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T-cell receptor recognizing WT1 peptide–major histocompatibility complex (TCR recognizing WT1 peptide–MHC)

Target
TCR recognizing WT1 peptide–MHC
Molecular classification
Receptor, T-cell receptor (TCR), Immunoglobulin superfamily
01

Overview

The **T-cell receptor recognizing WT1 peptide–major histocompatibility complex (TCR recognizing WT1 peptide–MHC)** is a cell-surface receptor on T lymphocytes that specifically binds a peptide fragment from the Wilms Tumor 1 (WT1) protein presented by a major histocompatibility complex (MHC) molecule, typically HLA-A*02:01, on the surface of tumor cells[1][6][8]. WT1 is overexpressed in a range of hematologic malignancies (such as acute myeloid leukemia) and some solid tumors, making it a prominent tumor-associated antigen for immune targeting[2][8]. TCR engagement with the WT1 peptide–MHC complex triggers T cell activation, leading to immune-mediated destruction of WT1-expressing tumor cells[3][7]. This biology underpins engineered TCR-based cell therapies, peptide vaccines, and TCR-mimic antibody drugs in cancer immunotherapy. Monitoring WT1 expression and HLA genotype are relevant for patient selection and response assessment for such therapies. Safety challenges include potential for off-target effects against healthy tissues presenting similar peptide–MHC complexes and mechanisms of tumor immune escape.

Other names
TCR specific for WT1 peptide–MHC complexWT1-specific T-cell receptorTCR targeting WT1/HLA-A*02:01 complexWT1 peptide–MHC-targeted TCR
02

Mechanism of action

Recognition of WT1-derived peptide presented by MHC molecules on tumor cells by the TCR triggers T cell activation and targeted lysis of tumor cells. TCR-mimic antibodies and bispecific antibodies may bind WT1 peptide–MHC, enabling immune recruitment to the tumor site.

03

Biological functions

Immune responseAntigen recognitionTumor surveillanceSignal transduction
04

Disease associations

Cancer (e.g., leukemia, solid tumors)Immunotherapy targetMinimal residual disease biomarker in leukemia
05

Safety considerations

Off-target toxicity due to TCR or antibody cross-reactivity with similar peptide–MHC complexes in normal tissuesImmunogenicity of engineered TCR or peptide variantsTumor immune escape via loss or downregulation of WT1 or relevant HLA allele
06

Interacting drugs

T-cell therapies: Engineered TCR-T cells targeting WT1 peptide–MHC complex (clinical development)

2 more in the full profile.

07

Biomarkers

WT1 mRNA/protein expression in tumors (for patient selection and minimal residual disease monitoring)HLA-A*02:01 positivity (as specific MHC allele required for target complex formation)

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