CTU2 is an essential subunit of the cytoplasmic CTU1/CTU2 thiolase complex that catalyzes 2-thiolation of the wobble uridine (U34) in the anticodon loop of tRNA-Lys, tRNA-Gln, and tRNA-Glu, a modification required for accurate decoding (PMID:31301155). In patient-derived cells, biallelic loss-of-function variants in CTU2 specifically abolish 2-thiolation across all wobble uridine-containing tRNAs, establishing the protein's catalytic indispensability and linking its loss to a human Mendelian disorder (PMID:31301155). The requirement of the CTU2 ortholog (Ncs2) for wobble uridine thiolation is conserved in yeast, where loss of 2-thiolation abrogates pathogenic virulence and complex stability and interaction depend on nucleotide binding (PMID:37462076). Beyond its tRNA-modifying role, CTU2 expression is transcriptionally activated by Liver X Receptor through a promoter LXR response element and by USF1, and CTU2 promotes lipogenesis and tumor progression in hepatocellular carcinoma, where its knockdown reduces tumor burden and synergizes with LXR ligands to induce apoptosis (PMID:38630355, PMID:40375999).