Gene
TNNT2
troponin T2, cardiac type
- HGNC 11949↗(opens in a new tab)
- Ensembl gene ENSG00000118194↗(opens in a new tab)
- NCBI Gene 7139↗(opens in a new tab)
Summary
- Cytogenetic location
- 1q32.1
- Coordinates
- Chromosome 1: 201,359,014–201,377,680 (GRCh38)
- Exons
- 17 exons across 18.7 kb
- Protein
- 298 amino acids
- Inheritance
- Autosomal dominant
- Also known as
- CMPD2
- Previous symbols
- CMH2, CMD1D
- MANE Select transcript
- ENST00000656932.1NM_001276345.2
- 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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Get my Genome TestCurated reports relevant to this gene
Dilated Cardiomyopathy
Enlargement and weakening of the left ventricle not explained by coronary artery or valve disease; inherited forms involve TTN, LMNA, RBM20, FLNC, BAG3, DSP, MYH7, TNNT2, DES, PLN and many other genes, and include Barth syndrome and the Emery-Dreifuss muscular dystrophies.
- ClinGen rates the link definitive
- 3 GenCC submitters rate it definitive or strong
- On the ACMG secondary findings list
What knowing changes
Knowing a genetic cause supports earlier heart monitoring and family screening, and for genes with a high arrhythmia risk such as LMNA, FLNC and RBM20 it informs decisions about rhythm monitoring and implantable defibrillators.
Left Ventricular Noncompaction
A heart muscle condition with a thick, spongy inner layer of the left ventricle, linked to sarcomere genes such as MYH7, ACTC1, TNNT2, TPM1 and MYBPC3, and to LDB3, PRDM16 and MIB1.
- ClinGen rates the link definitive
- 3 GenCC submitters rate it definitive or strong
- On the ACMG secondary findings list
What knowing changes
Knowing about it supports heart imaging and rhythm monitoring and screening of relatives.
Restrictive Cardiomyopathy
- Familial Restrictive Cardiomyopathy 3 (TNNT2)Autosomal dominant
A form of restrictive cardiomyopathy caused by changes in the sarcomere gene TNNT2.
- 1 GenCC submitter rates it definitive or strong
Broader groupings
Hypertrophic Cardiomyopathy
- Autosomal dominant
One of 62 genes linked to it
A condition in which the myocardium is hypertrophied without an obvious cause. The hypertrophy is generally asymmetric and may be associated with obstruction of the ventricular outflow tract.
- 3 GenCC submitters rate it definitive or strong
- On the ACMG secondary findings list
What knowing changes
Beta-blockers, non-dihydropyridine calcium channel blockers, activity restriction, genetic counseling
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 TNNT2 is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
- Variants with a page
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 1.2 kb of the gene's 18.7 kb; 897 of those bases code for the protein.
How a genome test reads TNNT2
66
positions in TNNT2 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 18.7 kb of TNNT2, introns included, not only the 1.2 kb of exons.
Variants with a page (36)
The TNNT2 variants with a page here, most review stars first. Each page describes ClinVar's public record of the variant, never a result.
| Variant | HGVS c. | Exon or intron | Position (GRCh38) | ClinVar classification | Review status |
|---|---|---|---|---|---|
| c.851+1G>A | Intron 16 | 201,359,622 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel | |
| R104H | c.311G>A | Exon 10 | 201,365,291 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| W297X | c.890G>A | Exon 17 | 201,359,217 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A182S | c.544G>T | Exon 12 | 201,363,352 | Likely pathogenic | ★★★★2 stars out of 4 criteria provided, multiple submitters, no conflicts |
| c.851+1G>T | Intron 16 | 201,359,622 | Pathogenic/likely pathogenic | ★★★★2 stars out of 4 criteria provided, multiple submitters, no conflicts | |
| c.891G>A | Exon 17 | 201,359,216 | Pathogenic/likely pathogenic | ★★★★2 stars out of 4 criteria provided, multiple submitters, no conflicts | |
| D96A | c.287A>C | Exon 9 | 201,365,617 | Pathogenic/likely pathogenic | ★★★★2 stars out of 4 criteria provided, multiple submitters, no conflicts |
| E173del | c.517_519del | Exon 12 | 201,363,376 | Pathogenic | ★★★★2 stars out of 4 criteria provided, multiple submitters, no conflicts |
| E173K | c.517G>A | Exon 12 | 201,363,379 | Pathogenic/likely pathogenic | ★★★★2 stars out of 4 criteria provided, multiple submitters, no conflicts |
| F120I | c.358T>A | Exon 10 | 201,365,244 | Pathogenic | ★★★★2 stars out of 4 criteria provided, multiple submitters, no conflicts |
Genes linked to the same conditions
- ACTC1actin alpha cardiac muscle 1Shares 3 conditions
- LDB3LIM domain binding 3Shares 3 conditions
- MYBPC3myosin binding protein C3Shares 3 conditions
- MYH7myosin heavy chain 7Shares 3 conditions
- TPM1tropomyosin 1Shares 3 conditions
- FLNCfilamin CShares 2 conditions
- JPH2junctophilin 2Shares 2 conditions
- MYPNmyopalladinShares 2 conditions
- PLNphospholambanShares 2 conditions
- RAF1Raf-1 proto-oncogene, serine/threonine kinaseShares 2 conditions
- TCAPtitin-capShares 2 conditions
- TNNC1troponin C1, slow skeletal and cardiac typeShares 2 conditions
Traits linked to TNNT2
The Human Phenotype Ontology lists these as features of the rare conditions TNNT2 can cause. Each trait's page lists the other genes linked to it.
Abnormality of the cardiovascular system
- Abnormal ST segment
- Bulge in wall of large artery that carries blood away from heart
- Enlarged and thickened heart muscle
- Increased left ventricular end-diastolic volume
- Left axis deviation
- Left ventricular noncompaction
- Low blood pressure
- Reduced left ventricular ejection fraction
Show 24 more traits
- Restrictive cardiomyopathy
- Right atrial enlargement
- Abnormal left ventricular function
- Left ventricular systolic dysfunction
- Stretched and thinned heart muscle
- Abnormal heart rate
- Angina pectoris
- Cardiac failure
- Interstitial cardiac fibrosis
- Left atrial enlargement
- Pulmonary venous hypertension
- Sudden cardiac death
- Ventricular septal hypertrophy
- Complete right bundle branch block
- Incomplete right bundle branch block
- Left ventricular hypertrophy
- Mitral regurgitation
- Prolonged QT interval
- Quivering upper heart chambers resulting in irregular heartbeat
- Sinus bradycardia
- Supraventricular arrhythmia
- Tricuspid regurgitation
- Fainting spell
- Stroke
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.). TNNT2 gene: troponin T2, cardiac type. Retrieved 16 October 2026, from https://dantelabs.com/genes/tnnt2
Dante Labs. TNNT2 gene: troponin T2, cardiac type [Internet]. [cited 16 October 2026]. Available from: https://dantelabs.com/genes/tnnt2
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