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Epidermal growth factor receptor mutation-derived tumor-associated antigen (EGFR-mutant TAA)

Target
EGFR-mutant TAA
Molecular classification
Receptor tyrosine kinase, Tumor-associated antigen, Neoantigen
01

Overview

Epidermal growth factor receptor (EGFR) mutation-derived tumor-associated antigens are specific protein variants resulting from somatic mutations in the EGFR gene that are uniquely or preferentially expressed by cancer cells. The most prominent example is EGFRvIII, a tumor-specific deletion mutant common in glioblastoma that creates a novel immunogenic junctional epitope not found in healthy tissues (Source: NIH, PubMed). Other neoantigens arise from point mutations like L858R or T790M in non-small cell lung cancer, which can be processed and presented by HLA molecules to trigger T-cell responses (Source: Nature Communications). These antigens serve as highly specific targets for immunotherapy, including therapeutic vaccines, CAR-T cells, and TCR-engineered T-cells, aiming to eliminate malignant cells while sparing normal cells expressing wild-type EGFR. In addition to their role as immunological targets, these mutated proteins often drive constitutive, ligand-independent signaling that promotes tumor growth and survival, making them dual targets for both immunotherapy and small-molecule kinase inhibitors (Source: Journal of Hematology & Oncology).

Other names
EGFR neoantigenMutated EGFR antigenEGFRvIIIEGFR L858R neoantigenEGFR T790M neoantigenTumor-specific EGFR variant
02

Mechanism of action

Induction of tumor-specific immune response, T-cell mediated cytotoxicity, Inhibition of oncogenic tyrosine kinase signaling, Antibody-dependent cellular cytotoxicity (ADCC)

03

Biological functions

Signal transductionCell proliferationCell survivalImmune recognitionOncogenic signaling
04

Disease associations

CancerGlioblastoma multiformeNon-small cell lung cancerHead and neck squamous cell carcinoma
05

Safety considerations

Antigen escape (downregulation of the mutant protein)On-target off-tumor toxicity (if cross-reactivity with wild-type EGFR occurs)Cytokine release syndrome (for CAR-T therapies)Immune checkpoint upregulation
06

Interacting drugs

Rindopepimut

6 more in the full profile.

07

Biomarkers

EGFRvIII mutation statusEGFR L858R mutationEGFR T790M mutationHLA-A*02:01 genotypeEGFR exon 20 insertion

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