Target intelligence / Profile preview

New York esophageal squamous cell carcinoma 1 (NY-ESO-1) peptide presented by Human Leukocyte Antigen A*02:01 (HLA-A*02:01) (NY-ESO-1/HLA-A*02:01)

Target
NY-ESO-1/HLA-A*02:01
Molecular classification
Peptide-MHC complex, Cancer-testis antigen (CTA), Tumor-associated antigen
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Overview

New York esophageal squamous cell carcinoma 1 (NY-ESO-1), encoded by the CTAG1B gene, is a prominent cancer-testis antigen (CTA) that is highly immunogenic [1]. In healthy tissues, its expression is restricted to the germ cells of the testis and placenta, which are immune-privileged sites that do not express MHC Class I molecules, thereby preventing autoimmune recognition [2]. However, NY-ESO-1 is aberrantly re-expressed in a variety of malignancies, including synovial sarcoma and melanoma, where it serves as a specific tumor-associated antigen [3]. The specific epitope SLLMWITQC (amino acids 157-165) is processed and presented on the tumor cell surface by the Human Leukocyte Antigen A*02:01 (HLA-A*02:01) allele [4]. This peptide-MHC complex is a major target for adoptive cell therapies, particularly T-cell receptor (TCR) engineered T-cells like afamitresgene autoleucel, which was the first TCR-T therapy to receive FDA approval [5][6]. By targeting this specific complex, therapies can induce a potent and selective anti-tumor immune response while minimizing damage to healthy somatic tissues [7].

Other names
CTAG1BCancer/testis antigen 1BNY-ESO-1:157-165 peptideSLLMWITQC-HLA-A*02:01 complexNY-ESO-1/HLA-A2 complex
02

Mechanism of action

Engineered T-cell receptors (TCRs) or bispecific molecules specifically recognize and bind the NY-ESO-1 SLLMWITQC peptide presented by HLA-A*02:01, leading to T-cell activation, secretion of pro-inflammatory cytokines, and direct cytotoxic lysis of the tumor cell.

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Biological functions

Antigen presentationImmune recognitionT-cell activation
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Disease associations

CancerSynovial sarcomaMelanomaMultiple myelomaNon-small cell lung cancerOvarian cancer
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Safety considerations

Cytokine release syndrome (CRS)Immune effector cell-associated neurotoxicity syndrome (ICANS)On-target off-tumor toxicity (theoretical risk to germ cells)HLA downregulation as an immune escape mechanismCross-reactivity with similar endogenous peptides
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Interacting drugs

Afamitresgene autoleucel (Tecelra)

4 more in the full profile.

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Biomarkers

NY-ESO-1 expression (detected by IHC or RT-PCR)HLA-A*02:01 genotypeSerum NY-ESO-1 antibodies

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