages 1-2, talarmingas2024validationofmetaxin2 pages 8-10)

4.4 2024: Expert synthesis linking MTX2 to kinase interactomes and mitochondrial homeostasis

A 2024 expert review of Nek kinases and mitochondrial homeostasis (Cells; 7 Mar 2024; URL: https://doi.org/10.3390/cells13060473) summarizes that MTX2 appears among validated mitochondrial interactors emerging from Nek kinase interactome work, placing MTX2 in broader frameworks of mitochondrial composition/structure and stress-response networks. (basei2024themitochondrialconnection pages 1-3)

5) Current applications and real-world implementations

  1. Molecular diagnosis and variant interpretation in progeroid syndromes: Reviews emphasize that overlapping phenotypes across premature-ageing syndromes motivate NGS gene panels and specialized clinical evaluation; MADaM (MTX2) is included among these syndromes in clinical genetics context. (coppede2021mutationsinvolvedin pages 1-2)
  2. Functional assays to interpret variants: Patient fibroblast phenotyping (mitochondrial network quantification, respiration, apoptosis assays) provides a framework for validating candidate MTX2 variants beyond in silico prediction—especially for splice-site variants now being reported (2023–2024). (elouej2020lossofmtx2 pages 6-7, elouej2020lossofmtx2 pages 5-6, dogan2023anovelmtx2 pages 5-5)
  3. Model-organism platforms for therapy discovery: The validated C. elegans model is explicitly positioned as enabling mechanistic dissection and scalable testing for therapeutics, leveraging measurable mitochondrial respiration and organismal phenotypes. (talarmingas2024validationofmetaxin2 pages 1-2)

6) Expert opinion and analysis (authoritative synthesis)

  • “Functions remain largely unknown” but anchored by SAM context: The 2020 discovery paper explicitly notes that MTX2’s functions are “largely unknown” while anchoring its best-supported role in SAM-mediated β-barrel integration and interactions with MICOS/Mic60. This is a typical pattern for rare-disease gene discovery: genetic causality and robust cell phenotyping precede deep mechanistic dissection. (elouej2020lossofmtx2 pages 1-2)
  • Mechanistic plausibility of pleiotropic phenotypes: The observed clinical syndrome (MADaM) includes nuclear morphological abnormalities, but the authors interpret these as downstream/secondary to mitochondrial dysfunction and altered mitochondrial composition, supporting an emerging view that mitochondrial architecture and signaling can drive “laminopathy-like” phenotypes without primary LMNA defects. (elouej2020lossofmtx2 pages 9-10, elouej2020lossofmtx2 pages 1-2)

7) Key statistics and data highlights (recent and foundational)

  • Human cohort size (discovery): 7 patients, 5 families, 5 homozygous null MTX2 variants (Nature Communications, Sep 2020). (elouej2020lossofmtx2 pages 1-2)
  • Mitochondrial network scoring: 53/46/51 cells (WT/MADM2/MADM3) across n=5 experiments; multiple network metrics significantly decreased. (elouej2020lossofmtx2 pages 4-5)
  • Respiration functional deficit: Reduced ATP synthesis-linked respiration metric (R–O/F) and basal respiration ratios with n=4, p=0.015, visualized in Figure 3 panels. (elouej2020lossofmtx2 pages 5-6, elouej2020lossofmtx2 media 62f590fd)
  • Apoptosis resistance: Strong significance for reduced death after TNFα/CHX and staurosporine exposure (p-values down to ~10−7). (elouej2020lossofmtx2 pages 6-7)
  • 2024 diagnostic sequencing QC: 99.80% coverage and >100× depth in MTX2 region in a clinical exome workflow. (fu2024casereporta pages 2-4)

Evidence map (summary table)

Category Key points Best supporting citations
Identity/domains Human MTX2 encodes Metaxin-2 (UniProt O75431), a 263-aa protein. Recent case literature describes two annotated regions: Sam37/metaxin_N domain (aa 41-162) and a GST-like / glutathione S-transferase domain. (elouej2020lossofmtx2 pages 1-2, dogan2023anovelmtx2 pages 5-5, fu2024casereporta pages 2-4)
Localization/topology MTX2 is an outer mitochondrial membrane (OMM) protein that faces the cytosol/cytosolic compartment. It is described as peripherally associated with the OMM through interaction with MTX1. (elouej2020lossofmtx2 pages 1-2, talarmingas2024validationofmetaxin2 pages 1-2)
Molecular function Best-supported function is as a non-enzymatic mitochondrial protein biogenesis/assembly factor, participating in protein translocation into mitochondria and the correct integration of β-barrel proteins into the OMM. Loss of MTX2 causes mitochondrial network fragmentation, decreased oxidative phosphorylation, altered apoptosis responses, increased senescence/autophagy, and reduced proliferation in patient fibroblasts. (elouej2020lossofmtx2 pages 1-2, elouej2020lossofmtx2 pages 2-4, talarmingas2024validationofmetaxin2 pages 1-2)
Complex membership/partners MTX2 directly interacts with MTX1; MTX1/MTX2 are described as part of the SAM (sorting and assembly machinery). The SAM complex is a binding partner of Mic60/MICOS, contributing to larger mitochondrial intermembrane space bridging assemblies; immunoblot analyses also assessed SAMM50 in the MTX2-deficiency context. (elouej2020lossofmtx2 pages 1-2, elouej2020lossofmtx2 pages 2-4, elouej2020lossofmtx2 pages 4-4)
Pathway/process MTX2 functions in mitochondrial outer membrane protein biogenesis, especially β-barrel protein assembly/trafficking. It is also linked to TNF-α-induced apoptosis via metaxin/Bak-related pathways, and functionally connected to mitochondrial morphology, OxPhos, autophagy/mitophagy, and cristae-associated SAM-MICOS organization. (elouej2020lossofmtx2 pages 1-2, elouej2020lossofmtx2 pages 2-4, talarmingas2024validationofmetaxin2 pages 1-2)
Disease association Biallelic/homozygous loss-of-function MTX2 variants cause mandibuloacral dysplasia associated with MTX2 (MADaM), a severe progeroid syndrome. Elouej et al. reported 7 patients from 5 consanguineous families with 5 homozygous null mutations; later reports added new splice variants including c.543+1G>T and c.378+1G>A. (elouej2020lossofmtx2 pages 1-2, dogan2023anovelmtx2 pages 5-5, fu2024casereporta pages 1-2)
Key quantitative findings In patient fibroblasts, mitochondrial network analysis showed significant changes in footprint, individuals, networks, and branches/network; 53 WT, 46 MADM2, 51 MADM3 cells were scored across n=5 experiments. Respiratory-chain subunits from complexes I, III, IV, V were reduced, while SDHA/complex II was not; respiration assays showed reduced ATP synthesis-linked respiration (R-O/F) and basal routine respiration (R/F) (n=4, p=0.015). TMRM indicated increased mitochondrial membrane potential in MADM2 (p=0.015). Apoptosis resistance was significant for TNFα/CHX and staurosporine; LC3B-II/LC3B-I was increased (p=0.0002 for MADM2; p=0.026 for MADM3). In C. elegans, abnormal mitochondrial morphology occurred in 74% (n=68) of mtx-2 KO animals. (elouej2020lossofmtx2 pages 4-5, elouej2020lossofmtx2 pages 5-6, elouej2020lossofmtx2 pages 6-7, elouej2020lossofmtx2 media 62f590fd)
2023-2024 updates 2023: a novel splice-site MTX2 variant (c.543+1G>T) causing exon 8 skipping expanded the pathogenic spectrum. 2024: first Chinese MADaM case with c.378+1G>A; authors noted only 7 molecularly diagnosed MADaM cases worldwide before that report. 2024 model work further validated MTX2-deficient C. elegans as a MADaM model, showing reduced mitochondrial respiratory capacity and pathway perturbations in aging, TOR, and WNT signaling. (dogan2023anovelmtx2 pages 5-5, fu2024casereporta pages 1-2, talarmingas2024validationofmetaxin2 pages 1-2, talarmingas2024validationofmetaxin2 pages 8-10)

Table: This table summarizes the core functional annotation of human MTX2/Metaxin-2 from the provided evidence, including identity, localization, molecular role, complex membership, disease relevance, and recent 2023-2024 updates. It is useful as a compact evidence map for building the full research report.

Visual evidence from primary literature

Quantitative mitochondrial respiration and membrane potential changes in MTX2-deficient human fibroblasts are shown in the cropped panels from Elouej et al. Figure 3 (respiration metrics and TMRM FACS). (elouej2020lossofmtx2 media 62f590fd, elouej2020lossofmtx2 media 1c141a95)

Limitations of the current evidence set

Within the retrieved 2023–2024 corpus available here, the most direct MTX2 updates are primarily clinical variant reports and model-organism validation rather than new high-resolution structural biology of human SAM-metaxin assemblies; therefore, this report emphasizes disease genetics, functional cell phenotyping, and validated pathway context (SAM–MICOS/MIB) over detailed atomic-level mechanism. (fu2024casereporta pages 1-2, talarmingas2024validationofmetaxin2 pages 1-2, elouej2020lossofmtx2 pages 1-2)

References

  1. (elouej2020lossofmtx2 pages 1-2): Sahar Elouej, Karim Harhouri, Morgane Le Mao, Genevieve Baujat, Sheela Nampoothiri, Hϋlya Kayserili, Nihal Al Menabawy, Laila Selim, Arianne Llamos Paneque, Christian Kubisch, Davor Lessel, Robert Rubinsztajn, Chayki Charar, Catherine Bartoli, Coraline Airault, Jean-François Deleuze, Agnes Rötig, Peter Bauer, Catarina Pereira, Abigail Loh, Nathalie Escande-Beillard, Antoine Muchir, Lisa Martino, Yosef Gruenbaum, Song-Hua Lee, Philippe Manivet, Guy Lenaers, Bruno Reversade, Nicolas Lévy, and Annachiara De Sandre-Giovannoli. Loss of mtx2 causes mandibuloacral dysplasia and links mitochondrial dysfunction to altered nuclear morphology. Nature Communications, Sep 2020. URL: https://doi.org/10.1038/s41467-020-18146-9, doi:10.1038/s41467-020-18146-9. This article has 79 citations and is from a highest quality peer-reviewed journal.

  2. (dogan2023anovelmtx2 pages 5-5): Burcu Yeter Doğan, Neslihan Günay, Yasin Ada, and Muhammet Ensar Doğan. A novel mtx2 gene splice site variant resulting in exon skipping, causing the recently described mandibuloacral dysplasia progeroid syndrome. American Journal of Medical Genetics Part A, 191:173-182, Oct 2023. URL: https://doi.org/10.1002/ajmg.a.63010, doi:10.1002/ajmg.a.63010. This article has 14 citations.

  3. (fu2024casereporta pages 2-4): Xiaohui Fu, Shuli Chen, Xiao Huang, Qinghua Lu, Yunfei Cui, Weinan Lin, and Qin Yang. Case report: a novel splice-site mutation of mtx2 gene caused mandibuloacral dysplasia progeroid syndrome: the first report from china and literature review. Frontiers in Endocrinology, Mar 2024. URL: https://doi.org/10.3389/fendo.2024.1345067, doi:10.3389/fendo.2024.1345067. This article has 4 citations.

  4. (elouej2020lossofmtx2 pages 2-4): Sahar Elouej, Karim Harhouri, Morgane Le Mao, Genevieve Baujat, Sheela Nampoothiri, Hϋlya Kayserili, Nihal Al Menabawy, Laila Selim, Arianne Llamos Paneque, Christian Kubisch, Davor Lessel, Robert Rubinsztajn, Chayki Charar, Catherine Bartoli, Coraline Airault, Jean-François Deleuze, Agnes Rötig, Peter Bauer, Catarina Pereira, Abigail Loh, Nathalie Escande-Beillard, Antoine Muchir, Lisa Martino, Yosef Gruenbaum, Song-Hua Lee, Philippe Manivet, Guy Lenaers, Bruno Reversade, Nicolas Lévy, and Annachiara De Sandre-Giovannoli. Loss of mtx2 causes mandibuloacral dysplasia and links mitochondrial dysfunction to altered nuclear morphology. Nature Communications, Sep 2020. URL: https://doi.org/10.1038/s41467-020-18146-9, doi:10.1038/s41467-020-18146-9. This article has 79 citations and is from a highest quality peer-reviewed journal.

  5. (talarmingas2024validationofmetaxin2 pages 1-2): Chloé Talarmin-Gas, Georges Smolyakov, Cleo Parisi, Cyril Scandola, Valérie Andrianasolonirina, Cloé Lecoq, Valentine Houtart, Song-Hua Lee, Homa Adle-Biassette, Bénédicte Thiébot, Timothy Ganderton, and Philippe Manivet. Validation of metaxin-2 deficient c. elegans as a model for mandibuloacral dysplasia associated to mtx-2 (madam) syndrome. Communications Biology, Oct 2024. URL: https://doi.org/10.1038/s42003-024-06967-z, doi:10.1038/s42003-024-06967-z. This article has 5 citations and is from a peer-reviewed journal.

  6. (elouej2020lossofmtx2 pages 6-7): Sahar Elouej, Karim Harhouri, Morgane Le Mao, Genevieve Baujat, Sheela Nampoothiri, Hϋlya Kayserili, Nihal Al Menabawy, Laila Selim, Arianne Llamos Paneque, Christian Kubisch, Davor Lessel, Robert Rubinsztajn, Chayki Charar, Catherine Bartoli, Coraline Airault, Jean-François Deleuze, Agnes Rötig, Peter Bauer, Catarina Pereira, Abigail Loh, Nathalie Escande-Beillard, Antoine Muchir, Lisa Martino, Yosef Gruenbaum, Song-Hua Lee, Philippe Manivet, Guy Lenaers, Bruno Reversade, Nicolas Lévy, and Annachiara De Sandre-Giovannoli. Loss of mtx2 causes mandibuloacral dysplasia and links mitochondrial dysfunction to altered nuclear morphology. Nature Communications, Sep 2020. URL: https://doi.org/10.1038/s41467-020-18146-9, doi:10.1038/s41467-020-18146-9. This article has 79 citations and is from a highest quality peer-reviewed journal.

  7. (fu2024casereporta pages 1-2): Xiaohui Fu, Shuli Chen, Xiao Huang, Qinghua Lu, Yunfei Cui, Weinan Lin, and Qin Yang. Case report: a novel splice-site mutation of mtx2 gene caused mandibuloacral dysplasia progeroid syndrome: the first report from china and literature review. Frontiers in Endocrinology, Mar 2024. URL: https://doi.org/10.3389/fendo.2024.1345067, doi:10.3389/fendo.2024.1345067. This article has 4 citations.

  8. (elouej2020lossofmtx2 pages 4-5): Sahar Elouej, Karim Harhouri, Morgane Le Mao, Genevieve Baujat, Sheela Nampoothiri, Hϋlya Kayserili, Nihal Al Menabawy, Laila Selim, Arianne Llamos Paneque, Christian Kubisch, Davor Lessel, Robert Rubinsztajn, Chayki Charar, Catherine Bartoli, Coraline Airault, Jean-François Deleuze, Agnes Rötig, Peter Bauer, Catarina Pereira, Abigail Loh, Nathalie Escande-Beillard, Antoine Muchir, Lisa Martino, Yosef Gruenbaum, Song-Hua Lee, Philippe Manivet, Guy Lenaers, Bruno Reversade, Nicolas Lévy, and Annachiara De Sandre-Giovannoli. Loss of mtx2 causes mandibuloacral dysplasia and links mitochondrial dysfunction to altered nuclear morphology. Nature Communications, Sep 2020. URL: https://doi.org/10.1038/s41467-020-18146-9, doi:10.1038/s41467-020-18146-9. This article has 79 citations and is from a highest quality peer-reviewed journal.

  9. (elouej2020lossofmtx2 pages 5-6): Sahar Elouej, Karim Harhouri, Morgane Le Mao, Genevieve Baujat, Sheela Nampoothiri, Hϋlya Kayserili, Nihal Al Menabawy, Laila Selim, Arianne Llamos Paneque, Christian Kubisch, Davor Lessel, Robert Rubinsztajn, Chayki Charar, Catherine Bartoli, Coraline Airault, Jean-François Deleuze, Agnes Rötig, Peter Bauer, Catarina Pereira, Abigail Loh, Nathalie Escande-Beillard, Antoine Muchir, Lisa Martino, Yosef Gruenbaum, Song-Hua Lee, Philippe Manivet, Guy Lenaers, Bruno Reversade, Nicolas Lévy, and Annachiara De Sandre-Giovannoli. Loss of mtx2 causes mandibuloacral dysplasia and links mitochondrial dysfunction to altered nuclear morphology. Nature Communications, Sep 2020. URL: https://doi.org/10.1038/s41467-020-18146-9, doi:10.1038/s41467-020-18146-9. This article has 79 citations and is from a highest quality peer-reviewed journal.

  10. (elouej2020lossofmtx2 media 62f590fd): Sahar Elouej, Karim Harhouri, Morgane Le Mao, Genevieve Baujat, Sheela Nampoothiri, Hϋlya Kayserili, Nihal Al Menabawy, Laila Selim, Arianne Llamos Paneque, Christian Kubisch, Davor Lessel, Robert Rubinsztajn, Chayki Charar, Catherine Bartoli, Coraline Airault, Jean-François Deleuze, Agnes Rötig, Peter Bauer, Catarina Pereira, Abigail Loh, Nathalie Escande-Beillard, Antoine Muchir, Lisa Martino, Yosef Gruenbaum, Song-Hua Lee, Philippe Manivet, Guy Lenaers, Bruno Reversade, Nicolas Lévy, and Annachiara De Sandre-Giovannoli. Loss of mtx2 causes mandibuloacral dysplasia and links mitochondrial dysfunction to altered nuclear morphology. Nature Communications, Sep 2020. URL: https://doi.org/10.1038/s41467-020-18146-9, doi:10.1038/s41467-020-18146-9. This article has 79 citations and is from a highest quality peer-reviewed journal.

  11. (elouej2020lossofmtx2 media 1c141a95): Sahar Elouej, Karim Harhouri, Morgane Le Mao, Genevieve Baujat, Sheela Nampoothiri, Hϋlya Kayserili, Nihal Al Menabawy, Laila Selim, Arianne Llamos Paneque, Christian Kubisch, Davor Lessel, Robert Rubinsztajn, Chayki Charar, Catherine Bartoli, Coraline Airault, Jean-François Deleuze, Agnes Rötig, Peter Bauer, Catarina Pereira, Abigail Loh, Nathalie Escande-Beillard, Antoine Muchir, Lisa Martino, Yosef Gruenbaum, Song-Hua Lee, Philippe Manivet, Guy Lenaers, Bruno Reversade, Nicolas Lévy, and Annachiara De Sandre-Giovannoli. Loss of mtx2 causes mandibuloacral dysplasia and links mitochondrial dysfunction to altered nuclear morphology. Nature Communications, Sep 2020. URL: https://doi.org/10.1038/s41467-020-18146-9, doi:10.1038/s41467-020-18146-9. This article has 79 citations and is from a highest quality peer-reviewed journal.

  12. (talarmingas2024validationofmetaxin2 pages 8-10): Chloé Talarmin-Gas, Georges Smolyakov, Cleo Parisi, Cyril Scandola, Valérie Andrianasolonirina, Cloé Lecoq, Valentine Houtart, Song-Hua Lee, Homa Adle-Biassette, Bénédicte Thiébot, Timothy Ganderton, and Philippe Manivet. Validation of metaxin-2 deficient c. elegans as a model for mandibuloacral dysplasia associated to mtx-2 (madam) syndrome. Communications Biology, Oct 2024. URL: https://doi.org/10.1038/s42003-024-06967-z, doi:10.1038/s42003-024-06967-z. This article has 5 citations and is from a peer-reviewed journal.

  13. (basei2024themitochondrialconnection pages 1-3): Fernanda L. Basei, Ivan Rosa e Silva, Pedro R. Firmino Dias, Camila C. Ferezin, Andressa Peres de Oliveira, Luidy K. Issayama, Livia A. R. Moura, Fernando Riback da Silva, and Jörg Kobarg. The mitochondrial connection: the nek kinases’ new functional axis in mitochondrial homeostasis. Cells, 13:473, Mar 2024. URL: https://doi.org/10.3390/cells13060473, doi:10.3390/cells13060473. This article has 13 citations.

  14. (coppede2021mutationsinvolvedin pages 1-2): Fabio Coppede. Mutations involved in premature-ageing syndromes. The Application of Clinical Genetics, 14:279-295, Jun 2021. URL: https://doi.org/10.2147/tacg.s273525, doi:10.2147/tacg.s273525. This article has 39 citations.

  15. (elouej2020lossofmtx2 pages 9-10): Sahar Elouej, Karim Harhouri, Morgane Le Mao, Genevieve Baujat, Sheela Nampoothiri, Hϋlya Kayserili, Nihal Al Menabawy, Laila Selim, Arianne Llamos Paneque, Christian Kubisch, Davor Lessel, Robert Rubinsztajn, Chayki Charar, Catherine Bartoli, Coraline Airault, Jean-François Deleuze, Agnes Rötig, Peter Bauer, Catarina Pereira, Abigail Loh, Nathalie Escande-Beillard, Antoine Muchir, Lisa Martino, Yosef Gruenbaum, Song-Hua Lee, Philippe Manivet, Guy Lenaers, Bruno Reversade, Nicolas Lévy, and Annachiara De Sandre-Giovannoli. Loss of mtx2 causes mandibuloacral dysplasia and links mitochondrial dysfunction to altered nuclear morphology. Nature Communications, Sep 2020. URL: https://doi.org/10.1038/s41467-020-18146-9, doi:10.1038/s41467-020-18146-9. This article has 79 citations and is from a highest quality peer-reviewed journal.

  16. (elouej2020lossofmtx2 pages 4-4): Sahar Elouej, Karim Harhouri, Morgane Le Mao, Genevieve Baujat, Sheela Nampoothiri, Hϋlya Kayserili, Nihal Al Menabawy, Laila Selim, Arianne Llamos Paneque, Christian Kubisch, Davor Lessel, Robert Rubinsztajn, Chayki Charar, Catherine Bartoli, Coraline Airault, Jean-François Deleuze, Agnes Rötig, Peter Bauer, Catarina Pereira, Abigail Loh, Nathalie Escande-Beillard, Antoine Muchir, Lisa Martino, Yosef Gruenbaum, Song-Hua Lee, Philippe Manivet, Guy Lenaers, Bruno Reversade, Nicolas Lévy, and Annachiara De Sandre-Giovannoli. Loss of mtx2 causes mandibuloacral dysplasia and links mitochondrial dysfunction to altered nuclear morphology. Nature Communications, Sep 2020. URL: https://doi.org/10.1038/s41467-020-18146-9, doi:10.1038/s41467-020-18146-9. This article has 79 citations and is from a highest quality peer-reviewed journal.

Citations

  1. basei2024themitochondrialconnection pages 1-3
  2. coppede2021mutationsinvolvedin pages 1-2
  3. fu2024casereporta pages 2-4
  4. fu2024casereporta pages 1-2
  5. https://doi.org/10.1038/s41467-020-18146-9
  6. https://doi.org/10.1002/ajmg.a.63010
  7. https://doi.org/10.3389/fendo.2024.1345067
  8. https://doi.org/10.1038/s42003-024-06967-z
  9. https://doi.org/10.3390/cells13060473
  10. https://doi.org/10.1038/s41467-020-18146-9,
  11. https://doi.org/10.1002/ajmg.a.63010,
  12. https://doi.org/10.3389/fendo.2024.1345067,
  13. https://doi.org/10.1038/s42003-024-06967-z,
  14. https://doi.org/10.3390/cells13060473,
  15. https://doi.org/10.2147/tacg.s273525,

📄 View Raw YAML

id: O75431
gene_symbol: MTX2
product_type: PROTEIN
status: COMPLETE
taxon:
  id: NCBITaxon:9606
  label: Homo sapiens
description: >-
  MTX2 (metaxin-2) is a non-enzymatic mitochondrial outer membrane metaxin-family
  factor that partners with MTX1 in the mammalian SAM machinery. Its
  best-supported core role is mitochondrial outer membrane protein
  biogenesis/organization, especially SAM-mediated integration and assembly of
  beta-barrel outer membrane proteins, with additional links to MICOS/MIB
  architecture, mitochondrial transport, apoptosis, and MTX2-associated
  mandibuloacral dysplasia.
alternative_products:
- name: '1'
  id: O75431-1
- name: '2'
  id: O75431-2
  sequence_note: VSP_054468
existing_annotations:
- term:
    id: GO:0045040
    label: protein insertion into mitochondrial outer membrane
  evidence_type: IBA
  original_reference_id: GO_REF:0000033
  review:
    summary: >-
      Correct phylogenetic inference. MTX2 is an MTX1 partner in the SAM
      machinery supporting integration/assembly of beta-barrel proteins into the
      mitochondrial outer membrane.
    action: ACCEPT
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
    supported_by:
    - reference_id: file:human/MTX2/MTX2-deep-research-falcon.md
      supporting_text: "The **mitochondrial Sorting and Assembly Machinery (SAM)** is an OMM pathway that supports the **correct integration of β-barrel proteins into the OMM**."
- term:
    id: GO:0070096
    label: mitochondrial outer membrane translocase complex assembly
  evidence_type: IBA
  original_reference_id: GO_REF:0000033
  review:
    summary: >-
      Accepted as a SAM/metaxin assembly function. MTX2 supports the
      organization and assembly of outer membrane translocase components and
      beta-barrel proteins.
    action: ACCEPT
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0001401
    label: SAM complex
  evidence_type: IBA
  original_reference_id: GO_REF:0000033
  review:
    summary: >-
      Correct. MTX2 is a metaxin component of the mammalian SAM machinery with
      MTX1 and SAMM50.
    action: ACCEPT
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0001401
    label: SAM complex
  evidence_type: IEA
  original_reference_id: GO_REF:0000002
  review:
    summary: >-
      Correct InterPro-derived annotation. The Falcon synthesis supports MTX2 as
      a SAM/metaxin factor at the mitochondrial outer membrane.
    action: ACCEPT
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0005739
    label: mitochondrion
  evidence_type: IEA
  original_reference_id: GO_REF:0000044
  review:
    summary: >-
      Correct but too general. MTX2 is specifically localized to the
      mitochondrial outer membrane and SAM machinery.
    action: MARK_AS_OVER_ANNOTATED
    reason: Subsumed by mitochondrial outer membrane and SAM complex annotations.
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0005741
    label: mitochondrial outer membrane
  evidence_type: IEA
  original_reference_id: GO_REF:0000044
  review:
    summary: >-
      Correct UniProt-derived localization. MTX2 is an outer mitochondrial
      membrane metaxin protein facing the cytosolic compartment.
    action: ACCEPT
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0005515
    label: protein binding
  evidence_type: IPI
  original_reference_id: PMID:25416956
  review:
    summary: >-
      Proteome-scale protein binding is too generic to capture MTX2 function.
      The supported biology is MTX2 partnership with MTX1 in SAM/metaxin outer
      membrane protein biogenesis.
    action: REMOVE
    reason: Protein binding is uninformative; use SAM complex and assembly terms instead.
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0005515
    label: protein binding
  evidence_type: IPI
  original_reference_id: PMID:32296183
  review:
    summary: >-
      Generic binary-interactome protein binding does not represent MTX2's
      curated mitochondrial outer membrane/SAM function.
    action: REMOVE
    reason: Protein binding is uninformative; complex membership captures the supported function.
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0005739
    label: mitochondrion
  evidence_type: IDA
  original_reference_id: GO_REF:0000052
  review:
    summary: >-
      Correct but less specific than the mitochondrial outer membrane/SAM
      localization.
    action: MARK_AS_OVER_ANNOTATED
    reason: Subsumed by mitochondrial outer membrane and SAM complex annotations.
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0001401
    label: SAM complex
  evidence_type: IPI
  original_reference_id: PMID:17510655
  review:
    summary: >-
      Accepted. Conserved Sam50/metaxin evidence supports MTX2 as part of the
      SAM machinery for VDAC/beta-barrel biogenesis.
    action: ACCEPT
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0005741
    label: mitochondrial outer membrane
  evidence_type: NAS
  original_reference_id: PMID:31387448
  review:
    summary: >-
      Accepted. MTX2 is consistently described as a mitochondrial outer membrane
      metaxin/SAM component.
    action: ACCEPT
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0045040
    label: protein insertion into mitochondrial outer membrane
  evidence_type: NAS
  original_reference_id: PMID:31387448
  review:
    summary: >-
      Accepted as the core SAM/metaxin process: correct integration and assembly
      of beta-barrel proteins into the mitochondrial outer membrane.
    action: ACCEPT
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0005739
    label: mitochondrion
  evidence_type: HTP
  original_reference_id: PMID:34800366
  review:
    summary: >-
      High-throughput mitochondrial proteome evidence supports mitochondrial
      localization, but this is less specific than the outer membrane/SAM
      annotation.
    action: MARK_AS_OVER_ANNOTATED
    reason: Subsumed by mitochondrial outer membrane and SAM complex annotations.
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0006839
    label: mitochondrial transport
  evidence_type: IMP
  original_reference_id: PMID:32917887
  review:
    summary: >-
      Valid but broad disease-mechanism annotation. MTX2 loss disrupts
      mitochondrial function and transport/biogenesis, but the more precise
      core process is SAM-mediated outer membrane protein insertion and assembly.
    action: KEEP_AS_NON_CORE
    reason: Broad process term; retained as a disease-relevant non-core phenotype/process.
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0001401
    label: SAM complex
  evidence_type: HDA
  original_reference_id: PMID:26477565
  review:
    summary: >-
      Accepted. High-throughput complex evidence is consistent with MTX2 in
      SAM-associated mitochondrial outer membrane assemblies.
    action: ACCEPT
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0007007
    label: inner mitochondrial membrane organization
  evidence_type: IC
  original_reference_id: PMID:26477565
  review:
    summary: >-
      Supported as a secondary consequence/context of SAM-MICOS/MIB bridging and
      mitochondrial architecture effects, but not the primary MTX2 function.
    action: KEEP_AS_NON_CORE
    reason: MIB/MICOS-associated architecture is secondary to the core SAM role.
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0140275
    label: MIB complex
  evidence_type: HDA
  original_reference_id: PMID:26477565
  review:
    summary: >-
      Supported as an additional SAM-MICOS/MIB-associated context. Keep as
      non-core because the strongest MTX2 function is SAM/metaxin outer membrane
      protein biogenesis.
    action: KEEP_AS_NON_CORE
    reason: MIB complex association is secondary to the primary SAM/metaxin role.
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0005739
    label: mitochondrion
  evidence_type: IDA
  original_reference_id: PMID:25997101
  review:
    summary: >-
      Correct but too general for MTX2, which localizes to the mitochondrial
      outer membrane and SAM machinery.
    action: MARK_AS_OVER_ANNOTATED
    reason: Subsumed by mitochondrial outer membrane and SAM complex annotations.
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0005741
    label: mitochondrial outer membrane
  evidence_type: TAS
  original_reference_id: PMID:10381257
  review:
    summary: >-
      Accepted. MTX2 was identified as an MTX1-interacting protein associated
      with the mammalian mitochondrial outer membrane.
    action: ACCEPT
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
- term:
    id: GO:0006839
    label: mitochondrial transport
  evidence_type: TAS
  original_reference_id: PMID:10381257
  review:
    summary: >-
      Broad but directionally correct for metaxin biology. The more specific
      function is outer membrane protein biogenesis/insertion through SAM.
    action: KEEP_AS_NON_CORE
    reason: Broad process term; more specific SAM-mediated insertion terms exist.
    additional_reference_ids:
    - file:human/MTX2/MTX2-deep-research-falcon.md
references:
- id: GO_REF:0000002
  title: Gene Ontology annotation through association of InterPro records with GO
    terms
  findings: []
- id: GO_REF:0000033
  title: Annotation inferences using phylogenetic trees
  findings: []
- id: GO_REF:0000044
  title: Gene Ontology annotation based on UniProtKB/Swiss-Prot Subcellular Location
    vocabulary mapping, accompanied by conservative changes to GO terms applied by
    UniProt
  findings: []
- id: GO_REF:0000052
  title: Gene Ontology annotation based on curation of immunofluorescence data
  findings: []
- id: PMID:10381257
  title: Metaxin 1 interacts with metaxin 2, a novel related protein associated with
    the mammalian mitochondrial outer membrane.
  findings: []
- id: PMID:17510655
  title: Conserved roles of Sam50 and metaxins in VDAC biogenesis.
  findings: []
- id: PMID:25416956
  title: A proteome-scale map of the human interactome network.
  findings: []
- id: PMID:25997101
  title: QIL1 is a novel mitochondrial protein required for MICOS complex stability
    and cristae morphology.
  findings: []
- id: PMID:26477565
  title: Evolution and structural organization of the mitochondrial contact site (MICOS)
    complex and the mitochondrial intermembrane space bridging (MIB) complex.
  findings: []
- id: PMID:31387448
  title: 'Mitochondria-hubs for regulating cellular biochemistry: emerging concepts
    and networks.'
  findings: []
- id: PMID:32296183
  title: A reference map of the human binary protein interactome.
  findings: []
- id: PMID:32917887
  title: Loss of MTX2 causes mandibuloacral dysplasia and links mitochondrial dysfunction
    to altered nuclear morphology.
  findings: []
- id: PMID:34800366
  title: Quantitative high-confidence human mitochondrial proteome and its dynamics
    in cellular context.
  findings: []
- id: file:human/MTX2/MTX2-deep-research-falcon.md
  title: Falcon deep research report for human MTX2
  findings: []
core_functions:
- description: >-
    MTX2 is a non-enzymatic metaxin/SAM factor at the mitochondrial outer
    membrane that partners with MTX1 to support SAM-mediated integration and
    assembly of beta-barrel outer membrane proteins.
  supported_by:
  - reference_id: file:human/MTX2/MTX2-deep-research-falcon.md
    supporting_text: "MTX2 is localized to the **outer mitochondrial membrane** and is described as **facing the cytosolic compartment**."
  - reference_id: file:human/MTX2/MTX2-deep-research-falcon.md
    supporting_text: "The **mitochondrial Sorting and Assembly Machinery (SAM)** is an OMM pathway that supports the **correct integration of β-barrel proteins into the OMM**."
  - reference_id: file:human/MTX2/MTX2-deep-research-falcon.md
    supporting_text: "MTX2 **interacts directly with MTX1** and is positioned as part of the **SAM machinery**"
  directly_involved_in:
  - id: GO:0045040
    label: protein insertion into mitochondrial outer membrane
  - id: GO:0070096
    label: mitochondrial outer membrane translocase complex assembly
  locations:
  - id: GO:0005741
    label: mitochondrial outer membrane
  in_complex:
    id: GO:0001401
    label: SAM complex
proposed_new_terms: []
suggested_questions:
- question: >-
    Which MTX2-MTX1 interfaces are required for SAM-mediated beta-barrel
    insertion versus broader SAM-MICOS/MIB architecture?
  experts: []
- question: >-
    How do pathogenic MTX2 splice or null variants alter SAM composition,
    MTX1 stability, and mitochondrial outer membrane protein assembly in patient
    cells?
  experts: []
suggested_experiments:
- hypothesis: >-
    MTX2 stabilizes MTX1-containing SAM assemblies required for beta-barrel outer
    membrane protein biogenesis.
  description: >-
    Perform endogenous MTX2 knockout/rescue and patient-variant rescue in human
    cells, then measure MTX1 stability, SAM complex assembly, VDAC/TOM40 import,
    mitochondrial network morphology, and apoptosis/respiration phenotypes.
  experiment_type: endogenous rescue and mitochondrial import/assembly assay