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Melanoma-associated antigen 3-specific T-cell receptor (MAGE-A3 TCR) (MAGE-A3 TCR)

Target
MAGE-A3 TCR
Molecular classification
Receptor, T-cell receptor
01

Overview

The Melanoma-associated antigen 3-specific T-cell receptor (MAGE-A3 TCR) is a specialized immune receptor engineered to recognize and bind to MAGE-A3, a member of the cancer-testis antigen family (UniProt P43357) [3]. MAGE-A3 is an ideal therapeutic target because it is highly expressed in various cancers, such as melanoma and non-small cell lung cancer, but is absent from normal adult tissues except for the immune-privileged testis (NCI Thesaurus) [4]. These TCRs are typically introduced into a patient's CD8+ T-cells via viral vectors to create TCR-engineered T-cell (TCR-T) therapies. Once infused, the MAGE-A3 TCR recognizes specific MAGE-A3 peptide fragments presented by Human Leukocyte Antigen (HLA) molecules on the surface of tumor cells, leading to T-cell activation and the subsequent destruction of the cancer cell (Morgan et al., 2013) [1]. Despite their potential, MAGE-A3 TCRs have been associated with severe safety concerns, including lethal off-target cross-reactivity with the Titin protein in the heart and MAGE-A12 in the brain (Linette et al., 2013) [2]. Consequently, current research focuses on improving the specificity of these receptors to ensure they distinguish between the intended tumor antigen and similar proteins in healthy tissues.

Other names
MAGE-3-specific TCRMAGE-A3-specific CD8+ T-cell receptorAnti-MAGE-A3 TCRMAGE-A3-specific T-cell receptor
02

Mechanism of action

Engineered T-cell receptors recognize the MAGE-A3 peptide-HLA complex on the surface of cancer cells, triggering T-cell activation, cytokine release, and directed lysis of the target cell.

03

Biological functions

Immune responseAntigen recognitionCell-mediated cytotoxicity
04

Disease associations

CancerMelanomaNon-small cell lung cancerMultiple myelomaHead and neck cancer
05

Safety considerations

Off-target toxicity (cross-reactivity with Titin in cardiac tissue)Off-target toxicity (cross-reactivity with MAGE-A12 in the central nervous system)Cytokine release syndrome (CRS)Neurotoxicity
06

Interacting drugs

KITE-718

1 more in the full profile.

07

Biomarkers

MAGE-A3 expressionHLA-A*01:01 genotypeHLA-A*02:01 genotype

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