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Telomerase reverse transcriptase–derived epitope presented by HLA-A*0201 (hTERT (human telomerase reverse transcriptase) sometimes used, especially when referring to derived epitopes)

Target
hTERT (human telomerase reverse transcriptase) sometimes used, especially when referring to derived epitopes
Molecular classification
Peptide antigen, Tumor-associated antigen, Epitope, Enzyme-derived peptide (from telomerase reverse transcriptase), Major histocompatibility complex class I (MHC I)-presented epitope
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Overview

The telomerase reverse transcriptase–derived epitope presented by HLA-A*0201 is a short peptide sequence, typically 9–10 amino acids, derived from the catalytic subunit of human telomerase (hTERT). This peptide is presented on the surface of cancer cells via HLA-A*0201, a common MHC class I molecule, and can trigger cytotoxic T cell responses against tumor cells. hTERT is expressed in over 85% of human tumors but rarely in normal tissues, making its epitopes appealing targets for cancer immune therapies, most notably peptide-based vaccines. Several hTERT-derived epitopes have been investigated, but not all are efficiently processed and naturally presented; for example, the commonly studied hTERT 540–548 peptide (ILAKFLHWL) is not always detected on cell surfaces in tumor lines, highlighting the need for careful epitope selection. These epitopes aim to stimulate specific immunity and facilitate targeted destruction of tumor cells. The ongoing clinical development is focused on maximizing immunogenicity and minimizing off-target effects.

Other names
hTERT-derived HLA-A*0201 restricted epitopeHLA-A*0201-restricted hTERT peptideTelomerase peptide antigenTERT peptide (when referring to telomerase reverse transcriptase–derived epitopes)Tumor-associated hTERT epitope
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Mechanism of action

Induction of anti-tumor cytotoxic T lymphocyte (CTL) responses via presentation of hTERT epitopes by HLA-A*0201 on tumor cells Enhancement of immune system recognition of cancer cells

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Biological functions

Immune response activation (targets cytotoxic T lymphocyte responses)Tumor recognition by immune cellsCell-mediated immunity enhancement
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Disease associations

Cancer (broadly in disseminated and solid tumors, due to ubiquitous hTERT expression in cancer cells)
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Safety considerations

Potential for autoimmunity if hTERT is expressed in normal cells (generally low risk because normal expression is minimal or absent)Poor natural presentation of some candidate peptides may limit efficacy or result in suboptimal immune activationRisk of immune escape variants
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Interacting drugs

Peptide-based cancer vaccines (e.g., Vx-001 vaccine uses hTERT-derived peptide epitopes)

1 more in the full profile.

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Biomarkers

hTERT expression (as a marker for tumor cells)HLA-A*0201 positivity in patients (determines eligibility for peptide–based vaccine therapy)Immune response (e.g., IFN-γ–producing T cells specific for hTERT epitope)

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