Gene
TBX5
T-box transcription factor 5
- HGNC 11604↗(opens in a new tab)
- Ensembl gene ENSG00000089225↗(opens in a new tab)
- NCBI Gene 6910↗(opens in a new tab)
Summary
- Cytogenetic location
- 12q24.21
- Coordinates
- Chromosome 12: 114,353,911–114,406,144 (GRCh38)
- Exons
- 9 exons across 52.2 kb
- Protein
- 518 amino acids
- Inheritance
- Autosomal dominant
- Previous symbols
- HOS
- MANE Select transcript
- ENST00000405440.7NM_181486.4
- Locus type
- gene with protein product
- Very high
- Confident
- Low
- Very low
Reference genomeGRCh38hg38
Positions on gene and variant pages follow this choice, in this browser.
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Inherited Congenital Heart Defects
- Holt-Oram SyndromeAutosomal dominant
A condition caused by changes in TBX5 that combines differences of the hands and arms with heart defects, most often holes between the heart chambers and conduction problems.
- ClinGen rates the link definitive
- 5 GenCC submitters rate it definitive or strong
What knowing changes
Knowing about it supports heart imaging, ECG monitoring for conduction problems, and family counselling.
Inheritance
- Autosomal dominant
- One changed copy, from either parent, is enough. A parent who has one passes it on to each child with a one-in-two chance.
How TBX5 is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
- Stretches short reads find hard
Exons of the gene's MANE Select transcript (release v1.5), from NCBI and EMBL-EBI, on the GRCh38 reference genome.
Chromosome bands from UCSC's GRCh38 ideogram (2022-10-29).
Nearby genes from Ensembl release 116, on GRCh38.
Exons make up 3.7 kb of the gene's 52.2 kb; 1,557 of those bases code for the protein.
How a genome test reads TBX5
33
positions in TBX5 where ClinVar classes a change as pathogenic or likely pathogenic
None of them falls in a region short reads find hard.
A whole genome covers all 52.2 kb of TBX5, introns included, not only the 3.7 kb of exons.
Traits linked to TBX5
The Human Phenotype Ontology lists these as features of the rare conditions TBX5 can cause. Each trait's page lists the other genes linked to it.
Abnormality of limbs
- Absent 1st long bone of hand
- Absent index finger
- Absent middle finger
- Absent outermost bone of the 4th toe
- Attachment of thumb close to wrist
- Bowing of outer large bone of the forearm
- Curvature of little finger
- Curved thumb deviated towards palm
Show 46 more traits
- Curving of inner forearm bone
- Distally placed thumb
- Duplication of the outermost bone of the 3rd toe
- Elbow dislocation
- Fused forearm bones
- Hand monodactyly
- Hypoplasia of deltoid muscle
- Limited pronation/supination of forearm
- Radial deviation of the hand
- Short forearm
- Short middle bone of index finger
- Short middle bone of the little finger
- Shortened 1st long bone of hand
- Single transverse palmar crease
- Small hypothenar eminence
- Upper limb undergrowth
- Webbed 1st-2nd finger
- Webbed 2nd-3rd fingers
- Y-shaped metatarsals
- Abnormal wrist bones
- Split hand
- 3-4 finger cutaneous syndactyly
- Abnormal shape of long bones of hand
- Absent thumb
- Aplasia of the pectoralis major muscle
- Aplasia/Hypoplasia of the radius
- Curvature of finger
- Extra little finger
- Finger-like thumb
- Limited elbow extension
- Short digit
- Short humerus
- Short thumb
- Small thenar eminence
- Underdeveloped inner large forearm bone
- Underdeveloped outer large forearm bone
- Abnormal humerus morphology
- Aplasia of the ulna
- Broad thumb
- Finger syndactyly
- Missing outer large bone of forearm
- Phocomelia
- Upper limb phocomelia
- Webbed fingers or toes
- Amelia involving the upper limbs
- Partial duplication of the thumb bones
Abnormality of the cardiovascular system
- Abnormal coronary artery origin
- Atrial septal dilatation
- Atrioventricular dissociation
- Complete heart block
- Cor triatriatum sinister
- Double outlet right ventricle
- First degree atrioventricular block
- Mitral regurgitation
Show 30 more traits
- Mitral valve prolapse
- Narrowing of pulmonic valve
- Right atrial enlargement
- Sinus bradycardia
- Sinus venosus atrial septal defect
- Small right heart chamber
- Tricuspid regurgitation
- Tricuspid valve prolapse
- Ventricular tachycardia
- Abnormal cardiovascular system morphology
- An opening in the wall separating the top two chambers of the heart
- Cardiac conduction abnormality
- Hole in heart wall separating two lower heart chambers
- Increased blood pressure in blood vessels of lungs
- Interruption of electrical communication between upper and lower chambers of heart
- Paroxysmal atrial fibrillation
- Secundum atrial septal defect
- Abnormal aortic morphology
- Anomalous pulmonary venous return
- Complete atrioventricular canal defect
- Hole in center of heart
- Left ventricular noncompaction cardiomyopathy
- Muscular ventricular septal defect
- Patent ductus arteriosus
- Perimembranous ventricular septal defect
- Persistent left superior vena cava
- Underdeveloped left heart
- Common atrium
- Coronary sinus atrial septal defect
- Patent foramen ovale
External links
Gene records
Transcript
Protein
Where this comes from
- HGNC: the gene's symbol, name, other symbols and location.
- MANE Select v1.5, from NCBI and EMBL-EBI: the transcript, its exons and coding sequence.
- GenCC and ClinGen, released 2026-10-16: which conditions the gene is linked to, and how strongly.
- The ACMG secondary findings list, SF v3.2.
- ClinVar and the GIAB stratifications: known disease-causing sites, and the regions short reads find hard.
- The Human Phenotype Ontology, release 2026-09-01: the traits linked to the gene. Find out more at hpo.jax.org.
- Data release 2026.10.16-c6eea6bf.
Cite this page
Dante Labs. (n.d.). TBX5 gene: T-box transcription factor 5. Retrieved 17 October 2026, from https://dantelabs.com/genes/tbx5
Dante Labs. TBX5 gene: T-box transcription factor 5 [Internet]. [cited 17 October 2026]. Available from: https://dantelabs.com/genes/tbx5
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