Target intelligence / Profile preview

Multi-antigen peptide-MHC complexes (MAGE-A3, MAGE-A4, Survivin, HER2, COX-2, CAIX) (MultiTAA pMHC (RCC))

Target
MultiTAA pMHC (RCC)
Molecular classification
Peptide-MHC complex, Receptor, Other
01

Overview

This target consists of a specific set of six tumor-associated antigen (TAA) peptides—Melanoma-associated antigen A3 (MAGE-A3), Melanoma-associated antigen A4 (MAGE-A4), Survivin (BIRC5), Human epidermal growth factor receptor 2 (HER2/neu), Cyclooxygenase-2 (COX-2/PTGS2), and Carbonic anhydrase IX (CAIX/G250)—presented on the surface of tumor cells by Major Histocompatibility Complex (MHC) molecules. These peptide-MHC (pMHC) complexes are primarily found on renal cell carcinoma (RCC) cells and serve as the recognition site for multi-antigen-targeted T-cell therapies. Unlike chimeric antigen receptor (CAR) T cells that target surface proteins, these T cells utilize their natural T-cell receptors (TCRs) to recognize intracellularly derived peptides presented on the cell surface. By targeting multiple antigens simultaneously, the therapy aims to overcome tumor heterogeneity and prevent immune escape through antigen loss. Clinical development of T-cell products targeting this specific pMHC profile has been led by the Center for Cell and Gene Therapy at Baylor College of Medicine and Marker Therapeutics, notably in the NCT03308942 clinical trial for patients with renal cell carcinoma.

Other names
Multi-tumor-associated antigen peptide-MHC complexesMultiTAA complexesTAA-pMHC complexesMAGE-A3/A4/Survivin/HER2/COX-2/CAIX pMHCTumor-associated antigen-specific T-cell targets
02

Biological functions

Antigen presentationImmune recognitionImmune response
03

Disease associations

CancerRenal cell carcinoma
04

Safety considerations

Off-target toxicityCytokine release syndrome (low risk for non-engineered T cells)Antigen loss/immune escapeOn-target off-tumor toxicity (if antigens are expressed in normal tissues)
05

Interacting drugs

MultiTAA-specific T cells (Marker Therapeutics)

1 more in the full profile.

06

Biomarkers

HLA-A*02MAGE-A3 expressionMAGE-A4 expressionSurvivin expressionHER2 expressionCOX-2 expressionCAIX expression

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