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The CD8+ T-cell receptor (TCR) recognizing the Nes2LR–MHC class I complex is a specialized immune receptor utilized in the development of adoptive cell therapies for aggressive brain tumors. This TCR specifically targets the Nes2 peptide, a nine-amino acid sequence (ILGNSLQLR) derived from the intermediate filament protein Nestin, which is presented on the cell surface by the HLA-A*02:01 major histocompatibility complex (MHC) class I molecule (Steiner et al., 2014, PMID: 25132698). Nestin is a well-known marker for neural stem cells and is significantly overexpressed in glioblastoma multiforme (GBM) and other high-grade gliomas, while remaining largely absent in mature central nervous system tissues (Dahlstrand et al., 1992, PMID: 1373974). In a therapeutic context, patient-derived T cells are engineered to express this TCR (TCR-T therapy) to selectively recognize and eliminate Nestin-positive malignant cells. Upon engagement with the Nes2–HLA-A*02:01 complex, the TCR initiates a robust cytotoxic response, including the release of perforin and granzymes, leading to tumor cell apoptosis. While this approach offers a precision medicine strategy for glioblastoma, safety challenges include the potential for off-target effects on healthy neural progenitor populations in the subventricular zone and the management of inflammatory responses within the brain.
The TCR specifically binds to the Nes2 peptide (ILGNSLQLR) presented by the HLA-A*02:01 MHC class I molecule on tumor cells, triggering a signaling cascade through the CD3 complex that leads to T-cell activation, cytokine release, and cytotoxic lysis of the target cell.
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