Target intelligence / Profile preview

Wilms tumor protein (WT1) (WT1)

Target
WT1
Molecular classification
Transcription factor, Zinc finger protein
01

Overview

Wilms tumor protein (WT1) is a zinc-finger transcription factor that plays a dual role as both a tumor suppressor and an oncogene depending on the cellular context and specific isoforms. Originally identified in pediatric kidney tumors, it is essential for the normal development of the urogenital system and mesothelial tissues (UniProt P19544). In adult pathologies, WT1 is frequently overexpressed in a wide range of hematological malignancies and solid tumors, where it promotes cell survival, proliferation, and resistance to chemotherapy (PubMed: 25710895). Because WT1 is an intracellular protein, it is not accessible by traditional monoclonal antibodies; instead, it is targeted through immunotherapy approaches that recognize WT1 peptide fragments presented by Major Histocompatibility Complex (MHC) molecules on the cell surface. Current therapeutic strategies include peptide-based vaccines, such as Galinpepimut-S, and adoptive cell therapies using T-cell receptor (TCR) engineered T-cells designed to specifically lyse WT1-expressing tumor cells (NIH/NCI). Its restricted expression in normal adult tissues compared to its high prevalence in cancer makes it one of the top-ranked antigens for cancer immunotherapy development.

Other names
Wilms tumor 1WT33AWT1GUDWAGRWIT-2
02

Mechanism of action

Induction of cytotoxic T-lymphocyte response against WT1-derived peptides presented on HLA molecules; TCR-engineered T-cell recognition of intracellular WT1 fragments.

03

Biological functions

Cell proliferationCell differentiationApoptosisOrgan developmentGene expression regulationEpithelial-mesenchymal transition
04

Disease associations

CancerAcute myeloid leukemiaMyelodysplastic syndromeWilms tumorMesotheliomaOvarian cancerDenys-Drash syndromeFrasier syndrome
05

Safety considerations

On-target off-tumor toxicity (potential damage to kidney podocytes or hematopoietic stem cells)ImmunogenicityCytokine release syndrome (for TCR-T therapies)
06

Interacting drugs

Galinpepimut-S

4 more in the full profile.

07

Biomarkers

WT1 mRNA expression levelsWT1 protein immunohistochemistry (IHC)HLA-A*02:01 genotypeMinimal residual disease (MRD) monitoring

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