TMEM135 Protein
Overview
<table class="infobox infobox-protein">
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<th class="infobox-header" colspan="2">TMEM135 Protein</th>
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<td class="label">Symbol</td>
<td><strong>TMEM135</strong></td>
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<td class="label">Full Name</td>
<td>TMEM135</td>
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<td class="label">Type</td>
<td>Protein</td>
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<td class="label">UniProt</td>
<td><a href="https://www.uniprot.org/uniprot/?query=TMEM135" target="_blank">Search UniProt</a></td>
</tr>
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<td class="label">KG Connections</td>
<td><a href="/atlas" style="color:#4fc3f7">1 edges</a></td>
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TMEM135 is a membrane-associated organelle regulator that links [mitochondrial dynamics](/mechanisms/mitochondrial-dynamics-pathway) and [peroxisomal dysfunction](/mechanisms/peroxisomal-dysfunction). Evidence in mammalian systems indicates that TMEM135 helps coordinate mitochondrial fission, peroxisome-related lipid processing, and energetic adaptation under cellular stress.
In NeuroWiki terms, TMEM135 is best viewed as a network-modulating protein rather than a primary monogenic driver of classic neurodegenerative syndromes. Current human disease associations are strongest in retina/hearing phenotypes and metabolic stress biology, while neurodegeneration relevance is mechanistically plausible but still early-stage.[@zhou2023][@nam2025]
Molecular Architecture and Subcellular Context
...
TMEM135 Protein
Overview
<table class="infobox infobox-protein">
<tr>
<th class="infobox-header" colspan="2">TMEM135 Protein</th>
</tr>
<tr>
<td class="label">Symbol</td>
<td><strong>TMEM135</strong></td>
</tr>
<tr>
<td class="label">Full Name</td>
<td>TMEM135</td>
</tr>
<tr>
<td class="label">Type</td>
<td>Protein</td>
</tr>
<tr>
<td class="label">UniProt</td>
<td><a href="https://www.uniprot.org/uniprot/?query=TMEM135" target="_blank">Search UniProt</a></td>
</tr>
<tr>
<td class="label">KG Connections</td>
<td><a href="/atlas" style="color:#4fc3f7">1 edges</a></td>
</tr>
</table>
TMEM135 is a membrane-associated organelle regulator that links [mitochondrial dynamics](/mechanisms/mitochondrial-dynamics-pathway) and [peroxisomal dysfunction](/mechanisms/peroxisomal-dysfunction). Evidence in mammalian systems indicates that TMEM135 helps coordinate mitochondrial fission, peroxisome-related lipid processing, and energetic adaptation under cellular stress.
In NeuroWiki terms, TMEM135 is best viewed as a network-modulating protein rather than a primary monogenic driver of classic neurodegenerative syndromes. Current human disease associations are strongest in retina/hearing phenotypes and metabolic stress biology, while neurodegeneration relevance is mechanistically plausible but still early-stage.[@zhou2023][@nam2025]
Molecular Architecture and Subcellular Context
TMEM135 is a multi-pass transmembrane protein localized to mitochondrial and peroxisome-associated membranes, where it influences organelle morphology and substrate flux.[@exil2021][@zaveri2025] Unlike catalytic enzymes, TMEM135 appears to function as an organizational or trafficking regulator inside the mitochondrial-peroxisome axis.[@exil2021][@zaveri2023]
Key context:
- Mitochondria and peroxisomes cooperate in fatty-acid handling, redox control, and membrane-lipid maintenance.[@zaveri2025][@passmore2008]
- TMEM135 perturbation changes organelle morphology and bioenergetic state in model systems.[@exil2021][@zhou2023]
- TMEM135-related phenotypes in vivo frequently cluster around tissues with high metabolic demand, especially retina and sensory systems.[@nam2025][@lee2016]
This biology makes TMEM135 relevant to disorders where chronic mitochondrial stress and lipid dysregulation amplify neuronal vulnerability.
Core Biological Functions
1. Mitochondrial Dynamics Coupling
Experimental data support a role for TMEM135 in mitochondrial fission-state control and adaptation during energetic demand.[@exil2021][@zhou2023] This places TMEM135 upstream of mitochondrial quality-control logic that also intersects with [DRP1](/proteins/drp1-protein), [mitophagy](/mechanisms/mitophagy), and oxidative stress buffering pathways.[@gao2021][@giacomello2017]
2. Peroxisomal Lipid Homeostasis
TMEM135 participates in peroxisome-linked lipid handling, including pathways relevant to very-long-chain fatty acids and docosahexaenoic acid (DHA) balance in some systems.[@zaveri2023][@passmore2008] Because neuronal membranes are lipid-intensive and synaptic function is lipid-sensitive, disruption in peroxisomal support can have downstream CNS effects even when the initial defect is metabolic.[@passmore2008][@berger2013]
3. Stress Adaptation Across Organelle Compartments
TMEM135 appears to act at an interface where mitochondrial and peroxisomal stress responses are coordinated.[@exil2021][@zaveri2023] This systems role may be more important than a single molecular interaction, particularly in aging tissues where cumulative oxidative and energetic stress rises.
Neurodegeneration-Relevant Interpretation
Mitochondrial Vulnerability Logic
Mitochondrial dysfunction is a convergent mechanism across [Alzheimer's Disease](/diseases/alzheimers-disease), [Parkinson's Disease](/diseases/parkinsons-disease), and related [tau](/proteins/tau)/synuclein disorders.[@gao2021][@giacomello2017][@lin2006] TMEM135 does not yet have strong direct causal evidence in these diseases, but its mechanistic position is relevant because it influences the same organelle-control layer that fails in vulnerable [neurons](/entities/neurons).
Practical interpretation:
- TMEM135 is a modifier candidate for neuronal stress resilience, not a confirmed high-penetrance neurodegeneration gene.
- TMEM135-aligned biology is most useful for pathway modeling (mitochondria-peroxisome axis) and biomarker hypothesis generation.
Retinal and Sensory Phenotypes as Translational Signals
Several TMEM135 studies show retinal pathology and progressive hearing phenotypes in mutation models.[@nam2025][@lee2016] These findings are valuable for neurodegeneration research because retina and auditory pathways can serve as measurable windows into early bioenergetic and organelle dysfunction in aging brains.
TMEM135 has reproducible links to systemic metabolic phenotypes (hepatic lipid handling, adipose energy balance, and stress adaptation).[@zaveri2025][@zaveri2023][@arnold2018] Since metabolic syndrome and insulin resistance worsen risk trajectories in dementia and movement disorders, TMEM135 may be important in the metabolic amplification layer of neurodegeneration risk rather than as a direct trigger.[@lin2006][@arnold2018]
Evidence Quality and Current Limits
What is relatively strong
- Cell and animal evidence that TMEM135 modulates mitochondrial/peroxisomal biology.[@exil2021][@zhou2023][@zaveri2023]
- In vivo phenotypes involving high-energy tissues (retina, hearing systems).[@nam2025][@lee2016]
What remains weak or unresolved
- Large human longitudinal datasets tying TMEM135 variation to AD/PD/CBD/PSP outcomes.
- Standardized CNS biomarker studies directly measuring TMEM135-dependent biology in patients.
- Intervention data showing that TMEM135-directed modulation changes neurodegenerative clinical endpoints.
Because of these gaps, TMEM135 should currently be framed as a
mechanistic hypothesis node rather than a validated therapeutic target.
Translational and Experimental Priorities
High-value next steps:
Human genetics plus deep phenotyping: test whether TMEM135 variants/modifiers stratify progression in mitochondrial-stress-heavy subgroups.
Multi-omic tissue studies: integrate lipidomics, redox profiling, and organelle morphology signatures in TMEM135-perturbed systems.
Biomarker bridge work: evaluate whether retinal imaging, plasma lipid species, or peroxisome-associated metabolites track TMEM135-axis dysfunction longitudinally.
Combination-pathway models: test TMEM135 perturbation alongside known [mitophagy](/mechanisms/mitophagy) and inflammatory stress insults to model real-world multimorbidity.Clinical and Knowledge-Graph Relevance
For NeuroWiki curation, TMEM135 is most useful when linked across:
- Organelle quality-control pages (mitochondrial dynamics, mitophagy, peroxisomal pathways)
- Disease pages with strong metabolic/mitochondrial burden
- Biomarker pages focused on lipid metabolism, oxidative stress, and early tissue vulnerability
This cross-link profile supports hypothesis generation for patient stratification, especially where metabolic burden and neurodegenerative progression overlap.
See Also
- [TMEM135 Gene](/genes/tmem135)
- [Mitochondrial Dynamics Pathway in Neurodegeneration](/mechanisms/mitochondrial-dynamics-pathway)
- [Mitophagy](/mechanisms/mitophagy)
- [Peroxisomal Dysfunction](/mechanisms/peroxisomal-dysfunction)
- [DRP1 Protein](/proteins/drp1-protein)
- [Alzheimer's Disease](/diseases/alzheimers-disease)
- [Parkinson's Disease](/diseases/parkinsons-disease)
External Links
- [UniProt: TMEM135 (Q9C0C4)](https://www.uniprot.org/uniprotkb/Q9C0C4)
- [NCBI Gene: TMEM135](https://www.ncbi.nlm.nih.gov/gene/57528)
- [NCBI Protein resources](https://www.ncbi.nlm.nih.gov/protein)
References
[Exil VJ, et al, TMEM135 is a Novel Regulator of Mitochondrial Dynamics and Physiology with Implications for Human Health Conditions (2021)](https://pubmed.ncbi.nlm.nih.gov/34359920/)
[Zhou C, et al, TMEM135 links peroxisomes to the regulation of brown fat mitochondrial fission and energy homeostasis (2023)](https://pubmed.ncbi.nlm.nih.gov/37773161/)
[Nam H, et al, A mutation in Tmem135 causes progressive sensorineural hearing loss (2025)](https://pubmed.ncbi.nlm.nih.gov/39970612/)
[Zaveri A, et al, TMEM135 deficiency improves hepatic steatosis by suppressing CD36 in a SIRT1-dependent manner (2025)](https://pubmed.ncbi.nlm.nih.gov/39647810/)
[Zaveri A, et al, Transmembrane protein 135 regulates lipid homeostasis through its role in peroxisomal DHA metabolism (2023)](https://pubmed.ncbi.nlm.nih.gov/36599953/)
[Passmore JB, et al, Peroxisomes and peroxisomal transketolase and transaldolase enzymes in the pathogenesis of Alzheimer's disease (2008)](https://pubmed.ncbi.nlm.nih.gov/17917470/)
[Lee HJ, et al, Mouse Tmem135 mutation reveals a mechanism involving mitochondrial dynamics that leads to age-dependent retinal pathologies (2016)](https://pubmed.ncbi.nlm.nih.gov/27863209/)
[Gao C, et al, Defective mitophagy in Alzheimer's disease (2021)](https://pubmed.ncbi.nlm.nih.gov/33022416/)
[Giacomello M, et al, Mitochondrial Ca2+ as a key regulator of mitochondrial activities (2017)](https://pubmed.ncbi.nlm.nih.gov/29302069/)
[Berger J, et al, Peroxisomes in brain development and function (2013)](https://pubmed.ncbi.nlm.nih.gov/23792967/)
[Lin MT, Beal MF, Mitochondrial dysfunction and oxidative stress in neurodegenerative diseases (2006)](https://pubmed.ncbi.nlm.nih.gov/16774687/)
[Arnold SE, et al, Brain insulin resistance in type 2 diabetes and Alzheimer disease: concepts and conundrums (2018)](https://pubmed.ncbi.nlm.nih.gov/28723662/)