Seroatlas · Human Serome Atlas

TTR

Transthyretin

Also known as: CTS, CTS1, HsT2651, PALB, TTHY_HUMAN

Cross-references: UniProt · Ensembl · Human Protein Atlas · GeneCards · NCBI Gene

Protein identityUniProt · HPA

UniProt accession
P02766
Gene
TTR
Ensembl
ENSG00000118271
Chromosome
18
Canonical length
147 aa
Protein class
Cancer-related genes, Disease related genes, FDA approved drug targets, Human disease related genes, Plasma proteins, Predicted intracellular proteins, Predicted secreted proteins
Subcellular location
Golgi apparatus
Secretome location
Secreted to blood
Quaternary structure
Homotetramer

OverviewNCBI Gene

This gene encodes one of the three prealbumins, which include alpha-1-antitrypsin, transthyretin and orosomucoid. The encoded protein, transthyretin, is a homo-tetrameric carrier protein, which transports thyroid hormones in the plasma and cerebrospinal fluid. It is also involved in the transport of retinol (vitamin A) in the plasma by associating with retinol-binding protein. The protein may also be involved in other intracellular processes including proteolysis, nerve regeneration, autophagy and glucose homeostasis. Mutations in this gene are associated with amyloid deposition, predominantly affecting peripheral nerves or the heart, while a small percentage of the gene mutations are non-amyloidogenic. The mutations are implicated in the etiology of several diseases, including amyloidotic polyneuropathy, euthyroid hyperthyroxinaemia, amyloidotic vitreous opacities, cardiomyopathy, oculoleptomeningeal amyloidosis, meningocerebrovascular amyloidosis and carpal tunnel syndrome. [provided by RefSeq, Aug 2017]

Canonical amino-acid sequenceUniProt

147 residues, UniProt reviewed canonical sequence.

>P02766|TTR
     1  MASHRLLLLC LAGLVFVSEA GPTGTGESKC PLMVKVLDAV RGSPAINVAV HVFRKAADDT
    61  WEPFASGKTS ESGELHGLTT EEEFVEGIYK VEIDTKSYWK ALGISPFHEH AEVVFTANDS
   121  GPRRYTIAAL LSPYSYSTTA VVTNPKE

LocalizationUniProt · AlphaFold · HPA

Whether an antibody against TTR can act on the native protein depends on physical access: surface and secreted proteins are reachable by circulating antibodies, intracellular proteins usually are not.

Antibody reachability
Secreted
Secreted
Yes
Transmembrane segments
0
Mean surface accessibility (rSASA)
0.38
Highest tissue expression
672,505 nTPM

Expression across tissuesHPA

Tissue

  • choroid plexus: 672,505 nTPM
  • liver: 19,858 nTPM
  • pancreas: 1,684 nTPM
  • hippocampal formation: 405 nTPM
  • midbrain: 177 nTPM
  • parathyroid gland: 175 nTPM

Single-cell type

  • retinal pigment epithelial cells: 61,788 nCPM
  • pancreatic islet cells: 53,364 nCPM
  • hepatocytes: 31,025 nCPM
  • choroid plexus epithelial cells: 7,468 nCPM
  • ependymal cells: 1,302 nCPM
  • neuroendocrine cells: 682 nCPM

Immune cell

  • neutrophil: 0.4 nTPM
  • naive B-cell: 0.3 nTPM
  • classical monocyte: 0.1 nTPM
  • eosinophil: 0.1 nTPM
  • gdT-cell: 0.1 nTPM
  • MAIT T-cell: 0.1 nTPM

Brain region

  • choroid plexus: 302,089 nTPM
  • hippocampal formation: 3,676 nTPM
  • thalamus: 1,483 nTPM
  • cerebellum: 1,293 nTPM
  • amygdala: 336 nTPM
  • white matter: 296 nTPM

DiseaseUniProt · ClinVar · IEDB · PubMed

Four sources answering four different questions about TTR.

Disease | AllUniProt

Conditions TTR is implicated in, by any mechanism.

Disease | GeneticClinVar

134 pathogenic / likely-pathogenic of 437 ClinVar records.

Conditions with pathogenic or likely-pathogenic variants.

Disease | ImmuneIEDB

Conditions an epitope on TTR was assayed in.

ReferencesPubMed · IEDB

Publications for TTR from three distinct lines of evidence, kept separate because they answer different questions: whether antibodies are directed at the protein, whether a B-cell epitope has been mapped on it, and whether a T-cell epitope has. Each is labelled with its source.

Sources: PubMed — antigen-level antibody evidence from a custom retrieval. Records matching a controlled set of autoantibody terms (the MeSH descriptors Autoantibodies and Autoantigens, with title and abstract term variants) were obtained through NCBI E-utilities, and their titles and abstracts parsed for constructions that direct an antibody at a named protein rather than for co-occurrence. Captured names were resolved against UniProt nomenclature and each antigen adjudicated individually against the source text. IEDB — curated epitope assays from the Immune Epitope Database (Vita et al., Nucleic Acids Research 2019). Bibliographic records from PubMed and MeSH, U.S. National Library of Medicine; citation metrics from NIH iCite (Hutchins et al., PLoS Biology 2016). Titles link to PubMed; abstracts are not reproduced here. The NLM does not endorse this analysis.

Genetic constraint and essentialitygnomAD · DepMap

Does the body need this protein intact? Low LOEUF or a strong DepMap dependency means loss or blockade of the protein is likely to be felt.

gnomAD LOEUF (loss-of-function intolerance)
0.76
gnomAD pLI
0.52
gnomAD missense Z
1.01
DepMap mean gene effect
0.08
DepMap dependency class
none

Cancer expressionTCGA

Across TCGA tumor cohorts, this protein is over-expressed in roughly 3% of surveyed tumor types (aggregate summary; per-cohort expression, alteration, and survival load in the interactive view).

OntologyGO

Biological processes

Molecular functions

Cellular components

Protein domainsUniProt · Pfam · InterPro

  • Transthyretin/hydroxyisourate hydrolase
  • Transthyretin/hydroxyisourate hydrolase domain
  • Transthyretin, thyroxine binding site
  • Transthyretin, conserved site
  • Transthyretin/hydroxyisourate hydrolase domain superfamily
  • HIUase/Transthyretin family

KeywordsUniProt

InteractionsUniProt · HPA

Protein binding partners of TTR in the human serome: UniProt-annotated complex subunits plus reported interactors. Each links to its own Seroatlas record.

Antibody and autoantibody relevanceSeroatlas analysis

Seroatlas reads TTR as an antibody target. Whether an autoantibody or antibody against TTR could matter depends on whether native TTR is physically reachable, whether the body needs it intact, and whether it acts in a disease-relevant tissue.

TTR is annotated as secreted, so native TTR circulates and is directly accessible to antibodies. Secreted and cell-surface proteins are the autoantibody targets most likely to act like drugs, blocking or depleting the native protein.

Annotation status

The present source text does not explicitly label TTR as an autoantigen. Seroatlas presents hypothesis context only and does not manufacture a known-serology claim.

Canonical record: https://seroatlas.com/gene/TTR. Study-independent annotations aggregated from UniProt, Human Protein Atlas, PubMed, IEDB, Pfam, InterPro, Gene Ontology, AlphaFold, gnomAD, DepMap, ClinVar, TCGA. Catalog release seroatlas-reviewed-human-uniprot-20260313.

Seroatlas is the reference for exploring autoantibody and antibody serology at the human-protein level: the autoreactome and human serome, multiplex serology (HuProt, HuScan, VirScan, PhIP-Seq).

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