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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 [1]. While hTERT is silenced in most adult somatic tissues, it is overexpressed in approximately 85-90% of all human malignancies, making it a nearly universal tumor-associated antigen [2]. Peptide fragments derived from the hTERT protein are processed intracellularly and presented on the cell surface by Major Histocompatibility Complex (MHC) molecules, also known as Human Leukocyte Antigens (HLA) [3]. These hTERT peptide-MHC complexes serve as specific targets for T-cell receptors (TCRs) on cytotoxic and helper T cells [4]. Therapeutic interventions, such as peptide vaccines (e.g., UV1, GV1001) and TCR-engineered T-cell therapies, aim to exploit this presentation to induce a robust anti-tumor immune response [5]. Because hTERT is critical for tumor cell survival, it is less prone to "antigen loss" compared to other targets, although potential toxicity to hTERT-expressing healthy stem cells remains a therapeutic challenge [6]. Sources: [1] Shay & Wright (2019) Seminars in Cancer Biology; [2] Kim et al. (1994) Science; [3] UniProtKB O14746; [4] Zanetti (2017) Nature Reviews Clinical Oncology; [5] Inderberg et al. (2022) JITC; [6] Buseman et al. (2012) Future Oncology.
Induction of antigen-specific T-cell responses and cytotoxic T-lymphocyte-mediated lysis of hTERT-expressing tumor cells.
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