1) Copy MTurbo-1.2.1.tgz anywhere to your server
2) Switch to webroot of your Magento (for example cd /var/www/magento/)
3) Execute 'sudo chmod +x pear' (set permission to executed)
4) Execute './pear mage-setup' (initialize Magento PEAR)
5) Execute './pear install PATH_TO_MTURBO-1.2.1.tgz' (install M-Turbo)