Target intelligence / Profile preview

Mucin 1-specific T-cell receptor (MUC1-specific TCR)

Target
MUC1-specific TCR
Molecular classification
T-cell receptor, Receptor, Antigen-binding receptor
01

Overview

Mucin 1-specific T-cell receptors (MUC1-specific TCRs) are specialized immune receptors engineered into CD4+ and CD8+ T lymphocytes to facilitate the targeted destruction of MUC1-expressing malignant cells. MUC1 is a heavily O-glycosylated transmembrane protein that is overexpressed and loses its apical polarization in over 90% of adenocarcinomas, including breast, pancreatic, and lung cancers, making it a premier target for immunotherapy (Nath & Mukherjee, 2014). These TCRs are designed to recognize MUC1-derived peptides, such as those from the variable number tandem repeat (VNTR) or signal sequence regions, presented by specific Human Leukocyte Antigen (HLA) alleles, most commonly HLA-A*02:01 (Schuster et al., 2021). By utilizing the endogenous T-cell signaling machinery, MUC1-specific TCR-T cells can mount a potent cytotoxic response against tumor cells while potentially offering better penetration into solid tumors compared to traditional antibodies. However, the therapeutic window is narrowed by the expression of MUC1 on the surface of normal secretory epithelial cells, necessitating careful selection of TCR affinity to minimize on-target off-tumor toxicities (Casucci et al., 2013). Current clinical strategies involve the use of these TCRs in adoptive cell transfer (ACT) to treat advanced solid tumors and hematological malignancies like multiple myeloma.

Other names
MUC1-targeted TCRMUC1-specific T-cell receptor complexMucin 1-specific TCR
02

Mechanism of action

Recognition of MUC1-derived peptides presented by Major Histocompatibility Complex (MHC) molecules on the surface of tumor cells, leading to T-cell activation, cytokine production, and targeted lysis of MUC1-expressing cells (Schuster et al., 2021; Nath & Mukherjee, 2014).

03

Biological functions

Immune responseAntigen recognitionT-cell activationCytotoxicity
04

Disease associations

CancerAdenocarcinomaBreast cancerPancreatic cancerLung cancerMultiple myelomaOvarian cancer
05

Safety considerations

On-target off-tumor toxicity due to MUC1 expression in normal ductal epitheliaCytokine Release Syndrome (CRS)Immune Effector Cell-Associated Neurotoxicity Syndrome (ICANS)Potential for HLA-restricted limitations in patient eligibilityAutoimmunity
06

Interacting drugs

VIC-MUC1-001

2 more in the full profile.

07

Biomarkers

MUC1 tumor expression levels (IHC)HLA-A*02:01 genotypeCA 15-3 serum levelsInterferon-gamma (IFN-gamma) releaseT-cell persistence and expansion markers

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