Target intelligence / Profile preview

Telomerase reverse transcriptase (TERT) peptide-MHC complex (TERT-pMHC)

Target
TERT-pMHC
Molecular classification
Peptide-MHC complex, Tumor-associated antigen, Other
01

Overview

Telomerase reverse transcriptase (TERT) is the catalytic subunit of the telomerase enzyme, which maintains telomere length and is upregulated in approximately 85-90% of all human cancers (Source: National Cancer Institute). TERT-derived T-cell epitopes are peptide fragments presented on the cell surface by Major Histocompatibility Complex (MHC) molecules, acting as targets for T-cell mediated immunity (Source: PubMed, PMID: 28633324). These epitopes are considered universal tumor-associated antigens because of their widespread expression in malignancies and limited presence in normal somatic tissues, primarily restricted to germ cells and stem cells (Source: UniProt, O14746). Therapeutic interventions such as the GV1001 and UV1 vaccines aim to stimulate the immune system to recognize these specific peptide-MHC complexes to eliminate cancer cells (Source: ClinicalTrials.gov, NCT03538314). Additionally, TCR-engineered T-cell therapies are being developed to provide high-affinity recognition of TERT epitopes presented by HLA-A*02:01 (Source: PubMed, PMID: 31515461). The essential role of TERT in maintaining cancer cell immortality makes these epitopes resilient targets against immune escape through antigen loss.

Other names
hTERT-derived T-cell epitopeshTERT peptide-HLA complexTelomerase-derived epitopeshTERT-MHChTERT 540-548hTERT 611-626
02

Mechanism of action

Induction of T-cell mediated cytotoxicity through the recognition of TERT peptides presented on MHC molecules. Vaccines (peptide, DNA, or dendritic cell-based) prime the immune system to recognize these epitopes, while TCR-engineered T cells are modified to bind them directly. Upon recognition, T cells release cytotoxic factors like granzymes and perforins to induce apoptosis in the target cancer cell (Source: PubMed, PMID: 30206110).

03

Biological functions

Immune responseAntigen presentationT-cell activation
04

Disease associations

Cancer
05

Safety considerations

Potential on-target off-tumor toxicity to telomerase-positive stem cells (Source: PubMed, PMID: 25214080)Immune evasion via MHC downregulationCytokine release syndrome in TCR-T therapies
06

Interacting drugs

GV1001

4 more in the full profile.

07

Biomarkers

hTERT expressionHLA-A*02:01 genotypeTelomerase activityTERT-specific T-cell frequency

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