Tim8 and Tim13 of yeast belong to a family of evolutionary conserved zinc finger proteins that are organized in hetero-oligomeric complexes in the mitochondrial intermembrane space. Mutations in DDP1 (deafness dystonia peptide 1), the human homolog of Tim8, are associated with the Mohr-Tranebjaerg syndrome, a progressive neurodegenerative disorder. We show that DDP1 acts with human Tim13 in a complex in the intermembrane space. The DDP1⅐hTim13 complex is in direct contact with translocation intermediates of human Tim23 in mammalian mitochondria. The human DDP1⅐hTim13 complex complements the function of the TIM8⅐13 complex in yeast and facilitates import of yeast and human Tim23. Thus, the pathomechanism underlying the Mohr-Tranebjaerg syndrome may involve an impaired biogenesis of the human TIM23 complex causing severe pleiotropic mitochondrial dysfunction.The vast majority of mitochondrial proteins are encoded as precursors in the nuclear genome. Mitochondrial biogenesis is, therefore, dependent on the import and sorting of the nuclear encoded precursor proteins into mitochondrial subcompartments. In eukaryotes three distinct preprotein import systems located in the mitochondrial outer and inner membrane have been described (1-5). The outer membrane contains a general preprotein translocase, the TOM 1 complex, which mediates the recognition and binding of preproteins and their transfer across the outer membrane. This complex is most likely used by all nuclear encoded precursors. Import into and across the inner membrane is mediated by two distinct inner membrane translocases, the TIM22 and the TIM23 complexes. Both TIM complexes cooperate with the TOM complex but differ in their substrate specificity (6 -11). The TIM23 complex mediates import of preproteins with a positively charged matrix targeting signal into the mitochondrial matrix space and into the inner membrane (6, 12, 13). The translocation of such precursors into the matrix requires the membrane potential ⌬ across the inner membrane and ATP in the matrix. The ⌬ drives the translocation of the presequences through the protein-conducting channel of the TIM23 complex which is formed by the membrane-integrated proteins Tim23 and Tim17 (6,12). A molecular motor that is attached to the inner side of this channel then promotes further translocation of the mature portion of the preproteins into the matrix. This motor consists of the peripheral membrane protein Tim44, the mitochondrial Hsp70, and the nucleotide exchange factor Mge1. Together, these components in repeated ATP-dependent reaction cycles facilitate the vectorial translocation into the matrix in a stepwise manner (14).The TIM22 complex mediates the insertion of a class of hydrophobic proteins with internal targeting signals into the inner membrane (7)(8)(9)(10)(11)(15)(16)(17). Typical substrates are members of the mitochondrial carrier family and other integral inner membrane proteins that are synthesized without a matrix-targeting signal. Insertion of these precursors into the inner membrane is s...