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T-cell receptor recognizing WT1-peptide-MHC complex (TCR recognizing WT1-peptide-MHC (or WT1 TCR; not a standardized abbreviation, but "TCR" is ubiquitous))

Target
TCR recognizing WT1-peptide-MHC (or WT1 TCR; not a standardized abbreviation, but "TCR" is ubiquitous)
Molecular classification
Receptor, T-cell receptor (TCR), Immune checkpoint target, Other (Antigen receptor)
01

Overview

A **T-cell receptor (TCR) recognizing the WT1-peptide-MHC complex** is a heterodimeric, antigen-specific receptor on the surface of cytotoxic or helper T cells that binds specifically to a peptide derived from the Wilms Tumor 1 (WT1) protein, presented in the peptide-binding groove of a major histocompatibility complex (MHC) molecule, most often class I (e.g., HLA-A*02:01)[1][3][6][8]. This tripartite molecular recognition is a central event in adaptive immunity, enabling T cells to detect and respond to cancer cells overexpressing WT1—a tumor-associated antigen found frequently in leukemias and solid tumors[1][4][8]. Engineered TCRs with enhanced affinity for the WT1 peptide-MHC complex, as well as TCR-mimic antibodies and bispecific T cell engagers (e.g., WT1-TCB), have become promising modalities for targeted immunotherapy, but careful attention to specificity is required to avoid harmful autoimmunity due to off-target cross-reactivity or altered MHC/peptide binding properties[1][5][8]. WT1 mRNA levels and HLA typing are important for patient selection and therapy monitoring[8].

Other names
WT1-specific TCRTCR specific for WT1-peptide-HLA complexWT1 T-cell receptorT-cell receptor targeting WT1 peptide-MHC
02

Mechanism of action

Recognition of WT1 peptide bound to MHC class I on the surface of tumor cells triggers T-cell mediated cytotoxicity or immune-modulatory signaling[1][3][8]. TCR-mimic antibodies and bispecific antibodies cross-link T cells with WT1-presenting tumor cells to induce targeted cell killing[8].

03

Biological functions

Immune responseAntigen recognitionSignal transduction (T-cell activation)Tumor cell recognition and lysis
04

Disease associations

Cancer (especially acute myeloid leukemia and other WT1-expressing tumors)Other (immunotherapy relevance)
05

Safety considerations

Off-target reactivity due to cross-recognition of similar self-peptides (risk for autoimmunity or on-target, off-tumor toxicity)[1][5][8].Peptide variant (e.g., R1Y substitution) may alter immunologic fidelity and cross-reactivity[1].Polymorphism in MHC (HLA) may affect effectiveness and risk for unintended reactivity[1].Immunogenicity of engineered TCRs or TCR-mimic antibodies.
06

Interacting drugs

Engineered TCRs

2 more in the full profile.

07

Biomarkers

WT1 expression in tumor tissue or blood (predicts target presence and therapy eligibility)[8].HLA type, especially HLA-A*02:01 (indicates ability to present WT1 peptides like RMFPNAPYL)[1][8].WT1 mRNA as a marker of minimal residual disease in AML[8].

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