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Mutant KRAS and NRAS neoantigenic peptides presented by Major Histocompatibility Complex (Mutant RAS-MHC complex)

Target
Mutant RAS-MHC complex
Molecular classification
Neoantigen, Peptide-MHC complex
01

Overview

Mutant KRAS and NRAS neoantigenic peptides presented by the Major Histocompatibility Complex (MHC) are specific protein fragments derived from mutated RAS proteins displayed on the surface of tumor cells. KRAS and NRAS are essential GTPases that regulate intracellular signaling pathways controlling cell proliferation and survival (Simanshu et al., 2017). Mutations at specific hotspots, such as G12, G13, or Q61, lead to constitutive activation and are primary drivers in pancreatic, colorectal, and lung cancers (Prior et al., 2020). These mutations create unique amino acid sequences, known as neoantigens, which are processed and presented by MHC molecules to the immune system. This presentation enables the development of highly specific immunotherapies, including TCR-engineered T cells and neoantigen vaccines, which target tumor cells while sparing healthy tissue (Bear et al., 2022). Therapeutic strategies like ELI-002 and mRNA-5671 aim to prime the immune system to recognize these specific peptide-MHC complexes (Elicio Therapeutics, 2024). While these targets are highly specific, their application is restricted by the diversity of human leukocyte antigen (HLA) types, requiring treatments to be matched to a patient's specific HLA profile. Additionally, tumors may escape detection by downregulating MHC expression or through other mechanisms of immune evasion (Leidner et al., 2022).

Other names
Mutant KRAS/NRAS neoepitopesRAS-derived neoantigensMutant RAS-HLA complexKRAS/NRAS pMHCMutant RAS peptides presented by MHC
02

Mechanism of action

Recognition of specific mutant RAS peptide-MHC complexes by T-cell receptors (TCRs) or TCR-mimic agents to induce targeted cytotoxic T-lymphocyte activation and tumor cell lysis.

03

Biological functions

Antigen presentationImmune responseT-cell activationImmune surveillance
04

Disease associations

CancerPancreatic cancerColorectal cancerNon-small cell lung cancer
05

Safety considerations

Immune escape via HLA downregulation or lossCytokine release syndrome (CRS)Immune effector cell-associated neurotoxicity syndrome (ICANS)Off-target cross-reactivity with wild-type proteins
06

Interacting drugs

ELI-002

4 more in the full profile.

07

Biomarkers

KRAS G12D mutationKRAS G12V mutationNRAS mutation statusHLA-A*11:01HLA-C*08:02MHC Class I expression

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