TCF4 Gene: Transcription Factor 4 in Pitt-Hopkins Syndrome and Neurodevelopment

Comprehensive biomedical reference for TCF4 (E2-2, ITF2) – gene function, expression, mutations, and associated disorders

Gene Information Card

Symbol TCF4
Full Name Transcription Factor 4
Gene Type Protein coding
Chromosomal Location 18q21.2
NCBI Gene ID 6925 ncbi.nlm.nih.gov/gene/6925
Ensembl ID ENSG00000196628
UniProt ID P15884
OMIM ID 602272
HGNC ID 11634
Aliases E2-2, ITF2, SEF2, TCF-4, bHLHb19, PTHS

Description

TCF4 encodes a basic helix-loop-helix (bHLH) transcription factor that binds to E-box sequences and regulates gene expression critical for neurodevelopment, cell proliferation, and differentiation. Mutations in TCF4 cause Pitt-Hopkins syndrome (PTHS), and common variants are associated with schizophrenia. The protein forms homodimers or heterodimers with other bHLH factors and is widely expressed in the brain and other tissues.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Pitt-Hopkins syndrome (PTHS) Haploinsufficiency due to heterozygous loss-of-function mutations or deletions leads to impaired transcriptional regulation of target genes during neurodevelopment. OMIM #610954; ClinVar pathogenic variants; multiple case reports.
Schizophrenia Common intronic variants (e.g., rs9960767) are associated with increased risk; altered TCF4 expression may disrupt neuronal connectivity. GWAS (Schizophrenia Working Group, Nature 2014); replicated in multiple cohorts.
Intellectual disability De novo missense and truncating mutations cause non-syndromic intellectual disability with or without PTHS features. ClinVar; literature reports (e.g., de Pontual et al., 2009).

Expression Profile

Tissue Expression
Tissue nTPM level
Brain (cerebral cortex) 12.5 Medium
Brain (cerebellum) 10.2 Medium
Lung 8.1 Low
Testis 6.7 Low
Spleen 5.3 Low
Cell Line Expression
Cell Line nTPM Notes
SH-SY5Y (neuroblastoma) 15.3 Neuronal model; high expression
HEK293 (embryonic kidney) 9.8 Moderate expression
HepG2 (hepatocellular carcinoma) 7.2 Low expression
K562 (leukemia) 4.1 Very low expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.1723C>T (p.Arg575*) Nonsense <0.01% Loss of function; truncation; pathogenic in PTHS
c.992G>A (p.Arg331Gln) Missense <0.01% Dominant negative effect; reduced DNA binding; pathogenic
c.1145_1146del (p.Thr382Argfs*19) Frameshift <0.01% Loss of function; premature stop; pathogenic
rs9960767 (intronic) SNP ~10% (allele frequency) Risk allele for schizophrenia; regulatory effect
Mutation functional classification

Loss of Function (LOF)

Nonsense, frameshift, and splice-site mutations leading to haploinsufficiency are the primary cause of Pitt-Hopkins syndrome.

Gain of Function (GOF)

Not well documented; most pathogenic variants are loss-of-function or dominant negative.

Dominant Negative (DN)

Missense mutations in the bHLH domain (e.g., p.Arg331Gln) can interfere with dimerization and DNA binding, exerting a dominant negative effect.

Pathways

• REACT: R-HSA-212436 – Generic Transcription Pathway
• REACT: R-HSA-1989781 – Neurotrophin signaling pathway
• REACT: R-HSA-9006934 – Signaling by Receptor Tyrosine Kinases

Protein Summary

TCF4 (E2-2) is a 667-amino-acid bHLH transcription factor that binds E-box sequences (CANNTG) as a dimer. It contains a basic DNA-binding domain and a helix-loop-helix dimerization domain. The protein is widely expressed, with highest levels in the brain, and regulates genes involved in neurogenesis, synaptic function, and cell cycle. Alternative splicing generates multiple isoforms. Nuclear localization is essential for its transcriptional activity.

Related Products

Product name Cat.No. Species Gene ID
TCF4 Knockout HEK293 Cell Line EDJ-KQ2215 Human 6925 Details Get a Quote
TCF4 Knockout A-549 Cell Line EDJ-KQ22477 Human 6925 Details Get a Quote
TCF4 Knockout HeLa Cell Line EDJ-KQ54623 Human 6925 Details Get a Quote
TCF4 Knockout HCT 116 Cell Line EDJ-KQ71578 Human 6925 Details Get a Quote
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