Translation elongation is a universally conserved step in protein synthesis, relying on elongation factors that engage the ribosomal L7/L12 stalk to mediate aminoacyl-tRNA delivery, accommodation, and ribosomal translocation. Using in organello cryo-electron microscopy, we reveal how the mitochondrial translation accelerator TACO1 promotes efficient elongation on human mitoribosomes. TACO1 binds the mitoribosomal region typically bound by elongation factor Tu (mtEF-Tu), bridging the large and small subunits via contacts with 16S rRNA, bL12m, A-site tRNA, and uS12m. While active throughout elongation, TACO1 is especially critical when translating polyproline motifs. Its absence prolongs mtEF-Tu residence in A/T states, causes persistent mitoribosomal stalling and premature subunit dissociation. Structural analyses indicate that TACO1 competes with mtEF-Tu for mitoribosome binding, stabilizes A-site tRNA, and enhances peptidyl transfer through a mechanism distinct from EF-P and eIF5A. These findings suggest that bacterial TACO1 orthologs may serve analogous roles, highlighting an evolutionarily conserved strategy for maintaining elongation efficiency during challenging translation events.
Organizational Affiliation: 
Department of Molecular Biophysics and Biochemistry, Yale University, New Haven, CT, USA.
Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA. ABarrientos@med.miami.edu.
Department of Biochemistry and Molecular Biology, University of Miami Miller School of Medicine, Miami, FL, USA. ABarrientos@med.miami.edu.
The Miami Veterans Affairs (VA) Medical System, Miami, FL, USA. ABarrientos@med.miami.edu.
Department of Molecular Biophysics and Biochemistry, Yale University, New Haven, CT, USA. yong.xiong@yale.edu.
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