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Mucin 1 (MUC1) is a high-molecular-weight transmembrane glycoprotein that is normally expressed on the apical surface of epithelial cells, where it serves a protective and lubricating role. In many types of adenocarcinoma, MUC1 is significantly overexpressed and loses its polarized distribution, appearing across the entire cell surface. A defining characteristic of tumor-associated MUC1 is the presence of truncated O-glycans, such as the Tn antigen (GalNAc-Ser/Thr), which results from altered glycosyltransferase activity in cancer cells. This specific glycoform, known as Tn-MUC1, presents a unique glycopeptide neoepitope that is highly tumor-specific and largely absent in healthy tissues. Because of this specificity, Tn-MUC1 is a primary target for next-generation cancer immunotherapies, including chimeric antigen receptor (CAR) T-cells and therapeutic vaccines. These treatments aim to selectively eliminate malignant cells while sparing normal epithelium by targeting the structural differences in the protein's carbohydrate coat.
Targeted immunotherapy utilizing monoclonal antibodies, CAR-T cells, or vaccines to recognize the specific Tn-glycopeptide neoepitope, leading to immune-mediated destruction of tumor cells.
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