THOC6 is a WD-repeat subunit of the THO/TREX complex that supports nuclear mRNA biogenesis and is essential for proper mRNA processing in mammalian tissues (PMID:23621916, PMID:38388531). Within TREX, THOC6 is critical for assembly of the higher-order tetramer composed of four six-subunit THO monomers: it physically associates with the THO subunits THOC1 and THOC5 (PMID:30476144), and its loss reduces the binding affinity of ALYREF to THOC5 (PMID:38388531). Rather than impairing bulk nuclear mRNA export, biallelic loss-of-function disrupts TREX tetramer assembly and produces mRNA mis-splicing in neural tissue, defining a processing role distinct from export (PMID:38388531). Disease-associated missense variants (e.g., Gly46Arg, Trp100Arg, Val234Leu, Gly275Asp, Gly190Glu) displace THOC6 from the nucleus to the cytoplasm and disrupt its interactions with THOC1 and THOC5, establishing THOC6 dysfunction as the basis of an inherited intellectual-disability syndrome (TIDS) (PMID:23621916, PMID:30476144, PMID:38388531). In cardiomyocyte models, THOC6 loss reduces proliferation, increases apoptosis, and lowers expression of contractile and structural proteins including type I collagen, cardiac α-actin 1, and β-tubulin, with disrupted sarcomeric organization (PMID:41967792).