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

Target
NY-ESO-1/HLA-A*02
Molecular classification
Peptide-MHC complex, Cancer-testis antigen, MHC Class I
01

Overview

New York esophageal squamous cell carcinoma 1 (NY-ESO-1) is a well-characterized cancer-testis antigen (CTA) encoded by the CTAG1B gene (UniProt P78358). In healthy individuals, its expression is restricted to germ cells in the testis and placenta, which are considered immune-privileged sites due to the lack of MHC Class I expression (Chen et al., 1997, PMID: 9034906). In contrast, NY-ESO-1 is aberrantly expressed in a wide range of tumors, including synovial sarcoma, melanoma, and multiple myeloma, making it a highly specific target for immunotherapy (Gnjatic et al., 2006, PMID: 16551862). The therapeutic target consists of a specific immunodominant peptide (typically the 157-165 sequence, SLLMWITQC) presented by the Human Leukocyte Antigen A*02 (HLA-A*02) on the surface of cancer cells (Jäger et al., 1998, PMID: 9491737). This peptide-MHC complex is recognized by high-affinity T-cell receptors (TCRs), which are utilized in the development of TCR-engineered T-cell (TCR-T) therapies and bispecific T-cell engagers (D'Angelo et al., 2018, PMID: 29531200). These therapeutic approaches, such as the FDA-approved afamitresgene autoleucel, aim to harness the patient's immune system to selectively identify and eliminate NY-ESO-1-positive tumor cells while minimizing damage to healthy tissues (FDA, 2024).

Other names
NY-ESO-1:157-165/HLA-A*02:01CTAG1B peptide/HLA-A*02 complexCancer/testis antigen 1B peptide/HLA-A*02SLLMWITQC/HLA-A*02
02

Mechanism of action

Recognition of the specific peptide-MHC complex by engineered T-cell receptors (TCRs) or bispecific TCR-adapter molecules, leading to T-cell activation, cytokine release, and targeted lysis of NY-ESO-1-expressing tumor cells.

03

Biological functions

Antigen presentationImmune responseT-cell activation
04

Disease associations

CancerSynovial sarcomaMelanomaMultiple myelomaNon-small cell lung cancerOvarian cancer
05

Safety considerations

Cytokine release syndrome (CRS)Immune effector cell-associated neurotoxicity syndrome (ICANS)Off-target cross-reactivity with similar endogenous peptides (e.g., MAGE-A family)On-target off-tumor toxicityProlonged cytopenia
06

Interacting drugs

Afamitresgene autoleucel

4 more in the full profile.

07

Biomarkers

NY-ESO-1 protein expression by immunohistochemistry (IHC)CTAG1B mRNA expression by RT-qPCRHLA-A*02:01 genotype positivity

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