Localization of the Q192H mutation and predicted effect on protein structure. a Predicted membrane topology of hMTPPT protein and location of the Q192H clinical mutation. The hMTPPT is predicted to have six potential TMDs. Arrows indicate the location of clinical mutation Q192H. b Conservativeness of the amino acid at position 192 of the hMTPPT among different species. The polypeptide sequence of MTPPT from human (NP_001119594), pongo (NP_001127123), bovine (NP_001039352), mouse (NP_001239313), rat (NP_001007675), and yeast (NP_011610) were aligned using PRALINE program. Conserved and unconserved residues are indicated by red to blue colors, respectively; location of the clinical mutation (in the fourth TMD at position 192) is shown by dotted box. c Structural comparison of the Q192H clinical mutant and the WT hMTPPT. The 3D structure of hMTPPT (green color) and its clinical mutant (pink color) was generated based on the PDB ID entry 1OKC (i.e., a crystal structure of the mitochondrial ADP/ATP carrier in complex with carboxyatractyloside) and superimposed both the 3D structure. The structural changes are indicated by black arrow