CMC1 is a mitochondrial intermembrane space twin CX9C protein that functions in the biogenesis of cytochrome c oxidase (complex IV) (PMID:28082314, PMID:20220131). It is imported into the intermembrane space and oxidatively folded through the Mia40-Erv1 disulfide relay, forming a stable Cmc1-Mia40 intermediate that is resolved by Erv1, with both factors together required to prevent non-native disulfide bond formation (PMID:22767599). Within complex IV assembly, CMC1 forms an early intermediate with newly synthesized COX1 and the assembly factors COA3 and COX14, stabilizing the COX1-COA3-COX14 module prior to incorporation of COX4 and COX5a; loss of CMC1 does not affect COX1 translation rate but accelerates COX1 turnover and lowers complex IV activity, establishing CMC1 as a stabilizer of nascent COX1 (PMID:28082314). In yeast it cooperates with the partner protein Cmc2 in a non-redundant manner (PMID:20220131). Beyond its mitochondrial role, CMC1 acts as a positive regulator of CD8+ T cell activation and terminal differentiation, where USP7-mediated de-ubiquitination stabilizes CMC1 in response to environmental lactate, linking the lactate-rich tumor microenvironment to CD8+ T cell exhaustion (PMID:38659649).