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Peptide-Major Histocompatibility Complex presenting Wilms tumor protein 1, Preferentially expressed antigen in melanoma, and Baculoviral IAP repeat-containing protein 5 epitopes (pMHC (WT1/PRAME/Survivin))

Target
pMHC (WT1/PRAME/Survivin)
Molecular classification
Antigen-presenting complex, Receptor
01

Overview

Peptide-Major Histocompatibility Complex (pMHC) complexes presenting epitopes from Wilms tumor protein 1 (WT1), Preferentially expressed antigen in melanoma (PRAME), and Baculoviral IAP repeat-containing protein 5 (Survivin) are critical targets for cancer immunotherapy. These complexes consist of short peptide fragments derived from intracellular proteins that are processed and presented on the cell surface by Major Histocompatibility Complex (MHC) Class I molecules, typically HLA-A*02:01 (PubMed: 31110039). WT1 is a transcription factor overexpressed in various hematological malignancies and solid tumors, where it plays a role in cell proliferation and survival (PubMed: 17464059). PRAME is a cancer-testis antigen that is frequently expressed in melanoma, non-small cell lung cancer, and leukemias, acting as a repressor of retinoic acid signaling (PubMed: 28630100). Survivin is an inhibitor of apoptosis protein (IAP) that is highly expressed in nearly all human cancers but absent in most normal adult tissues, making it a highly specific target for inducing tumor cell death (PubMed: 15150571). Therapeutic interventions targeting these pMHC complexes include T-cell receptor (TCR) engineered T-cells, TCR-like antibodies, and peptide-based vaccines, which aim to harness the specificity of the immune system to eliminate tumor cells while sparing healthy tissue (PubMed: 25608570). These therapies are particularly valuable for targeting intracellular oncogenic drivers that are otherwise inaccessible to conventional antibody-based drugs (PubMed: 30030295).

Other names
HLA-peptide complexesTumor-associated antigen epitopesMHC-restricted tumor antigenspMHC complexes
02

Mechanism of action

Recognition by T-cell receptors (TCRs) or TCR-like antibodies leading to MHC-restricted cytotoxic T-lymphocyte (CTL) activation and tumor cell lysis.

03

Biological functions

Antigen presentationImmune responseT-cell activationApoptosis regulation
04

Disease associations

CancerAcute myeloid leukemiaMelanomaSolid tumor
05

Safety considerations

Off-target toxicity due to cross-reactivity with similar self-peptidesOn-target/off-tumor toxicity in tissues with low-level antigen expressionCytokine release syndrome (CRS)Immune escape via HLA downregulation or antigen loss
06

Interacting drugs

Galinpepimut-S

4 more in the full profile.

07

Biomarkers

HLA-A*02:01 genotypeWilms tumor protein 1 (WT1) expressionPreferentially expressed antigen in melanoma (PRAME) expressionBaculoviral IAP repeat-containing protein 5 (Survivin) expression

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