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Pancreatic ductal adenocarcinoma tumor-associated antigens (PDAC TAAs)

Target
PDAC TAAs
Molecular classification
Glycoprotein [1], Cell adhesion molecule [2], Surface antigen [3], Neoantigen [4], Transcription factor [5]
01

Overview

Pancreatic ductal adenocarcinoma (PDAC) tumor-associated antigens (TAAs) are a heterogeneous group of proteins that are either uniquely expressed or significantly overexpressed in pancreatic cancer cells compared to normal pancreatic tissue [1]. These antigens include surface-bound glycoproteins like Mesothelin (MSLN), Mucin 1 (MUC1), and Claudin 18.2 (CLDN18.2), as well as intracellular proteins and mutated neoantigens such as KRAS G12D [2][3]. They serve as critical focal points for the development of targeted therapies, including monoclonal antibodies, antibody-drug conjugates (ADCs), and advanced immunotherapies like chimeric antigen receptor (CAR) T-cell therapy and cancer vaccines [4]. By targeting these antigens, clinicians aim to induce a specific immune response against the tumor while minimizing damage to healthy cells [5]. However, the clinical utility of targeting PDAC TAAs is frequently challenged by the dense desmoplastic stroma of pancreatic tumors and the risk of "on-target, off-tumor" toxicities in healthy tissues that express low levels of these proteins [6].

Other names
Pancreatic cancer antigens [1]PDAC antigens [2]Pancreatic tumor antigens [3]Tumor-associated antigens (TAAs) [4]
02

Mechanism of action

Therapeutic strategies involve the use of monoclonal antibodies to block signaling or induce antibody-dependent cellular cytotoxicity (ADCC), antibody-drug conjugates (ADCs) for targeted delivery of cytotoxins, and CAR-T or TCR-T cells engineered to recognize TAA-derived peptides presented on HLA molecules [1][2][3].

03

Biological functions

Cell adhesion [1]Signal transduction [2]Immune evasion [3]Cell proliferation [4]Apoptosis regulation [5]
04

Disease associations

Pancreatic ductal adenocarcinoma [1]Cancer [2]
05

Safety considerations

On-target off-tumor toxicity [1]Cytokine release syndrome (CRS) [2]Autoimmune reactions [3]Limited stromal penetration [4]
06

Interacting drugs

Zolbetuximab [1]

6 more in the full profile.

07

Biomarkers

CA 19-9 (Carbohydrate antigen 19-9) [1]CEA (Carcinoembryonic antigen) [2]Mesothelin (MSLN) expression [3]Claudin 18.2 (CLDN18.2) expression [4]KRAS G12D mutation status [5]

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