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Human telomerase reverse transcriptase (hTERT) 540-548 peptide-HLA-A*0201 complex (hTERT 540-548/HLA-A*0201)

Target
hTERT 540-548/HLA-A*0201
Molecular classification
Peptide-MHC complex, Tumor-associated antigen
01

Overview

Human telomerase reverse transcriptase (hTERT) is the catalytic subunit of the telomerase enzyme, which maintains telomere length and is essential for the replicative immortality of cancer cells (UniProt: O14746). While hTERT is largely absent in normal somatic cells, it is overexpressed in over 85% of human cancers, making it a highly attractive target for immunotherapy (PubMed: 10411962). The 540-548 epitope (sequence: ILAKFLHWL) is a specific peptide fragment presented by the HLA-A*0201 molecule, which is the most common MHC class I allele in many populations. This peptide-MHC complex is targeted by therapeutic vaccines like VX-001, which uses an optimized variant to stimulate a robust cytotoxic T-lymphocyte response against tumor cells (ClinicalTrials.gov: NCT00353288). Because hTERT is also expressed at low levels in certain normal regenerative tissues, such as hematopoietic stem cells, monitoring for potential off-tumor effects is a key safety consideration in clinical development (PubMed: 25103444).

Other names
hTERT (540-548)ILAKFLHWL peptideTERT 540-548hTERT-540hTERT:540-548/HLA-A*0201
02

Mechanism of action

Induction or provision of cytotoxic T lymphocytes (CTLs) that specifically recognize the hTERT 540-548 peptide presented by HLA-A*0201, leading to the targeted lysis of telomerase-positive tumor cells (PubMed: 10411962).

03

Biological functions

Antigen presentationImmune responseTelomere maintenance (UniProt: O14746)
04

Disease associations

CancerSolid tumorHematological malignancy
05

Safety considerations

On-target off-tumor toxicity to hTERT-expressing stem cells (PubMed: 25103444)Potential for bone marrow suppressionGastrointestinal toxicity
06

Interacting drugs

VX-001 (ClinicalTrials.gov: NCT00353288)

1 more in the full profile.

07

Biomarkers

HLA-A*0201 genotypehTERT expression (PubMed: 10411962)IFN-gamma ELISPOT response (ClinicalTrials.gov: NCT00353288)

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