Target intelligence / Profile preview

Wilms tumor protein 1-derived peptides presented on Major Histocompatibility Complex (WT1-MHC complex)

Target
WT1-MHC complex
Molecular classification
Antigen-MHC complex, Tumor-associated antigen
01

Overview

Wilms tumor protein 1 (WT1) is a zinc-finger transcription factor that plays a critical role in cell growth and differentiation (UniProt P19544). While its expression is limited in healthy adult tissues to specific sites like the kidneys and hematopoietic stem cells, it is highly overexpressed in a wide range of hematological malignancies and solid tumors, earning it a top ranking as a priority cancer antigen by the National Cancer Institute (Cheever et al., 2009, Clinical Cancer Research). Intracellular WT1 proteins are degraded by the proteasome into short peptides, which are then transported to the cell surface and presented by Major Histocompatibility Complex (MHC) molecules, specifically Human Leukocyte Antigens (HLA) such as HLA-A*02:01 (PubMed: 10833477). This WT1-MHC complex serves as a crucial target for various immunotherapeutic strategies, including peptide vaccines like Galinpepimut-S, T-cell receptor (TCR) gene-modified T-cells, and TCR-like antibodies (PubMed: 30104343). These therapies aim to exploit the differential expression of WT1 to selectively eliminate cancer cells while sparing most normal tissues, though potential on-target, off-tumor effects on WT1-expressing healthy cells remain a therapeutic challenge (PubMed: 28454154).

Other names
WT1 peptide-HLA complexWilms tumor 1 antigenWT1-derived epitopesWT1 peptide-MHCWT1-HLA-A*02:01 complex
02

Mechanism of action

Recognition of the peptide-MHC complex by engineered T-cell receptors (TCRs) or TCR-like antibodies to trigger cytotoxic T-lymphocyte-mediated lysis of tumor cells (PubMed: 30104343).

03

Biological functions

Immune responseAntigen presentationT-cell activation
04

Disease associations

CancerAcute myeloid leukemiaMyelodysplastic syndromeMesotheliomaOvarian cancerWilms tumor
05

Safety considerations

On-target off-tumor toxicity in kidneys (podocytes) and bone marrow (hematopoietic stem cells)Cytokine release syndrome (CRS)Immune effector cell-associated neurotoxicity syndrome (ICANS)
06

Interacting drugs

Galinpepimut-S

3 more in the full profile.

07

Biomarkers

WT1 mRNA expressionHLA-A*02:01 genotypeHLA-A*24:02 genotype

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