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Mutant RAS neoantigen-expressing tumor cell

Molecular classification
Neoantigen, Peptide-MHC complex
01

Overview

Mutant RAS neoantigen-expressing tumor cells are malignant cells characterized by somatic mutations in the RAS gene family (KRAS, NRAS, or HRAS) that result in the presentation of unique, tumor-specific peptides on the cell surface via Major Histocompatibility Complex (MHC) molecules [1]. These mutations, most commonly occurring at positions G12, G13, or Q61, drive constitutive proliferative signaling and are hallmark features of aggressive cancers such as pancreatic, colorectal, and lung adenocarcinomas [2]. Because these mutant sequences are not present in the normal human proteome, they function as high-quality neoantigens that can be recognized by the immune system as foreign [3]. Therapeutic interventions targeting these cells include adoptive T-cell therapies (TCR-T), which engineer patient T cells to express receptors specific for the RAS peptide-MHC complex, and neoantigen vaccines designed to prime endogenous T-cell responses [4]. While these therapies offer high specificity and the potential to treat historically undruggable RAS variants, their efficacy can be limited by tumor-mediated immune evasion, such as the loss of HLA expression or the development of a suppressive tumor microenvironment [1,3]. Citations: [1] Leidner, R., et al. (2022). NEJM. [2] Simanshu, D. K., et al. (2017). Cell. [3] Pant, S., et al. (2023). Nature Medicine. [4] Waters, A. M., & Der, C. J. (2018). Cold Spring Harb Perspect Med.

Other names
KRAS-mutant tumor cellRAS neoantigen-positive cellMutant RAS pMHC-bearing cellmRAS-expressing tumor cell
02

Mechanism of action

T-cell receptor (TCR) mediated recognition of mutant RAS peptides presented by HLA molecules, leading to targeted lysis of tumor cells.

03

Biological functions

Oncogenic signalingAntigen presentationImmune recognition
04

Disease associations

Pancreatic ductal adenocarcinomaColorectal cancerNon-small cell lung cancer
05

Safety considerations

HLA downregulationAntigen lossCytokine release syndromeImmune escape via HLA loss of heterozygosity
06

Interacting drugs

ELI-002

4 more in the full profile.

07

Biomarkers

KRAS G12D mutationKRAS G12V mutationHLA-A*11:01HLA-C*08:02

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