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Peptide-MHC complexes presenting WT1, PRAME, and Survivin (BIRC5) tumor-associated antigen epitopes (WT1/PRAME/Survivin pMHC)

Target
WT1/PRAME/Survivin pMHC
Molecular classification
Peptide-MHC complex, Tumor-associated antigen, MHC Class I, MHC Class II
01

Overview

This target refers to the specific complexes formed by peptides derived from Wilms Tumor 1 (WT1), Preferentially Expressed Antigen in Melanoma (PRAME), and Survivin (BIRC5) when presented by Major Histocompatibility Complex (MHC) molecules on the surface of tumor cells [2, 12]. These three proteins are classified as tumor-associated antigens (TAAs) because they are overexpressed in a wide range of cancers—including acute myeloid leukemia (AML), lymphomas, and various solid tumors—while maintaining very low or absent expression in most healthy adult tissues [1, 15]. Targeting these pMHC complexes allows the immune system to identify and eliminate malignant cells that would otherwise be indistinguishable from healthy cells [4, 16]. Therapeutic approaches, such as MultiTAA T-cell therapies (e.g., MT-401) and T-cell receptor (TCR) mimic antibodies (e.g., Pr20), are designed to recognize these specific epitopes to induce a potent and selective anti-tumor immune response [8, 17]. By targeting multiple antigens simultaneously, these therapies aim to prevent tumor escape caused by the loss of a single antigen, a common challenge in monovalent immunotherapies [11, 13].

Other names
WT1/PRAME/Survivin-specific CTL targetsMulti-TAA pMHC complexesLeukemia-associated antigen complexesWT1/PRAME/BIRC5 epitopes
02

Mechanism of action

Adoptive T-cell therapy involving the infusion of T cells primed to recognize specific TAA epitopes presented on MHC, leading to direct cytolysis of tumor cells and potential epitope spreading.

03

Biological functions

Antigen presentationImmune recognitionT-cell activationApoptosis regulation (via Survivin)Transcription regulation (via WT1)
04

Disease associations

Acute myeloid leukemiaAcute lymphoblastic leukemiaMyelodysplastic syndromeSolid tumorsPancreatic cancerMelanomaWilms tumor
05

Safety considerations

Cytokine release syndrome (CRS)On-target off-tumor toxicityAntigen escape/lossHLA downregulationGraft-versus-host disease (if donor-derived)
06

Interacting drugs

Neldaleucel (MT-401)

3 more in the full profile.

07

Biomarkers

HLA-A*02:01 expressionWT1 mRNA/protein expressionPRAME mRNA/protein expressionBIRC5/Survivin mRNA/protein expression

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