“…In the absence of this modification, which can be due to mutation of one of the two enzymes, neurological disorders such as myoclenic epilepsy ragged red fibers, mitochondrial encephalomyopathy lactic acidosis stroke, and nonsyndromic deafness occur (14 -18). The communication between MnmE and GidA is mandatory for both in vitro and in vivo activity of the complex (4,28,33,34), and although structural information is available for MnmE from different bacterial organisms and EcGidA, the exact role of the two proteins and specifically their interplay in the modification reaction remain largely unknown (1,29,33,35).…”