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Human endogenous retrovirus type E peptide CT-RCC-1 is a 10-mer peptide with the sequence ATFLGSLTWK, derived from the envelope gene of a specific human endogenous retrovirus (HERV-E) located on chromosome 6q (Takahashi et al., J. Clin. Invest. 2008; Cherkasova et al., Cancer Res. 2016). This peptide is selectively expressed in clear cell renal cell carcinoma (ccRCC) as a result of epigenetic dysregulation, specifically the inactivation of the von Hippel-Lindau (VHL) tumor suppressor gene, which leads to the stabilization of hypoxia-inducible factors (HIF) that drive HERV-E transcription (Nadal et al., J. Clin. Oncol. 2024; Chen et al., ASCO 2024). Because HERV-E is typically silenced in normal tissues, CT-RCC-1 acts as a highly specific tumor-associated antigen (TAA) (NCI Drug Dictionary). It is presented on the surface of cancer cells by the HLA-A*11:01 major histocompatibility complex (MHC) (Barisic et al., AACR 2021). Therapeutic development focuses on adoptive T-cell therapy, where a patient's T cells are engineered to express a T-cell receptor (TCR) that specifically recognizes the CT-RCC-1/HLA-A11 complex (NCT03354390). Clinical trials have demonstrated that these TCR-T cells can traffic to tumor sites and induce regression in patients with metastatic ccRCC, though challenges remain regarding in vivo persistence and efficacy (Nadal et al., ASCO 2023).
T-cell receptor (TCR) mediated recognition of the CT-RCC-1 peptide presented by HLA-A*11:01 on tumor cells, leading to cytotoxic T-lymphocyte (CTL) activation and tumor cell lysis.
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