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Protein / target

Transthyretin

Encoded byTTRP02766Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
12
Approved medicines
Open Targets target-level
View by indication →
20
Clinical trials
Small-molecule tractable
Druggability
Approved Drug

Protein at a glance

Biological role

Protein-containing complex binding

Strongest disease association

Amyloidosis, hereditary systemic 1

Via encoding gene TTR · Genetic evidence · score 0.98

Therapeutic position

Established drug target

Small molecules

Research activity

Emerging research

7 papers · latest 2024

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function overview

Thyroid hormone-binding protein.

View complete UniProt function annotation

Thyroid hormone-binding protein. Probably transports thyroxine from the bloodstream to the brain

Subcellular location

SecretedCytoplasm
Domains and Gene Ontology detail (12)

Gene Ontology

  • Cazurophil granule lumen
  • Cextracellular exosome
  • Cextracellular region
  • Cextracellular space
  • Cprotein-containing complex
  • Fhormone activity
  • Fhormone binding
  • Fidentical protein binding
  • Fmolecular sequestering activity
  • Fprotein-containing complex binding
  • Ppurine nucleobase metabolic process
  • Pretinoid metabolic process

147 aa · 16 kDa

Biological roles

Reactome v97

What this protein does, drawn together from its UniProt function, Gene Ontology terms and Reactome pathways.

Metabolic enzyme activityGO
View supporting evidence

Metabolic enzyme activity

  • ·purine nucleobase metabolic process
  • ·retinoid metabolic process
View underlying pathways (6)

Concepts derived from UniProt GO Reactome — each badge above shows which sources supported that role.

Interaction neighbourhood

STRING v12.0

Proteins with the strongest functional or physical association. Node size and line weight reflect STRING confidence; hover or select a partner to inspect one association.

RBP4ALBAPOA1APPSERPIN…B2MSERPIN…APOEAPCSA2MTTR

10 strongest partners — larger node and heavier line mean higher confidence

Functional and physical associations from STRING v12.0. Only associations with this protein are drawn — partner-to-partner links are not part of this evidence.

Approved medicines with mapped indications

1 medicine · 3 areas

Approved therapies targeting this protein, grouped by what they are approved to treat — the disease-first view of the medicines below. Relationships come from the canonical approved-indication graph (ChEMBL phase-4), the same source as the drug cards.

Amyloidosis1 medicine
Amyloidosis, Familial1 medicine
Cardiomyopathies1 medicine

12 medicines meet Open Targets' target-level approved-medicine definition; the 1 shown here are those on this page with a canonical approved disease indication in the graph. Approved indications from ChEMBL (phase-4), via the canonical drug→disease graph.

Drugs targeting this protein

1

How approved and investigational drugs engage this protein — mechanism and action type, direct vs complex targeting, and how broadly each acts across other targets. A drug-first view (the section above groups the approved ones disease-first); direct binders with few recorded targets are listed first.

tafamidis
Narrow target profileApprovedStabiliser

Transthyretin stabiliser

Indicated for Amyloidosis, Amyloidosis, Familial, Cardiomyopathies

Direct interaction with this protein · Only this protein recorded as a target

ChEMBL mechanism, action type, target identity and approved indications. Open Targets clinical status.

Translational evidence

Open Targets 26

Why this target matters therapeutically, strongest evidence first. Disease associations are gene-level (via the gene that encodes this protein) and open into the full confidence synthesis; the development universe, tractability and safety annotations are target-level, from Open Targets.

Strongest disease associations · via encoding gene TTR

Gene-level evidence surfaced through the gene TTR that encodes this protein — not a direct protein–disease relationship. Ranked by Forefront's causal-directness weighting, so genetically- and clinically-evidenced diseases lead over ones that merely share the literature.

Amyloidosis, hereditary systemic 1
0.99Well supported

Genetic evidence dominant · Open Targets 0.85

Cardiomyopathies
0.94Well supported

Genetic evidence dominant · Open Targets 0.73

Familial amyloid neuropathy
0.94Well supported

Genetic literature evidence dominant · Open Targets 0.73

Amyloidosis
0.91Well supported

Clinical evidence dominant · Open Targets 0.71

Amyloidosis, Familial
0.91Well supported

Genetic evidence dominant · Open Targets 0.69

View evidence synthesis (5)
Amyloidosis, hereditary systemic 1Well supported
0.99
agreement 0.881.00
Genetic72%Somatic mutation28%Genetic literaturedup

Open Targets aggregate 0.85 · 2 independent evidence families · 1 not counted as duplicate

CardiomyopathiesWell supported
0.94
agreement 0.831.00
Genetic52%Clinical44%Literature3%Genetic literaturedup

Open Targets aggregate 0.73 · 3 independent evidence families · 1 not counted as duplicate

Familial amyloid neuropathyWell supported
0.94
agreement 0.821.00
Genetic literature48%Clinical45%Literature7%

Open Targets aggregate 0.73 · 3 independent evidence families

AmyloidosisWell supported
0.91
agreement 0.811.00
Clinical48%Genetic43%Literature9%

Open Targets aggregate 0.71 · 3 independent evidence families

Amyloidosis, FamilialWell supported
0.91
agreement 0.801.00
Genetic50%Clinical47%Literature3%Genetic literaturedup

Open Targets aggregate 0.69 · 3 independent evidence families · 1 not counted as duplicate

The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the per-type scores above show the calculation.

Show all associations
Amyloidosis, hereditary systemic 10.85
Cardiomyopathies0.73
Familial amyloid neuropathy0.73
Carpal tunnel syndrome 10.72
Amyloidosis0.71
Amyloidosis, Familial0.69
Immunoglobulin Light-chain Amyloidosis0.64
Familial transthyretin-related amyloidosis0.59
Polyneuropathy0.58
Cardiac amyloidosis0.57

Drug development

13 compounds recorded · 12 approved · 1 in clinical development

Open Targets' development universe — every compound recorded against the target at any stage, not all approved medicines. Distinct from the 1 drug that targets this protein in Forefront's canonical graph (1 with a mapped approved indication, shown above): these count different sets and are not a subset relation.

View all recorded compounds (10)
ACORAMIDIS HYDROCHLORIDEApproval
REVUSIRANPhase 3
EPLONTERSENApproval
TAFAMIDISApproval
TAFAMIDIS MEGLUMINEApproval
VUTRISIRANApproval
PATISIRAN SODIUMApproval
INOTERSENApproval
ACORAMIDISApproval
PATISIRANApproval

Open Targets known-drugs universe. Drug name and highest clinical stage only — the disease relationship is NOT read from this slice (it carries trial-context noise); approved indications come from the canonical graph above.

Tractability

Small moleculesStrong

Approved Drug and Structure with Ligand support this modality.

AntibodiesEmerging

Feasibility evidence (go cc high conf and uniprot loc med conf) — no clinical-stage drug of this modality recorded.

Protein degradersEmerging

Feasibility evidence (half-life data and small molecule binder) — no clinical-stage drug of this modality recorded.

Other modalitiesStrong

Approved Drug support this modality.

View underlying tractability evidence (11)
SM · Approved DrugSM · Structure with LigandSM · High-Quality LigandSM · High-Quality PocketSM · Druggable FamilyAB · GO CC high confAB · UniProt loc med confAB · UniProt SigP or TMHMMPR · Half-life DataPR · Small Molecule BinderOC · Approved Drug

Raw Open Targets tractability assessment buckets, by modality.

Safety-related annotations

Cognitive Function, DecreasedAOP-Wiki

Terms indexed against this target in Open Targets' safety data, with their datasource. These are annotations, not causal claims: the direction of effect (whether activation or inhibition is implicated), species and evidence strength are not captured here, so an entry does not mean that modulating this target is known to cause that condition.

Clinical trials

20

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein. Ranked by active status, then clinical phase and recency, and spread across the targeting drugs.

View all trials (16)

ClinicalTrials.gov via the drug-target graph.

What's happening now

3

Recent therapeutic activity around this target — regulatory actions, clinical trials and safety signals for a drug that targets this protein, plus publications where such a drug is a genuine subject. Every item is reached indirectly through the drug, not the protein itself; incidental mentions (a paper that merely measures a drug) and press items are excluded.

  1. CHMP positive opinion2026-07-20

    CHMP positive opinion: Tafamidis Accord (EMA)

    ema · regulatory · ema · via tafamidis

  2. New publication2024-01-01
    Effect of Tafamidis on Cardiac Function in Patients With Transthyretin Amyloid Cardiomyopathy: A Post Hoc Analysis of the ATTR-ACT Randomized Clinical Trial.

    JAMA cardiology · 2024 · 56 citations · Europe PMC · via tafamidis

  3. Regulatory approval2011-11-16

    Approval: Vyndaqel (EMA)

    ema · regulatory · ema · via tafamidis

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.

Research activity

7 papers · to 2024

Papers linked directly to this protein. This is the protein's own literature — descriptor-derived papers are kept separate below.

Most cited

Gillmore JD · The New England journal of medicine · 2021

Friedrich M · BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2022

Maurer MS · The New England journal of medicine · 2023

Recent

Europe PMC papers linked directly to this protein.