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MT-TE gene
Reviewed by Medicinsk Expert•Last updated: 2026-10-22•Gene

MT-TE gene

The MT-TE gene provides instructions for creating a specific transfer RNA molecule essential for energy production within mitochondria.

Normal Function

The MT-TE gene provides instructions for making a molecule called a transfer RNA (tRNA), which is a chemical cousin of DNA. Transfer RNAs help assemble protein building blocks (amino acids) into functioning proteins. The MT-TE gene provides instructions for making a specific form of tRNA that is designated as tRNAGlu. During protein assembly, this molecule attaches to the amino acid glutamic acid (Glu) and inserts it into the appropriate locations in the growing protein.

The tRNAGlu molecule is present only in cellular compartments called mitochondria. These structures convert energy from food into a form that cells can use. Through a process called oxidative phosphorylation, mitochondria use oxygen, simple sugars, and fatty acids to create adenosine triphosphate (ATP), the cell's main energy source. The tRNAGlu molecule is involved in the assembly of proteins that carry out oxidative phosphorylation.

In certain cells in the pancreas, called beta cells, mitochondria also play a role in controlling the amount of sugar (glucose) in the bloodstream. In response to high glucose levels, mitochondria help trigger the release of a hormone called insulin. Insulin regulates blood glucose levels by controlling how much glucose is passed from the blood into cells to be converted into energy.

Health Conditions Related to Genetic Changes

Maternally inherited diabetes and deafness

A mutation in the MT-TE gene has been found in a small number of people with maternally inherited diabetes and deafness (MIDD). People with this condition have diabetes and sometimes hearing loss, particularly of high tones. Affected individuals may also have muscle weakness (myopathy) and problems with their eyes, heart, or kidneys. The mutation involved in this condition replaces the DNA building block (nucleotide) thymine with the nucleotide cytosine at position 14709 (written as T14709C). This mutation likely impairs the ability of mitochondria to help trigger insulin release. In affected individuals, diabetes results when the beta cells do not produce enough insulin to regulate blood glucose effectively.

Other disorders

Mutations in the MT-TE gene are also involved in infantile transient mitochondrial myopathy (also known as benign COX deficiency myopathy). This rare condition occurs within the first few months of life and causes severe muscle weakness, poor muscle tone (hypotonia), and buildup of a chemical called lactic acid in the body (lactic acidosis). Affected infants often have difficulty feeding and need support from a machine to help them breathe. The signs and symptoms improve after several months, and most affected individuals show no symptoms of the condition by age 2 or 3.

The mutations involved in infantile transient mitochondrial myopathy change single nucleotides in mitochondrial DNA. Specifically, the nucleotide thymine at position 14674 is replaced by the nucleotide cytosine or guanine (written as T14674C or T14674G, respectively). These mutations impair oxidative phosphorylation, leading to the muscle problems that affect infants.

Other Names for This Gene

  • MTTE
  • trnE

Frequently Asked Questions

If a patient has a combination of early‑onset diabetes, hearing loss (especially high‑frequency), and muscle weakness, especially when these symptoms appear before age 40, a clinician may order a mitochondrial DNA test that includes the MT-TE gene.
Management focuses on tight blood glucose control using insulin or oral agents, regular monitoring of HbA1c, and lifestyle changes. Because mitochondrial dysfunction can affect insulin secretion, some patients benefit from a low‑carbohydrate diet and exercise that improves insulin sensitivity.
The diagnosis is made by sequencing the mitochondrial genome from a blood sample. A specific MT-TE mutation (often A3243G) is identified, and the patient’s mother is also tested to confirm maternal inheritance.
Early hearing evaluation is crucial. Hearing aids or cochlear implants can restore hearing function. Some studies suggest that antioxidant supplements (like coenzyme Q10) may help slow progression, but evidence is limited; patients should discuss options with an audiologist and a mitochondrial specialist.===
Source: MedlinePlus, National Library of Medicine

MedlinePlus brings together authoritative health information from the National Library of Medicine (NLM), the National Institutes of Health (NIH), and other government agencies and health-related organizations.

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