Target intelligence / Profile preview

Melanoma-associated antigen 1-specific T cell receptor (MAGE-A1 TCR)

Target
MAGE-A1 TCR
Molecular classification
T cell receptor, Antigen-specific receptor, Immune cell receptor
01

Overview

Melanoma-associated antigen 1 (MAGE-A1) is a member of the cancer-testis antigen (CTA) family, characterized by its expression in various malignant tumors while remaining silent in normal adult tissues, except for immune-privileged germ cells in the testis (UniProt P43355; Science, 1991). T cell receptors (TCRs) specific for MAGE-A1 are engineered into adaptive immune cells, such as T cells, to create TCR-T cell therapies that target and eliminate MAGE-A1-expressing cancer cells (ClinicalTrials.gov NCT05419050; Frontiers in Oncology, 2021). These TCRs are designed to recognize specific MAGE-A1 peptide fragments, such as EADPTGHSY, presented by human leukocyte antigen (HLA) molecules, most commonly HLA-A*01:01 (Science, 1991). Upon binding to the peptide-MHC complex, the TCR-T cells undergo activation, proliferate, and release cytotoxic granules and pro-inflammatory cytokines to induce tumor cell death (Frontiers in Oncology, 2021). This therapeutic approach is currently being evaluated in clinical trials for patients with advanced solid tumors, including melanoma and non-small cell lung cancer, where MAGE-A1 serves as a highly specific tumor target (NCT05419050). However, a critical challenge in developing these TCRs is ensuring high specificity to avoid cross-reactivity with other MAGE family members or unrelated proteins in healthy tissues, which could lead to severe off-target toxicities (Blood, 2013).

Other names
MAGE-A1-specific TCRMAGE-A1-targeted T-cell receptorAnti-MAGE-A1 TCRMAGE-A1-specific T-cell receptorMAGE-A1 TCR-T
02

Mechanism of action

Engineered T cells expressing the MAGE-A1-specific TCR recognize the MAGE-A1 peptide-HLA complex (typically HLA-A*01:01) on the surface of tumor cells, triggering T cell activation, expansion, and the release of cytotoxic molecules like granzymes and perforin to induce apoptosis in the target cell (Science, 1991; Frontiers in Oncology, 2021).

03

Biological functions

Immune responseAntigen recognitionCell-mediated cytotoxicityT cell activationCytokine production
04

Disease associations

CancerMelanomaNon-small cell lung cancerMultiple myelomaEsophageal cancerHepatocellular carcinoma
05

Safety considerations

Off-target toxicity due to cross-reactivity with other MAGE family members (Blood, 2013)Cytokine release syndrome (CRS) (ClinicalTrials.gov NCT05419050)Immune effector cell-associated neurotoxicity syndrome (ICANS)On-target off-tumor toxicity (though MAGE-A1 is largely restricted to testis)
06

Interacting drugs

TK-8001

3 more in the full profile.

07

Biomarkers

MAGE-A1 expression (mRNA or IHC) (UniProt P43355)HLA-A*01:01 genotype (Science, 1991)HLA-A*02:01 genotype (depending on TCR clone)Interferon-gamma (IFN-g) release

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