TMEM223 is a mitochondrial inner-membrane protein that couples mitochondrial translation to oxidative phosphorylation complex biogenesis (PMID:34969438). It associates with the mitochondrial ribosome and stimulates translation of COX1 mRNA, and is found within early COX1 assembly intermediates, placing it at the interface of mitoribosome activity and complex IV assembly (PMID:34969438). Its yeast ortholog Mrx15 contacts nascent mitochondrial translation products through a soluble C-terminal domain that engages the large ribosomal subunit, acting with the ribosome receptor Mba1 in cotranslational membrane protein insertion (PMID:30091672), and genetically couples this insertion activity to i-AAA protease quality control, since loss of Mrx15 together with the protease regulators Mgr1/Mgr3 causes respiratory deficiency (PMID:30336542). TMEM223 belongs to the TMEM70/TMEM186/TMEM223 family that co-occurs only in species possessing OXPHOS complexes, consistent with a conserved assembly role (PMID:32275929). Separately, TMEM223 has been identified as an interaction partner of the neuronal CaV2.2 voltage-gated Ca2+ channel, where it lowers current density and alters inactivation kinetics, indicating a negative modulatory role on Ca2+ entry (PMID:30612149).