TNNT2

gene
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Also known as CMPD2

Summary

TNNT2 (troponin T2, cardiac type, HGNC:11949) is a protein-coding gene on chromosome 1q32.1, encoding Troponin T, cardiac muscle (P45379). Troponin T is the tropomyosin-binding subunit of troponin, the thin filament regulatory complex which confers calcium-sensitivity to striated muscle actomyosin ATPase activity. It is a selective cancer dependency (DepMap: 27.1% of cell lines).

This gene encodes the cardiac isoform of troponin T. The encoded protein is the tropomyosin-binding subunit of the troponin complex, which is located on the thin filament of striated muscles and regulates muscle contraction in response to alterations in intracellular calcium ion concentration. Mutations in this gene have been associated with familial hypertrophic cardiomyopathy as well as with dilated cardiomyopathy.

Source: NCBI Gene 7139 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): dilated cardiomyopathy 1D (Definitive, ClinGen) — +9 more curated relationships
  • GWAS associations: 6
  • Clinical variants (ClinVar): 1,152 total — 14 pathogenic, 32 likely-pathogenic
  • Phenotypes (HPO): 57
  • Druggable target: yes
  • Cancer dependency (DepMap): dependent in 27.1% of screened cell lines
  • Dosage sensitivity (ClinGen): haploinsufficiency no evidence, triplosensitivity no evidence
  • MANE Select transcript: NM_001276345

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:11949
Approved symbolTNNT2
Nametroponin T2, cardiac type
Location1q32.1
Locus typegene with protein product
StatusApproved
AliasesCMPD2
Ensembl geneENSG00000118194
Ensembl biotypeprotein_coding
OMIM191045
Entrez7139

Gene structure

Transcript identifiers

Ensembl transcripts: 41 — 25 protein_coding, 7 retained_intron, 5 protein_coding_CDS_not_defined, 4 nonsense_mediated_decay

ENST00000367318, ENST00000367320, ENST00000367322, ENST00000412633, ENST00000422165, ENST00000438742, ENST00000445079, ENST00000455702, ENST00000460780, ENST00000466570, ENST00000472177, ENST00000475686, ENST00000476888, ENST00000477035, ENST00000491504, ENST00000494095, ENST00000503459, ENST00000509001, ENST00000515042, ENST00000651504, ENST00000656932, ENST00000658476, ENST00000660295, ENST00000662159, ENST00000663843, ENST00000666449, ENST00000714312, ENST00000714313, ENST00000714314, ENST00000714315, ENST00000714316, ENST00000714317, ENST00000961996, ENST00000961997, ENST00000961998, ENST00000961999, ENST00000962000, ENST00000962001, ENST00000962002, ENST00000962003, ENST00000962004

RefSeq mRNA: 13 — MANE Select: NM_001276345 NM_000364, NM_001001430, NM_001001431, NM_001001432, NM_001276345, NM_001276346, NM_001276347, NM_001406723, NM_001406724, NM_001406725, NM_001406726, NM_001406727, NM_001406728

CCDS: CCDS30968, CCDS30969, CCDS60390, CCDS73003

Canonical transcript exons

ENST00000656932 — 17 exons

ExonStartEnd
ENSE00001444197201369816201369845
ENSE00001444204201377623201377680
ENSE00003467518201373214201373268
ENSE00003488921201361279201361369
ENSE00003514510201365610201365670
ENSE00003520322201368162201368227
ENSE00003523427201363296201363406
ENSE00003554410201372027201372041
ENSE00003613333201367771201367806
ENSE00003660777201365191201365307
ENSE00003661906201372145201372155
ENSE00003666033201361913201362022
ENSE00003685555201362386201362394
ENSE00003686160201364298201364375
ENSE00003718704201366838201366871
ENSE00003877901201359623201359663
ENSE00004023534201359014201359255

Expression profiles

Bgee: expression breadth ubiquitous, 154 present calls, max score 99.96.

FANTOM5 (CAGE): breadth broad, TPM avg 57.5413 / max 13317.6984, expressed in 381 samples.

FANTOM5 promoters (15 alternative TSS)

Promoter IDTPM avgSamples expressed
1663756.1636370
166330.361847
166340.296248
166270.111332
166310.109327
166230.090525
166260.080130
166350.057115
166220.050615
166240.050521

Top tissues by expression

244 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
apex of heartUBERON:000209899.96gold quality
right atrium auricular regionUBERON:000663199.95gold quality
cardiac atriumUBERON:000208199.09gold quality
heart left ventricleUBERON:000208498.38gold quality
cardiac ventricleUBERON:000208297.28gold quality
sural nerveUBERON:001548897.12gold quality
heartUBERON:000094894.67gold quality
right frontal lobeUBERON:000281091.72gold quality
tibial nerveUBERON:000132390.90gold quality
lower esophagus mucosaUBERON:003583490.60gold quality
skin of legUBERON:000151190.01gold quality
skin of abdomenUBERON:000141689.70gold quality
Brodmann (1909) area 9UBERON:001354089.70gold quality
anterior cingulate cortexUBERON:000983588.33gold quality
right lungUBERON:000216785.50gold quality
zone of skinUBERON:000001484.65gold quality
dorsolateral prefrontal cortexUBERON:000983484.40gold quality
upper lobe of left lungUBERON:000895283.56gold quality
adult mammalian kidneyUBERON:000008282.65gold quality
gastrocnemiusUBERON:000138882.37gold quality
metanephros cortexUBERON:001053382.21gold quality
prefrontal cortexUBERON:000045181.64gold quality
right coronary arteryUBERON:000162580.81gold quality
upper lobe of lungUBERON:000894880.76gold quality
muscle of legUBERON:000138380.64gold quality
esophagus mucosaUBERON:000246979.93gold quality
neocortexUBERON:000195078.90gold quality
frontal cortexUBERON:000187078.55gold quality
left coronary arteryUBERON:000162677.26gold quality
coronary arteryUBERON:000162176.36gold quality

Single-cell (SCXA)

Detected in 3 experiment(s), a significant marker in 1.

ExperimentMarker?Max mean expression
E-HCAD-10yes18.84
E-MTAB-11268no4885.32
E-ANND-3no0.00

Regulation

Is transcription factor: no

Upstream regulators (CollecTRI, top): ARRB2, GSK3B, HBP1, MEF2A, PARP1, SP1, SP3, TEAD1

miRNA regulators (miRDB)

12 targeting TNNT2, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-9-5P100.0072.282361
HSA-MIR-4455100.0065.481587
HSA-MIR-311999.9271.342390
HSA-MIR-444799.8567.812900
HSA-MIR-447299.5666.081478
HSA-MIR-608199.4866.071446
HSA-MIR-1213299.4768.901341
HSA-MIR-391199.3866.951087
HSA-MIR-94099.3766.142064
HSA-MIR-6808-5P99.3166.232150
HSA-MIR-6893-5P99.3166.252119
HSA-MIR-10398-5P97.1264.941051

Functional genomics

ClinGen dosage: haploinsufficiency 0 (no evidence), triplosensitivity 0 (no evidence). ClinGen Gene Dosage Map DepMap (CRISPR cell-line fitness): dependent in 27.1% of screened cell lines.

Literature-anchored findings (GeneRIF, showing 40)

  • Frataxin and cardiac troponin T gene mutations co-exist in a child with Friedreich ataxia and familial hypertrophic cardiomyopathy. (PMID:11857753)
  • functional slow skeletal muscle troponin T requires a full, non-truncated sequence including the COOH-terminal domain (PMID:12732643)
  • It was concluded that myoglobin levels on admission and TnT at 2 h had the greatest diagnostic rate for myocardial infarction. (PMID:12760310)
  • Data suggest that apoptosis signal-regulating kinase 1 plays an important role in regulation of cardiac contractile function by phosphorylating cardiac troponin T2. (PMID:12819028)
  • effects of Troponin T (TnT) mutants R141W and DeltaK210 on the Ca2+ sensitivity of force development in cardiac fibers and maximal ATPase activity (PMID:12923187)
  • different regions of TnT may contribute to the pathogenesis of TnT-linked Familial hypertrophic cardiomyopathy through different mechanisms (PMID:14722098)
  • TNNT2 deletion allele could be associated with a predisposition to prominent left ventricular hypertrophy (PMID:14986170)
  • Quantitative test is useful for early diagnosis of acute myocardial infarct and as an indicator of its severity. (PMID:15226628)
  • slow skeletal TnT mRNA is readily detectable during early human heart development (PMID:15524170)
  • Role of TnT in muscle physiology and disease. Review. (PMID:15524172)
  • Evidence is shown that the Delta14 mutation of troponin T, as seen in some cases of familial hypertrophic cardiomyopathy, results in stabilization of regulated actin in a more active state. (PMID:15568820)
  • NT-proBNP, cTnT, or cTnI do not have roles in acute ischemic stroke when other risk factors are considered (PMID:15604421)
  • Measurement of the serum levels of cTnT is of clinical importance in evaluating myocardial injury (PMID:15673967)
  • No differences in troponin T or inotropic support levels found in relation to modality of organ donors’ brain death. (PMID:15759546)
  • Cardiac troponin T may have a role in progression of atherosclerosis (PMID:15950076)
  • Troponin T mutations that cause familial hypertrophic cardiomyopathy affect muscle contraction in transgenic mice and reconstituted human cardiac fibers (PMID:16115869)
  • Increases after exercise in athletes (PMID:16338248)
  • infantile case of restrictive cardiomyopathy caused by a de novo mutation of the cardiac troponin T gene. (PMID:16651346)
  • Elevated cardiac troponin T may be an early marker of overall disease severity and a predictor of outcome. (PMID:16716613)
  • at-birth reference values previously established for cTnT and amino-terminal pro-natriuretic peptide (PMID:16776629)
  • In transgenic rats expressing a TnT truncation as models of human familial hypertrophic cardiomyopathy, the force-generating capacity of cycling cross-bridges is impaired, resulting in increased tension-dependent ATP utilization. (PMID:16882671)
  • spectrum of mutations in cardiac hypertrophy patients (PMID:17101185)
  • serum troponin T concentrations were not elevated in healthy professional football players with left ventricular hypertrophy (LVH); this argues against the hypothesis that LVH per se may cause increased cTnT (PMID:17289431)
  • Intact cTnT rapidly disappears from the circulation during the early hours after acute myocardial infarction, but immunoreactive fragments remain present longer. (PMID:17512511)
  • a positive correlation between age and interventricular septal thickness for South African R92W(TNNT2) families (PMID:17612745)
  • validated occurrence of an unusual TG 3’ splice site in intron 1 (PMID:17672918)
  • Troponin T has a role in rat myocardial infarction induced by isoproterenol (PMID:17848144)
  • A single NT-pro BNP and cTnT value at 96 hours after onset of symptoms proved useful for estimation of left ventricular ejection fraction and infarct size. (PMID:17891611)
  • Troponin T mutations have distinct cardiac functional effects in hypertrophic cardiomyopathy patients without hypertrophy. (PMID:18029407)
  • chronic obstructive pulmonary disease patients with elevated cardiac-specific Troponin T during exacerbation are at increased risk of death after discharge. (PMID:18032444)
  • N-terminal pro-B-type natriuretic peptide (NT-pro-BNP) level strongly correlates with left ventricular systolic dysfunction and is associated more strongly with mortality than cTnT level in asymptomatic hemodialysis patients. (PMID:18037101)
  • Review hypothesizes that increased serum cardiac troponin T concentrations during chronic compensated heart failure identify patients likely to need multiple admissions to the hospital for management of acute cardiac decompensation. (PMID:18063145)
  • Elevated Troponin T level is a strong independent predictor of all cause mortality in patients with a renal transplant. (PMID:18065785)
  • Troponin T elevations occurred in all patients undergoing pulmonary vein isolation, to levels at least 20 times the normal concentration, into the range for diagnosis of acute myocardial infarction. (PMID:18174208)
  • There was a significant inverse correlation between cTnT (cardiac troponin T) and echocardiographic markers of myocardial function and stroke volume in preterm infants (PMID:18322550)
  • troponin T is a more specific marker than H-FABP (heart-type fatty acid binding protein) of acute Myocardial Infarct in patients presenting with chest pain (PMID:18460953)
  • Nine distinct mutations, 7 of them in MYH7, 1 in ACTC, and 1 in TNNT2, were found unrelated adult probands with left ventricular noncompaction and no other congenital heart anomalies (PMID:18506004)
  • Baseline elevation of cTn is relatively common among patients with stable coronary artery disease undergoing percutaneous intervention and is an independent prognostic indicator of ischemic complications (PMID:18645057)
  • Sequencing of TNNT2 identified a heterozygous missense mutation resulting in an I79N substitution in familial cardiomyopathy with variable remodeling and restrictive physiology. (PMID:18651846)
  • cTnT may be an aid in risk stratification of continuous ambulatory peritoneal dialysis patients for cardiovascular disease (PMID:18719346)

Cross-species orthologs

6 orthologs

OrganismSymbolGene ID
danio_reriotnnt2aENSDARG00000020610
danio_reriotnnt2bENSDARG00000100694
mus_musculusTnnt2ENSMUSG00000026414
rattus_norvegicusTnnt2ENSRNOG00000033734
drosophila_melanogasterupFBGN0004169
caenorhabditis_elegansWBGENE00006588

Paralogs (2): TNNT1 (ENSG00000105048), TNNT3 (ENSG00000130595)

Protein

Protein identifiers

Troponin T, cardiac muscleP45379 (reviewed: P45379)

Alternative names: Cardiac muscle troponin T

All UniProt accessions (12): A0A499FJM7, A0A590UJV2, A0A590UK21, A0A590UK91, A0A590UKC2, A0AAQ5BHV8, A0AAQ5BHV9, A0AAQ5BHW1, A0AAQ5BHX3, P45379, E7EPN8, E7EPW4

UniProt curated annotations — full annotation on UniProt →

Function. Troponin T is the tropomyosin-binding subunit of troponin, the thin filament regulatory complex which confers calcium-sensitivity to striated muscle actomyosin ATPase activity.

Tissue specificity. Heart. The fetal heart shows a greater expression in the atrium than in the ventricle, while the adult heart shows a greater expression in the ventricle than in the atrium. Isoform 6 predominates in normal adult heart. Isoforms 1, 7 and 8 are expressed in fetal heart. Isoform 7 is also expressed in failing adult heart.

Post-translational modifications. Phosphorylation at Thr-213 by PRKCA induces significant reduction in myofilament calcium sensitivity and actomyosin ATPase activity.

Disease relevance. Cardiomyopathy, familial hypertrophic, 2 (CMH2) [MIM:115195] A hereditary heart disorder characterized by ventricular hypertrophy, which is usually asymmetric and often involves the interventricular septum. The symptoms include dyspnea, syncope, collapse, palpitations, and chest pain. They can be readily provoked by exercise. The disorder has inter- and intrafamilial variability ranging from benign to malignant forms with high risk of cardiac failure and sudden cardiac death. The disease is caused by variants affecting the gene represented in this entry. Cardiomyopathy, dilated, 1D (CMD1D) [MIM:601494] A disorder characterized by ventricular dilation and impaired systolic function, resulting in congestive heart failure and arrhythmia. Patients are at risk of premature death. The disease is caused by variants affecting the gene represented in this entry. Cardiomyopathy, familial restrictive 3 (RCM3) [MIM:612422] A heart disorder characterized by impaired filling of the ventricles with reduced diastolic volume, in the presence of normal or near normal wall thickness and systolic function. The disease is caused by variants affecting the gene represented in this entry.

Similarity. Belongs to the troponin T family.

Isoforms (12)

UniProt IDNamesCanonical?
P45379-11, TNT1yes
P45379-22
P45379-33
P45379-44
P45379-55
P45379-66, TNT3
P45379-77, TNT4
P45379-88, TNT2
P45379-99
P45379-1010
P45379-1111
P45379-1212

RefSeq proteins (13): NP_000355, NP_001001430, NP_001001431, NP_001001432, NP_001263274, NP_001263275, NP_001263276, NP_001393652, NP_001393653, NP_001393654, NP_001393655, NP_001393656, NP_001393657 (=MANE)

Domains & families (InterPro)

IDNameType
IPR001978TroponinFamily
IPR027707TNNTFamily
IPR038077Troponin_sfHomologous_superfamily

Pfam: PF00992

UniProt features (55 total): sequence variant 31, splice variant 8, modified residue 6, compositionally biased region 3, region of interest 2, helix 2, initiator methionine 1, chain 1, sequence conflict 1

Structure

Experimental structures (PDB)

25 structures.

PDBMethodResolution (Å)
4Y99X-RAY DIFFRACTION2
1J1DX-RAY DIFFRACTION2.61
8FMOX-RAY DIFFRACTION2.61
8FMTX-RAY DIFFRACTION2.8
8FMNX-RAY DIFFRACTION3.1
8FMMX-RAY DIFFRACTION3.11
8FMRX-RAY DIFFRACTION3.24
8FMPX-RAY DIFFRACTION3.24
8FMQX-RAY DIFFRACTION3.25
1J1EX-RAY DIFFRACTION3.3
8FMSX-RAY DIFFRACTION3.44
6KN8ELECTRON MICROSCOPY4.8
7UTIELECTRON MICROSCOPY4.8
9MOWELECTRON MICROSCOPY4.9
9MOPELECTRON MICROSCOPY5
9MOOELECTRON MICROSCOPY5.2
9MOXELECTRON MICROSCOPY5.2
9MOAELECTRON MICROSCOPY5.4
9MOBELECTRON MICROSCOPY5.5
9MO9ELECTRON MICROSCOPY5.6
9MOCELECTRON MICROSCOPY5.6
9MOUELECTRON MICROSCOPY5.6
9MODELECTRON MICROSCOPY5.7
6KN7ELECTRON MICROSCOPY6.6
7UTLELECTRON MICROSCOPY6.6

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P45379-F178.930.44

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Post-translational modifications (6): 208, 213, 294, 2, 2, 204

Function

Pathways and Gene Ontology

Reactome pathways

1 pathways

IDPathway
R-HSA-390522Striated Muscle Contraction

MSigDB gene sets: 323 (showing top): GOBP_CARDIAC_CHAMBER_DEVELOPMENT, GOBP_MUSCLE_TISSUE_DEVELOPMENT, GOBP_CIRCULATORY_SYSTEM_PROCESS, GOBP_CARDIAC_CHAMBER_MORPHOGENESIS, GOBP_NEGATIVE_REGULATION_OF_ATP_DEPENDENT_ACTIVITY, GRAESSMANN_RESPONSE_TO_MC_AND_SERUM_DEPRIVATION_DN, GOBP_STRIATED_MUSCLE_CELL_DIFFERENTIATION, AP4_Q6, MEF2_02, GOBP_SARCOMERE_ORGANIZATION, CAGCTG_AP4_Q5, GNF2_MYL3, GOBP_RESPONSE_TO_METAL_ION, SENESE_HDAC1_AND_HDAC2_TARGETS_DN, GOBP_ANIMAL_ORGAN_MORPHOGENESIS

GO Biological Process (10): regulation of muscle contraction (GO:0006937), regulation of heart contraction (GO:0008016), muscle filament sliding (GO:0030049), negative regulation of ATP-dependent activity (GO:0032780), positive regulation of ATP-dependent activity (GO:0032781), sarcomere organization (GO:0045214), response to calcium ion (GO:0051592), ventricular cardiac muscle tissue morphogenesis (GO:0055010), cardiac muscle contraction (GO:0060048), striated muscle contraction (GO:0006941)

GO Molecular Function (7): actin binding (GO:0003779), tropomyosin binding (GO:0005523), troponin C binding (GO:0030172), troponin I binding (GO:0031013), identical protein binding (GO:0042802), microfilament motor activity (GO:0000146), protein binding (GO:0005515)

GO Cellular Component (6): cytosol (GO:0005829), troponin complex (GO:0005861), striated muscle thin filament (GO:0005865), sarcomere (GO:0030017), cardiac myofibril (GO:0097512), cardiac Troponin complex (GO:1990584)

Reactome top-level categories

Rollup of top-1 pathways:

CategoryPathways
Muscle contraction1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
cytoskeletal protein binding4
muscle contraction3
ATP-dependent activity3
heart contraction2
regulation of ATP-dependent activity2
cellular anatomical structure2
myofibril2
regulation of muscle system process1
regulation of blood circulation1
actin-myosin filament sliding1
negative regulation of molecular function1
positive regulation of molecular function1
myofibril assembly1
actomyosin structure organization1
response to metal ion1
cardiac ventricle morphogenesis1
ventricular cardiac muscle tissue development1
cardiac muscle tissue morphogenesis1
striated muscle contraction1
protein binding1
cytoskeletal motor activity1
polypeptide conformation or assembly isomerase activity1
binding1
cytoplasm1
striated muscle thin filament1
protein-containing complex1
actin cytoskeleton1
sarcomere1
myofilament1
troponin complex1

Protein interactions and networks

STRING

1919 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
TNNT2TNNI3P19429999
TNNT2MYBPC3Q14896972
TNNT2TPM1P09493969
TNNT2MYH7P12883957
TNNT2ACTC1P04270943
TNNT2TNNC1P02590916
TNNT2TNNI1P19237909
TNNT2NKX2-5P52952903
TNNT2MYH6P13533900
TNNT2MYL3P08590886
TNNT2MYL2P10916877
TNNT2ACTN2P35609866
TNNT2LDB3O75112857
TNNT2TNNI2P48788856
TNNT2CELF2O95319849

IntAct

7 interactions, top by confidence:

ABTypeScore
TNNC1TNNI3psi-mi:“MI:0915”(physical association)0.670
TNNT2MORF4L2psi-mi:“MI:0915”(physical association)0.560
TNNT2KDM1Apsi-mi:“MI:0915”(physical association)0.370

BioGRID (18): MORF4L2 (Two-hybrid), TNNT2 (Reconstituted Complex), TNNT2 (Biochemical Activity), TNNT2 (Reconstituted Complex), TNNT2 (Two-hybrid), TNNT2 (Two-hybrid), TNNT2 (Two-hybrid), TNNT2 (Two-hybrid), TNNT2 (Two-hybrid), TNNI1 (Two-hybrid), MORF4L1 (Two-hybrid), TRIM69 (Two-hybrid), TNNT2 (Reconstituted Complex), TNNT2 (Reconstituted Complex), TNNT2 (Two-hybrid)

ESM2 similar proteins: A4IFB1, A5D7A0, O88346, P02641, P02642, P02646, P06398, P08057, P09739, P09741, P12620, P13789, P13805, P19351, P19429, P23693, P45378, P45379, P48787, P50751, P50752, P50753, P50754, P68246, P68247, P92948, Q13435, Q27371, Q28HN4, Q2KIT1, Q2TBV6, Q39604, Q3UJB0, Q4FZY0, Q5PYI0, Q6DD17, Q75NG9, Q75ZZ6, Q7TNB2, Q863B6

Diamond homologs: O88346, P02641, P02642, P06398, P09739, P09741, P12620, P13789, P13805, P19351, P45378, P45379, P50751, P50752, P50753, Q75NG9, Q75ZZ6, Q7TNB2, Q8MKH6, Q8MKI3, Q9QZ47, Q9XZ71, Q27371

SIGNOR signaling

2 interactions.

AEffectBMechanism
“MYOD1/SWI/SNF complex”“up-regulates quantity by expression”TNNT2“transcriptional regulation”
CELF4“up-regulates quantity”TNNT2“post transcriptional regulation”

Disease & clinical

Clinical variants and AI predictions

ClinVar

1152 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic14
Likely pathogenic32
Uncertain significance514
Likely benign360
Benign63

Top pathogenic / likely-pathogenic (30)

Variant IDHGVSClassification
12408NM_001276345.2(TNNT2):c.266T>A (p.Ile89Asn)Pathogenic
12412NM_001276345.2(TNNT2):c.358T>A (p.Phe120Ile)Pathogenic
12416NM_001276345.2(TNNT2):c.644G>T (p.Arg215Leu)Pathogenic
181639NM_001276345.2(TNNT2):c.844dup (p.Gln282fs)Pathogenic
181641NM_001276345.2(TNNT2):c.269C>T (p.Pro90Leu)Pathogenic
2100789NM_001276345.2(TNNT2):c.321G>C (p.Lys107Asn)Pathogenic
228409NM_001276345.2(TNNT2):c.547C>T (p.Arg183Trp)Pathogenic
235063NM_001276345.2(TNNT2):c.305G>T (p.Arg102Leu)Pathogenic
2500774NM_001276345.2(TNNT2):c.310C>A (p.Arg104Ser)Pathogenic
3753583NM_001276345.2(TNNT2):c.291T>G (p.Phe97Leu)Pathogenic
431937NM_001276345.2(TNNT2):c.847A>G (p.Lys283Glu)Pathogenic
43637NM_001276345.2(TNNT2):c.422G>A (p.Arg141Gln)Pathogenic
684850NM_001276345.2(TNNT2):c.328_333del (p.Asn110_Glu111del)Pathogenic
691967NM_001276345.2(TNNT2):c.548G>T (p.Arg183Leu)Pathogenic
1319259NM_001276345.2(TNNT2):c.499G>C (p.Ala167Pro)Likely pathogenic
1435754NM_001276345.2(TNNT2):c.283G>A (p.Val95Met)Likely pathogenic
1699339NM_001276345.2(TNNT2):c.299T>A (p.Ile100Asn)Likely pathogenic
1701922NM_001276345.2(TNNT2):c.68-2A>GLikely pathogenic
177636NM_001276345.2(TNNT2):c.890G>A (p.Trp297Ter)Likely pathogenic
177855NM_001276345.2(TNNT2):c.837C>A (p.Asn279Lys)Likely pathogenic
181622NM_001276345.2(TNNT2):c.526A>G (p.Arg176Gly)Likely pathogenic
2115456NM_001276345.2(TNNT2):c.445C>G (p.Arg149Gly)Likely pathogenic
217496NM_001276345.2(TNNT2):c.662T>C (p.Ile221Thr)Likely pathogenic
2202921NM_001276345.2(TNNT2):c.290T>A (p.Phe97Tyr)Likely pathogenic
235064NM_001276345.2(TNNT2):c.358T>C (p.Phe120Leu)Likely pathogenic
2444397NM_001276345.2(TNNT2):c.609+2T>ALikely pathogenic
2505116NM_001276345.2(TNNT2):c.652A>G (p.Lys218Glu)Likely pathogenic
2505127NM_001276345.2(TNNT2):c.630G>C (p.Lys210Asn)Likely pathogenic
2942386NM_001276345.2(TNNT2):c.304C>G (p.Arg102Gly)Likely pathogenic
3337677NM_001276345.2(TNNT2):c.452G>T (p.Arg151Leu)Likely pathogenic

SpliceAI

2734 predictions. Top by Δscore:

VariantEffectΔscore
1:201359621:A:ACdonor_gain1.0000
1:201359622:C:CCdonor_gain1.0000
1:201359622:CA:Cdonor_gain1.0000
1:201361365:TCTCC:Tacceptor_gain1.0000
1:201361366:CTCC:Cacceptor_gain1.0000
1:201361366:CTCCC:Cacceptor_gain1.0000
1:201361367:TCC:Tacceptor_gain1.0000
1:201361367:TCCCT:Tacceptor_gain1.0000
1:201361368:CC:Cacceptor_gain1.0000
1:201361368:CCC:Cacceptor_gain1.0000
1:201361369:CC:Cacceptor_gain1.0000
1:201361369:CCT:Cacceptor_loss1.0000
1:201361370:C:CCacceptor_gain1.0000
1:201361373:C:CTacceptor_gain1.0000
1:201361379:C:CTacceptor_gain1.0000
1:201361380:A:Tacceptor_gain1.0000
1:201361917:G:Cdonor_gain1.0000
1:201361922:T:Cdonor_gain1.0000
1:201361953:T:Adonor_gain1.0000
1:201362019:CTGT:Cacceptor_gain1.0000
1:201362020:TGT:Tacceptor_gain1.0000
1:201362023:C:CCacceptor_gain1.0000
1:201362030:G:Cacceptor_gain1.0000
1:201362030:G:GCacceptor_gain1.0000
1:201362032:G:Cacceptor_gain1.0000
1:201363403:CTTC:Cacceptor_gain1.0000
1:201363404:TTCC:Tacceptor_loss1.0000
1:201363405:TC:Tacceptor_gain1.0000
1:201363405:TCCTG:Tacceptor_loss1.0000
1:201363406:CC:Cacceptor_gain1.0000

AlphaMissense

2004 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
1:201359643:C:AR277S0.999
1:201359643:C:GR277S0.999
1:201359650:C:GR275P0.999
1:201359653:A:GL274P0.999
1:201361310:A:GL260P0.999
1:201361315:G:CF258L0.999
1:201361315:G:TF258L0.999
1:201361317:A:GF258L0.999
1:201361362:C:GA243P0.999
1:201365242:A:CF120L0.999
1:201365242:A:TF120L0.999
1:201365244:A:GF120L0.999
1:201365267:A:GL112S0.999
1:201359644:C:AR277M0.998
1:201359645:T:CR277G0.998
1:201361289:T:GQ267P0.998
1:201361326:C:GA255P0.998
1:201361352:A:GL246P0.998
1:201361916:A:GL239P0.998
1:201361957:C:AR225S0.998
1:201361957:C:GR225S0.998
1:201361978:C:AK218N0.998
1:201361978:C:GK218N0.998
1:201361988:C:GR215P0.998
1:201363344:C:AK184N0.998
1:201363344:C:GK184N0.998
1:201365233:C:AR123S0.998
1:201365233:C:GR123S0.998
1:201365247:G:CH119D0.998
1:201365258:A:GL115P0.998

dbSNP variants (sampled 300 via entrez): RS1000032303 (1:201378389 G>A,T), RS1000291382 (1:201375394 G>A), RS1000341399 (1:201376506 T>TGGGGAGAGGGC), RS1000348301 (1:201376894 A>C,G), RS1000817161 (1:201365165 G>A), RS1000881331 (1:201366137 G>A), RS1000921827 (1:201365419 C>A,T), RS1000975795 (1:201360385 A>G,T), RS1001073027 (1:201377040 G>A), RS1001142745 (1:201371022 C>T), RS1001308898 (1:201371203 G>T), RS1001450913 (1:201376485 A>T), RS1001814242 (1:201368747 T>TAGAA), RS1001962475 (1:201374154 A>G), RS1002280667 (1:201365044 A>G)

Disease associations

OMIM: gene MIM:191045 | disease phenotypes: MIM:115195, MIM:601494, MIM:612422, MIM:192600, MIM:218040, MIM:613172, MIM:115200, MIM:604169, MIM:115197, MIM:613426, MIM:242300, MIM:194200, MIM:613690

GenCC curated gene-disease

DiseaseClassificationInheritance
hypertrophic cardiomyopathy 2DefinitiveAutosomal dominant
dilated cardiomyopathy 1DDefinitiveAutosomal dominant
hypertrophic cardiomyopathy 3DefinitiveAutosomal dominant
cardiomyopathy, familial restrictive, 3StrongAutosomal dominant
familial isolated dilated cardiomyopathySupportiveAutosomal dominant
left ventricular noncompactionSupportiveAutosomal dominant
familial isolated restrictive cardiomyopathySupportiveAutosomal dominant
cardiomyopathyLimitedAutosomal recessive
arrhythmogenic right ventricular cardiomyopathyNo Known Disease RelationshipAutosomal dominant

ClinGen Gene-Disease Validity (3)

Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.

DiseaseClassificationInheritance
dilated cardiomyopathy 1DDefinitiveAD
arrhythmogenic right ventricular cardiomyopathyNo Known Disease RelationshipAD
hypertrophic cardiomyopathyModerateAD

Mondo (24): cardiomyopathy (MONDO:0004994), hypertrophic cardiomyopathy 2 (MONDO:0007266), dilated cardiomyopathy 1D (MONDO:0011095), cardiomyopathy, familial restrictive, 3 (MONDO:0012900), hypertrophic cardiomyopathy (MONDO:0005045), hypertrophic cardiomyopathy 1 (MONDO:0008647), Costello syndrome (MONDO:0009026), dilated cardiomyopathy (MONDO:0005021), familial isolated dilated cardiomyopathy (MONDO:0700335), dilated cardiomyopathy 1DD (MONDO:0013168), myocarditis (MONDO:0004496), familial hypertrophic cardiomyopathy (MONDO:0024573), restrictive cardiomyopathy (MONDO:0005201), familial dilated cardiomyopathy (MONDO:0016333), left ventricular noncompaction (MONDO:0018901)

Orphanet (12): Familial isolated dilated cardiomyopathy (Orphanet:154), Rare cardiomyopathy (Orphanet:167848), Left ventricular noncompaction (Orphanet:54260), Familial isolated restrictive cardiomyopathy (Orphanet:75249), Rare hypertrophic cardiomyopathy (Orphanet:217569), Costello syndrome (Orphanet:3071), Dilated cardiomyopathy (Orphanet:217604), Rare familial disorder with hypertrophic cardiomyopathy (Orphanet:99739), Restrictive cardiomyopathy (Orphanet:217632), Familial dilated cardiomyopathy (Orphanet:217607), NON RARE IN EUROPE: Familial isolated hypertrophic cardiomyopathy (Orphanet:155), NON RARE IN EUROPE: Wolff-Parkinson-White syndrome (Orphanet:907)

HPO phenotypes

57 total (30 of 57 shown, HPO-id order):

HPOTerm
HP:0000006Autosomal dominant inheritance
HP:0000407Sensorineural hearing impairment
HP:0000969Edema
HP:0001279Syncope
HP:0001297Stroke
HP:0001635Congestive heart failure
HP:0001639Hypertrophic cardiomyopathy
HP:0001644Dilated cardiomyopathy
HP:0001645Sudden cardiac death
HP:0001653Mitral regurgitation
HP:0001657Prolonged QT interval
HP:0001681Angina pectoris
HP:0001688Sinus bradycardia
HP:0001712Left ventricular hypertrophy
HP:0001723Restrictive cardiomyopathy
HP:0001727Thromboembolic stroke
HP:0001907Thromboembolism
HP:0002094Dyspnea
HP:0002205Recurrent respiratory infections
HP:0002240Hepatomegaly
HP:0002615Hypotension
HP:0002875Exertional dyspnea
HP:0003198Myopathy
HP:0003457EMG abnormality
HP:0003593Infantile onset
HP:0003596Middle age onset
HP:0003621Juvenile onset
HP:0004942Aortic aneurysm
HP:0005110Atrial fibrillation
HP:0005115Supraventricular arrhythmia

GWAS associations

6 associations (top):

StudyTraitp-value
GCST001776_10Cardiac Troponin-T levels5.000000e-08
GCST002594_18Neurofibrillary tangles9.000000e-06
GCST008163_18Height4.000000e-06
GCST010796_4828Electrocardiogram morphology (amplitude at temporal datapoints)2.000000e-08
GCST010796_4829Electrocardiogram morphology (amplitude at temporal datapoints)3.000000e-08
GCST010796_4830Electrocardiogram morphology (amplitude at temporal datapoints)5.000000e-09

EFO canonical traits (3, from GWAS)

EFO IDTrait name
EFO:0005043cardiac troponin T measurement
EFO:0006797neurofibrillary tangles measurement
EFO:0004327electrocardiography

MeSH disease descriptors (18)

DescriptorNameTree numbers
D019571Arrhythmogenic Right Ventricular DysplasiaC14.240.400.145; C14.280.238.028; C14.280.400.145; C16.131.240.400.145
D009202CardiomyopathiesC14.280.238
D002311Cardiomyopathy, DilatedC14.280.195.160; C14.280.238.070; C16.320.488.750
D002312Cardiomyopathy, HypertrophicC14.280.238.100; C14.280.484.048.750.070.160
D024741Cardiomyopathy, Hypertrophic, FamilialC14.280.238.100.500; C14.280.484.048.750.070.160.500; C16.320.160
D002313Cardiomyopathy, RestrictiveC14.280.238.160
D056685Costello SyndromeC05.660.207.219; C16.131.077.256; C16.320.188
D017490Ichthyosis, LamellarC16.131.831.512.400.410; C16.320.850.400.410; C16.614.492.400.410; C17.800.428.333.250.410; C17.800.804.512.400.410; C17.800.827.400.410
D009205MyocarditisC14.280.238.625
D014927Wolff-Parkinson-White SyndromeC14.280.067.780.977; C14.280.123.750.977; C16.131.240.400.980
C563306Cardiomyopathy, Dilated, 1D (supp.)
C567725Cardiomyopathy, Dilated, 1DD (supp.)
C563538Cardiomyopathy, Dilated, 1s (supp.)
C566171Cardiomyopathy, Familial Hypertrophic, 2 (supp.)
C566170Cardiomyopathy, Familial Hypertrophic, 3 (supp.)
C566169Cardiomyopathy, Familial Hypertrophic, 4 (supp.)
C567316Cardiomyopathy, Familial Restrictive, 3 (supp.)
C536231familial dilated cardiomyopathy (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (1): CHEMBL2095202 (PROTEIN COMPLEX)

PharmGKB: 1 entry (VIP=true, CPIC=false)

ChEMBL bioactivities

81 potent at pChembl≥5 of 118 total, top 50 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
6.78EC50164.6nMCHEMBL3195681
6.78EC50165.1nMCHEMBL1581326
6.72EC50190.7nMCHEMBL3195851
6.55EC50278.9nMCHEMBL1468444
6.54EC50286.9nMCHEMBL1379673
6.40EC50397nMCHEMBL1477915
6.38EC50413nMCHEMBL1398812
6.30EC50500.5nMCHEMBL1369691
6.29EC50515.8nMCHEMBL1573529
6.25IC50558.1nMPYROGALLOL RED
6.25EC50565.4nMCHEMBL3197404
6.21EC50615.4nMCHEMBL1388372
6.17IC50676.8nMCHEMBL1425538
6.13EC50742nMCHEMBL1604510
6.12EC50760.7nMCHEMBL1550816
6.07EC50852.9nMCHEMBL1725987
6.06EC50869.6nMCHEMBL1586687
5.96EC501101nMCHEMBL1975147
5.95EC501113nMCHEMBL1313968
5.94EC501143nMCHEMBL1429070
5.94EC501137nMCHEMBL1310204
5.92EC501209nMCHEMBL1713654
5.86EC501369nMCHEMBL1501273
5.84EC501438nMCHEMBL1977499
5.83EC501465nMCHEMBL1499258
5.81EC501537nMCHEMBL1542169
5.81EC501548nMCHEMBL1574521
5.80EC501577nMCHEMBL1407632
5.79IC501640nMCHEMBL1563898
5.74IC501819nMCHEMBL1356785
5.74EC501830nMCHEMBL1586067
5.73EC501863nMCHEMBL1971695
5.73EC501878nMCHEMBL1576905
5.70EC501981nMCHEMBL1701437
5.69EC502022nMCHEMBL1466913
5.66EC502177nMCHEMBL1576602
5.65EC502218nMCHEMBL1462008
5.62EC502385nMCHEMBL1540557
5.59EC502576nMCHEMBL1466606
5.59EC502574nMCHEMBL1725983
5.57IC502724nMCHEMBL1362935
5.57EC502706nMCHEMBL1557186
5.56EC502780nMCHEMBL2004884
5.54EC502901nMCHEMBL1547468
5.54EC502918nMCHEMBL1311198
5.50IC503191nMCHEMBL1601846
5.48EC503326nMCHEMBL1596655
5.46IC503446nMCHEMBL1424694
5.44IC503615nMPURPUROGALLIN
5.43EC503734nMCHEMBL1594911

CTD chemical–gene interactions

50 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
bisphenol Aaffects expression, decreases expression2
Doxorubicinaffects expression2
Folic Aciddecreases expression, increases expression2
Phenylmercuric Acetateaffects cotreatment, increases expression2
Tretinoinaffects expression, decreases expression2
Valproic Aciddecreases expression, affects expression2
aristolochic acid Iincreases expression1
FR900359increases phosphorylation1
captaxdecreases expression1
terbufosincreases methylation1
cinnamaldehydedecreases expression1
1,6-hexamethylene diisocyanatedecreases expression1
sulforaphanedecreases expression1
ammonium hexachloroplatinatedecreases expression1
aflatoxin B2increases methylation1
7-aminocephalosporanic aciddecreases expression1
4-aminophenylarsenoxidedecreases reaction, affects binding1
chloropicrindecreases expression1
4-(5-benzo(1,3)dioxol-5-yl-4-pyridin-2-yl-1H-imidazol-2-yl)benzamideaffects cotreatment, increases expression1
dorsomorphinaffects cotreatment, increases expression1
bisphenol Sdecreases expression1
incobotulinumtoxinAdecreases expression1
(+)-JQ1 compoundincreases expression1
bisphenol AFdecreases expression1
Resveratrolincreases expression1
Sunitinibdecreases expression1
Arsenic Trioxideaffects binding, decreases reaction1
Acroleindecreases expression1
Arsenicaffects methylation1
Benzo(a)pyreneaffects methylation, decreases methylation1

ChEMBL screening assays

2 unique, capped per target: 2 binding

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL1738244BindingPUBCHEM_BIOASSAY: Fluorescence-based biochemical high throughput dose response assay for inhibitors of the calcium sensitivity of cardiac Regulated Thin Filaments (RTF). (Class of assay: confirmatory) [Related pubchem assays (depositor defiPubChem BioAssay data set

Cellosaurus cell lines

8 cell lines: 7 induced pluripotent stem cell, 1 cancer cell line

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_A6IYZZUNEUi021-AInduced pluripotent stem cellMale
CVCL_B0W6SYSUi005-AInduced pluripotent stem cellMale
CVCL_C1TIYCMi007-AInduced pluripotent stem cellMale
CVCL_D6NWICSSUi006-AInduced pluripotent stem cellMale
CVCL_E0RRUbigene HeLa TNNT2 KOCancer cell lineFemale
CVCL_RM74UKKi031-AInduced pluripotent stem cellFemale
CVCL_RM75UKKi031-BInduced pluripotent stem cellFemale
CVCL_RM76UKKi031-CInduced pluripotent stem cellFemale

Clinical trials (associated diseases)

300 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT00348530PHASE4UNKNOWNCarvedilol Versus Verapamil in Chronic Heart Failure Secondary to Non-Ischemic Cardiomyopathy
NCT00371891PHASE4COMPLETEDOntario Multidetector Computed Tomographic (MDCT) Coronary Angiography Study (OMCAS)
NCT00401856PHASE4COMPLETEDCMR to Assess Fibrosis in Cardiomyopathy Using Eplerenone
NCT00559338PHASE4COMPLETEDImpact of Nesiritide Infusion for Decompensated Heart Failure in the Emergency Department
NCT00606775PHASE4UNKNOWNThe Preventive Efficacy of Carvedilol on Cardiac Dysfunction in Duchenne Muscular Dystrophy
NCT00658203PHASE4COMPLETEDClinical Evaluation on Advanced Resynchronization
NCT00701220PHASE4COMPLETEDStatin Therapy for Ischemic and Nonischemic Cardiomyopathy
NCT00800761PHASE4COMPLETEDIntensive Combined Chelation Therapy for Iron-Induced Cardiac Disease in Patients With Thalassemia Major
NCT00806390PHASE4TERMINATEDPrevention of Anthracycline or Trastuzumab Induced Cardiomyopathy by Metoprolol
NCT01006473PHASE4COMPLETEDExercise Training in Chagas Cardiomyopathy
NCT01261065PHASE4COMPLETEDMechanisms of Improvement With Beta-Blocker Treatment in Heart Failure
NCT01345188PHASE4COMPLETEDRanolazine in Ischemic Cardiomyopathy
NCT01868841PHASE4COMPLETED123-I mIBG (AdreView) Heart-to-Mediastinal (H/M) Ratio and SPECT Imaging on a Small Field of View-High Efficiency Cardiac SPECT System
NCT02640846PHASE4UNKNOWNEffects of Levosimendan, Milrinone and Norepinephrine on Left and Right Ventricular Function in Septic Shock
NCT03228823PHASE4UNKNOWNProspective Assessment of Premature Ventricular Contractions Suppression in Cardiomyopathy(PAPS)
NCT04323852PHASE4COMPLETEDCan Vitamin D Reduce Heart Muscle Damage After Bypass Surgery?
NCT05034432PHASE4RECRUITINGThe PIVATAL Study -Study of Ventricular Arrhythmia (VTA) Ablation in Left Ventricular Assist Device (LVAD) Patients
NCT05718128PHASE4RECRUITINGClinical Study of Endocardial Myocardial Biopsy
NCT06964464PHASE4RECRUITINGComparative Effectiveness of Carvedilol Versus Metoprolol Succinate in Heart Failure Patients With an Implantable Cardioverter Defibrillator
NCT00170183PHASE3COMPLETEDBrain Natriuretic Peptide (BNP) to Preserve Renal Function in Hospitalized Patients With Heart Failure
NCT00270387PHASE3COMPLETEDA Study of Short-Term Outcomes and Economic Impact For Patients With Worsening Congestive Heart Failure When Natrecor (Nesiritide) is Added to Standard-Care Therapy, Compared to Administration of Placebo With Standard-Care Therapy
NCT00321295PHASE3COMPLETEDBiventricular Pacing In Patients With Left Ventricular Dysfunction After Cardiovascular Surgery
NCT00483197PHASE3UNKNOWNVentrAssistTM LVAD as a Bridge to Cardiac Transplantation - Pivotal Trial
NCT00490321PHASE3UNKNOWNVentrAssistTM LVAD for the Treatment of Advanced Heart Failure - Destination Therapy
NCT00626028PHASE3COMPLETEDComparison of Inhaled Nitric Oxide and Oxygen in Participants Reactivity During Acute Pulmonary Vasodilator Testing
NCT01013714PHASE3UNKNOWNCardiac Sympathetic Denervation for Prevention of Ventricular Tachyarrhythmias
NCT01217827PHASE3COMPLETEDImplantable Cardioverter-Defibrillator Use in the VA System
NCT01648634PHASE3COMPLETEDNebivolol for the Prevention of Left Ventricular Systolic Dysfunction in Patients With Duchenne Muscular Dystrophy
NCT02924285PHASE3COMPLETEDCatheter Ablation Versus Amiodarone for Therapy of Premature Ventricular Contractions in Patients With Structural Heart Disease
NCT03860935PHASE3COMPLETEDEfficacy and Safety of AG10 in Subjects With Transthyretin Amyloid Cardiomyopathy
NCT04166331PHASE3COMPLETEDAdjunctive DobutAmine in sePtic Cardiomyopathy With Tissue Hypoperfusion
NCT05175066PHASE3COMPLETEDBisoprolol Administration to Prevent Anthracycline-induced Cardiotoxicity
NCT05237323PHASE3COMPLETEDMicophenolate Mofetil Versus Azathioprine in Myocarditis
NCT06158698PHASE3RECRUITINGCMP-MYTHiC Trial and Registry - CardioMyoPathy With MYocarditis THerapy With Colchicine
NCT06563895PHASE3RECRUITINGAcoramidis Transthyretin Amyloidosis Prevention Trial in the Young (ACT-EARLY) Study in Asymptomatic Carriers of a Pathogenic TTR Variant
NCT06846086PHASE3RECRUITINGCardioprotective Effects of Melatonin in Patients With Cardiomyopathy
NCT07116473PHASE3NOT_YET_RECRUITINGTo Evaluate the Long-term Safety and Tolerability of Acoramidis in Participants With Newly Diagnosed ATTR-CM (ACT-EARLY OLE)
NCT00185250PHASE2COMPLETEDBetaferon/ Betaseron (Interferon Beta-1b) in Patients With Chronic Viral Cardiomyopathy
NCT00490347PHASE2COMPLETEDVentrAssistTM LVAD as a Bridge to Cardiac Transplantation - Feasibility Trial
NCT00694161PHASE2COMPLETEDThe Effects Of Fx-1006A On Transthyretin Stabilization And Clinical Outcome Measures In Patients With V122I Or Wild-Type TTR Amyloid Cardiomyopathy