Target intelligence / Profile preview

Wilms' tumor protein 1-derived tumor-associated peptide antigens (WT1 peptides)

Target
WT1 peptides
Molecular classification
Transcription factor, Other
01

Overview

Wilms' tumor protein 1 (WT1)-derived tumor-associated peptide antigens are short peptide fragments derived from the intracellular WT1 protein, which are processed and presented on the cell surface by Human Leukocyte Antigen (HLA) molecules (Sugiyama, 2010). WT1 is a zinc finger transcription factor that is highly overexpressed in a wide variety of hematological malignancies and solid tumors, including acute myeloid leukemia, myelodysplastic syndromes, and ovarian cancer (Oka et al., 2008). In contrast, its expression in normal adult tissues is restricted to specific sites like the kidney podocytes, gonads, and hematopoietic stem cells, making it a highly selective target (Nishida et al., 2022). These peptide-HLA complexes serve as critical targets for cancer immunotherapies, such as peptide vaccines, dendritic cell vaccines, and T-cell receptor (TCR)-engineered T-cell therapies (Oka et al., 2002). By targeting these antigens, the immune system can be trained to specifically recognize and destroy WT1-expressing malignant cells through the activation of cytotoxic T lymphocytes (CTLs) and helper T cells (Sugiyama, 2010). Due to its high immunogenicity and essential role in maintaining the oncogenic phenotype, WT1 has been ranked as the top priority cancer antigen for immunotherapy development (Cheever et al., 2009). Clinical trials have demonstrated that vaccines targeting these peptides, such as Galinpepimut-S, can induce robust immune responses and improve clinical outcomes in patients with minimal residual disease (SELLAS Life Sciences, 2024). However, the efficacy of these therapies is often limited by the patient's HLA type, as specific peptides only bind to certain HLA alleles like HLA-A*02:01 or HLA-A*24:02 (Oka et al., 2004).

Other names
WT1 epitopesWT1-derived peptidesWilms' tumor 1-derived peptidesWT1-derived CTL epitopesWT1-derived helper T-cell epitopesWT1-TAA
02

Mechanism of action

Induction of antigen-specific cytotoxic T lymphocytes (CTLs) and helper T cells that recognize and lyse WT1-expressing tumor cells via the T-cell receptor (TCR) interaction with peptide-MHC complexes.

03

Biological functions

Immune responseCell proliferationCell differentiationApoptosis
04

Disease associations

CancerLeukemiaAcute myeloid leukemiaMyelodysplastic syndromeOvarian cancerLung cancerGlioblastomaMesotheliomaMultiple myeloma
05

Safety considerations

HLA restrictionPotential off-target effects on WT1-expressing normal tissues (e.g., kidney podocytes, hematopoietic stem cells)Immune evasion through antigen loss or HLA downregulationInjection site reactionsRare reports of myasthenia gravis-like symptoms
06

Interacting drugs

Galinpepimut-S

6 more in the full profile.

07

Biomarkers

HLA-A*02:01HLA-A*24:02WT1 mRNA expressionWT1 protein expressionWT1-specific T-cell frequency

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