MRPL45 (yeast Mba1/mL45) is a peripheral inner mitochondrial membrane protein that couples mitochondrial translation to cotranslational membrane insertion of respiratory chain subunits (PMID:8690083, PMID:16601683). It is required for respiratory chain biogenesis, and its loss reduces cytochrome b and aa3 levels while producing a partial respiratory growth defect; it associates with the inner membrane through carbonate-extractable, peripheral binding (PMID:8690083). Mechanistically, MRPL45 acts as a ribosome receptor that binds the large subunit of the mitochondrial ribosome and cooperates with the C-terminal ribosome-binding domain of Oxa1 to position the ribosomal exit site at the inner-membrane insertion machinery; loss of both MRPL45 and the Oxa1 C-terminus leaves nascent translation products uninserted and routes them to matrix Hsp70 (PMID:11381092, PMID:16601683). It contacts translation products and conservatively sorted nuclear-encoded proteins during their integration, defining an Oxa1-independent insertion route with overlapping substrate specificity, a role shared with the inner membrane protein Mrx15 (PMID:11381092, PMID:30091672). Beyond insertion, MRPL45 stabilizes a Cox20-ribosome complex in a Cox2-dependent manner and escorts nascent Cox2 toward the Cox18 tail-export machinery without joining the Cox20-Cox18 complex (PMID:27550809). Independent of ribosome membrane tethering, MRPL45 also functions with Mdm38 to regulate translation of selected mitochondrial mRNAs, including Cox1 and cytochrome b (PMID:20427570).