Target intelligence / Profile preview

Wilms' tumor 1 peptide (ALLPAVPSL) in complex with HLA-A*02:01 (WT1-ALL/A2)

Target
WT1-ALL/A2
Molecular classification
Peptide-MHC complex, Antigen, Tumor-associated antigen
01

Overview

Wilms' tumor 1 (WT1) is a zinc-finger transcription factor that is highly overexpressed in various hematological malignancies and solid tumors, while its expression in normal adult tissues is restricted to specific sites like the kidney podocytes and hematopoietic stem cells (Rosenfeld et al., 2003, Blood). The WT1-derived peptide ALLPAVPSL (residues 126-134) is a well-characterized immunogenic epitope that is processed and presented on the cell surface by the Human Leukocyte Antigen (HLA)-A*02:01 molecule (Oka et al., 2004, Journal of Clinical Oncology). This peptide-MHC (pMHC) complex serves as a specific target for advanced immunotherapies, including peptide vaccines, T-cell receptor (TCR) engineered T-cells, and TCR-like monoclonal antibodies such as ESK1 (Dao et al., 2013, Science Translational Medicine). These therapeutic approaches aim to exploit the differential expression of WT1 to induce a targeted immune response against cancer cells. Clinical trials have focused on using this target for treating acute myeloid leukemia (AML), myelodysplastic syndromes (MDS), and various solid tumors, with patient selection typically requiring both WT1 expression and HLA-A*02:01 positivity.

Other names
WT1 126-134 peptideALLPAVPSL-HLA-A*02:01 complexWT1-A2Wilms' tumor 1-derived peptide ALLPAVPSLWT1(126) peptide
02

Mechanism of action

T-cell receptor (TCR) mediated recognition of the peptide-MHC complex leading to cytotoxic T-lymphocyte (CTL) activation and tumor cell lysis.

03

Biological functions

Antigen presentationImmune responseT-cell activation
04

Disease associations

CancerAcute myeloid leukemiaMyelodysplastic syndromeSolid tumors
05

Safety considerations

Potential off-target effects in WT1-expressing normal tissues (e.g., podocytes in kidney, hematopoietic stem cells)HLA restriction limiting patient eligibilityImmune escape through HLA downregulation
06

Interacting drugs

Galinpepimut-S

3 more in the full profile.

07

Biomarkers

WT1 mRNA expressionHLA-A*02:01 genotypeWT1 protein immunohistochemistry

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