Function
Transthyretin (TTR) is a serum carrier of the thyroid hormone thyroxine (T4) and retinol through its association with retinol-binding protein (RBP). Many small molecules bind to TTR T4-binding site[1], specifically through . For details see Tafamidis and Student Project 2 for UMass Chemistry 423 Spring 2015.
Disease
TTR mutations such as [2] are associated with amyloid deposition[3]. form when the protein misfolds and forms aggregates called plaques. This can happen via genetic mutation or aging. The plaques can cause neuropathy, heart failure and swelling. Tafamidis is a medication which stabilises TTR and is used in treatment of TTR amyloidosis[4]. An RNAi based treatment has also been approved by the FDA.[5].
Structural highlights
[6].
3D structures of transthyretin
Transthyretin 3D structures