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Mutant KRAS peptide antigen

Molecular classification
Neoantigen peptide, Tumor-associated antigen, Peptide-MHC (pMHC) complex ligand, Other
01

Overview

The mutant KRAS peptide antigen refers to peptide fragments derived from oncogenic mutations in the KRAS gene (such as G12V, G12D, G12C) that create tumor-specific neoantigens presented on the cell surface by MHC class I molecules (notably HLA-A*11:01 and HLA-C*08:02)[1][2][3][4]. These neoantigenic peptides differ from normal self-peptides by a single amino acid, forming unique tumor-associated epitopes recognized by T cell receptors (TCRs) or engineered immune therapies. Recognition and targeting of the mutant KRAS peptide/MHC complex enables selective immunotherapeutic approaches, including TCR-T, CAR-T, and bispecific antibody therapies directed against cancer cells harboring these KRAS mutations[1][2][3]. The abundance of mutant peptides on tumor cells is usually low, and effective immune targeting requires high-affinity and specificity of the engineered TCR or antibody constructs to avoid off-target toxicity. The approach is mainly relevant for KRAS-driven malignancies and is subject to HLA haplotype constraint for proper peptide-MHC presentation[1][2][3][4].

Other names
KRAS neoantigenKRAS-G12V mutant peptideKRAS G12D neoantigenMutant KRAS peptideKRAS mutant neoantigenKRAS mutant peptide antigen
02

Mechanism of action

TCR binding to mutant KRAS peptide-HLA complexes resulting in tumor cell killing[1] Redirected T cell response via bispecific or CAR-T platforms[2][3] Induction of cytotoxicity in peptide-presenting tumor cells

03

Biological functions

Signal transduction (KRAS function)Immune recognition (as cancer neoantigen presented by MHC)Cell proliferation (underlying KRAS role in cancer)T cell activation (when recognized by TCR or TCR-mimic therapeutics)Other
04

Disease associations

Cancer (especially KRAS-mutant tumors including colorectal, lung, and pancreatic cancer)Other
05

Safety considerations

Low abundance of presented mutant KRAS peptides may limit targetable cell population and efficacy[2]Cross-reactivity with wildtype KRAS or off-target peptides is a concern for TCR or CAR specificity[3]Risk of immune-related adverse effects if epitope is not truly neoantigenicRestriction to specific HLA haplotypes limits patient eligibility[1][2]Tumor immune evasion via downregulation of MHC or antigen loss[2]
06

Interacting drugs

TCR-engineered T cells (TCR-T) directed against KRAS mutant peptide-MHC complex[1]

3 more in the full profile.

07

Biomarkers

Detection of mutant KRAS peptide in the context of HLA (especially HLA-A*11:01 for G12D/V, HLA-C*08:02 for G12D) for patient selection[1][2]KRAS mutation status (e.g., G12V, G12D, G12C, etc.)HLA typing (primarily HLA-A*11:01, HLA-C*08:02)[1][2][3]

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