Target intelligence / Profile preview

Wilms' tumor 1-derived peptide-MHC complex (WT1-pMHC) (WT1-pMHC)

Target
WT1-pMHC
Molecular classification
Peptide-MHC complex, Antigen, Transcription factor (source protein)
01

Overview

Wilms' tumor 1 (WT1) is a zinc-finger transcription factor that plays a critical role in urogenital development and is highly overexpressed in various hematological malignancies and solid tumors, while maintaining restricted expression in normal adult tissues (UniProt P19544). WT1-derived peptide epitopes are short amino acid sequences resulting from the intracellular proteasomal degradation of the WT1 protein, which are subsequently loaded onto Major Histocompatibility Complex (MHC) Class I and Class II molecules for presentation on the cell surface (PubMed: 15150595). These WT1-pMHC complexes serve as specific targets for the immune system, allowing CD8+ cytotoxic T cells and CD4+ helper T cells to recognize and eliminate malignant cells. Therapeutic strategies targeting these epitopes include peptide-based vaccines, such as Galinpepimut-S, designed to stimulate endogenous immune responses, and adoptive cell therapies like T-cell receptor (TCR) engineered T cells (PubMed: 28811011). Because WT1 was ranked as the top priority antigen for cancer immunotherapy by the National Cancer Institute, these epitopes are central to developing precision oncology treatments for diseases like acute myeloid leukemia and mesothelioma (PubMed: 19723647). The clinical success of these therapies often depends on the patient's specific HLA genotype, as different MHC molecules present different WT1-derived peptides.

Other names
WT1 peptide-HLA complexWilms tumor 1 epitopesWT1-derived MHC ligandsWT1-pMHC
02

Mechanism of action

Induction of cytotoxic T-lymphocyte (CTL) response and helper T-cell response through recognition of peptide-MHC complexes by T-cell receptors (TCRs).

03

Biological functions

Antigen presentationImmune responseT-cell activation
04

Disease associations

Acute myeloid leukemiaMyelodysplastic syndromeMesotheliomaOvarian cancerSolid tumors
05

Safety considerations

On-target off-tumor toxicity (e.g., renal podocytes)Cytokine release syndromeInjection site reactions (for vaccines)
06

Interacting drugs

Galinpepimut-S

3 more in the full profile.

07

Biomarkers

WT1 mRNA expressionHLA-A*02:01 genotypeHLA-A*24:02 genotypeWT1 protein immunohistochemistry

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