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 VVTNPKELocalizationUniProt · 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.
- Amyloidosis, hereditary systemic 1 (AMYLD1) MIM:105210
- Hyperthyroxinemia, dystransthyretinemic (DTTRH) MIM:145680
- Carpal tunnel syndrome 1 (CTS1) MIM:115430
Disease | GeneticClinVar
134 pathogenic / likely-pathogenic of 437 ClinVar records.
Conditions with pathogenic or likely-pathogenic variants.
- Amyloidosis, hereditary systemic 1
- Cardiovascular phenotype
- Hyperthyroxinemia, dystransthyretinemic
- Carpal tunnel syndrome 1
- Charcot-Marie-Tooth disease
Disease | ImmuneIEDB
Conditions an epitope on TTR was assayed in.
- hereditary systemic amyloidosis 1 B cell
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.
Reference: AutoantibodyPubMed
4 publications
- Autoimmune response to transthyretin in juvenile idiopathic arthritis.
2016 · JCI Insight · RCR 0.7 · 23 citations - Identification of autoantibodies against transthyretin for the screening and diagnosis of rheumatoid arthritis.
2014 · PLoS One · RCR 0.7 · 18 citations - Impact of antibodies against amyloidogenic transthyretin (ATTR) on phenotypes of patients with familial amyloidotic polyneuropathy (FAP) ATTR Valine30Methionine.
2013 · Clin Chim Acta · RCR 0.2 · 5 citations - Retraction: Identification of Autoantibodies against Transthyretin for the Screening and Diagnosis of Rheumatoid Arthritis.
2018 · PLoS One
Reference: B cellIEDB
1 publication
- Impact of antibodies against amyloidogenic transthyretin (ATTR) on phenotypes of patients with familial amyloidotic polyneuropathy (FAP) ATTR Valine30Methionine.
2013 · Clin Chim Acta · RCR 0.2 · 5 citations
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
- negative regulation of glomerular filtration
- phototransduction, visible light
- purine nucleobase metabolic process
- retinoid metabolic process
Molecular functions
- hormone activity
- hormone binding
- identical protein binding
- molecular sequestering activity
- protein-containing complex binding
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.
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