Target intelligence / Profile preview

Patient-specific renal cell carcinoma antigens presented on dendritic cell MHC molecules (RCC-DC antigen-MHC complex)

Target
RCC-DC antigen-MHC complex
Molecular classification
Antigen, MHC-peptide complex
01

Overview

This target represents the personalized repertoire of tumor-associated antigens (TAAs) and neoantigens derived from a patient's renal cell carcinoma (RCC) and presented on the surface of dendritic cells (DCs) via Major Histocompatibility Complex (MHC) molecules (IntechOpen, 2018; NIH, 2004). In the context of immunotherapy, DCs are loaded with these patient-specific antigens—often through tumor lysate pulsing, RNA electroporation, or fusion—to serve as a potent vaccine (BMJ, 2015; NIH, 2004). The resulting MHC-peptide complexes are recognized by the T-cell receptors (TCRs) of naive and memory T cells, triggering a targeted immune response against the malignancy (Targeted Oncology, 2013; AACR, 1999). This approach aims to overcome the immunosuppressive environment of RCC by providing high-density antigen presentation and essential co-stimulatory signals like CD40L (IntechOpen, 2018; NIH, 2016). Therapeutic agents like AGS-003 (Rocapuldencel-T) utilize this mechanism to expand the population of tumor-specific cytotoxic T lymphocytes (CTLs), thereby improving clinical outcomes such as progression-free and overall survival in metastatic RCC patients (BMJ, 2015; Urology Times, 2021).

Other names
Tumor-associated antigens (TAAs)NeoantigensAutologous tumor antigensRCC-specific antigensMHC-peptide complexesTumor-specific antigens (TSAs)
02

Mechanism of action

Induction of tumor-specific cytotoxic T lymphocytes (CTLs) and helper T cells (Th1) through the presentation of patient-derived antigens on MHC class I and II molecules, accompanied by co-stimulatory signals to activate the adaptive immune system against renal cell carcinoma.

03

Biological functions

Immune responseAntigen presentationT-cell activation
04

Disease associations

Renal cell carcinomaCancer
05

Safety considerations

Injection site reactionsFlu-like symptomsAutoimmunityLogistical challenges of autologous cell therapy
06

Interacting drugs

Rocapuldencel-T (AGS-003)

2 more in the full profile.

07

Biomarkers

HLA typingTumor mutational burden (TMB)Effector memory T cell expansion (CD8+ CD28+ CD45RA-)Carbonic anhydrase IX (CAIX/G250) expression

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