Target intelligence / Profile preview

PRAME nuclear receptor transcriptional regulator (PRAME)

Target
PRAME
Molecular classification
Transcription regulator, Cancer/testis antigen, Leucine-rich repeat protein, Other
01

Overview

PRAME nuclear receptor transcriptional regulator (commonly abbreviated as PRAME) is a tumor-associated antigen encoded on human chromosome 22 that is predominantly expressed in various cancers and normal testis tissue but is absent or minimally expressed in other normal tissues[3][7]. It belongs to the cancer/testis antigen family and functions as a transcription regulator via interaction with retinoic acid receptor alpha, inhibiting retinoic acid signaling, thereby promoting tumorigenesis and maintaining pluripotency in embryonic and germ cells[2][6]. PRAME is characterized by multiple leucine-rich repeats, localizes to both nucleus and cytoplasm, and participates in immune evasion mechanisms, making it an attractive target for cancer immunotherapy[3][6]. Expression of PRAME is a negative prognostic factor in several malignancies and serves as a biomarker for patient stratification in cancer therapy[4][6]. Recombinant PRAME protein, often used in conjunction with adjuvants, is in clinical development as a cancer vaccine antigen[5].

Other names
Preferentially expressed antigen in melanomaMelanoma antigen preferentially expressed in tumorsCancer/testis antigen PRAME
02

Mechanism of action

Targets for immunotherapy (induces T-cell-mediated cytotoxicity against tumor cells expressing PRAME)[4][5]; Modulation of retinoic acid receptor signaling (suppression of retinoic acid receptor alpha, RARA, function)[2]

03

Biological functions

Transcriptional regulationMaintenance of pluripotency in embryonic stem cellsGermline development and gametogenesisRegulation of cell differentiation and proliferationImmune modulationOncogenesis
04

Disease associations

Cancer (including melanoma, glioma, and other malignancies)Biomarker for various tumorsImmune response modulation in oncologic settingPotential role in germ cell and reproductive disorders
05

Safety considerations

Potential for on-target/off-tumor toxicity in tissues expressing PRAME outside tumorsRisk of immune-related adverse events, particularly with immunotherapies targeting PRAMELimited normal tissue expression, but risk may exist in male and female gonadal tissue[6]
06

Interacting drugs

Recombinant PRAME protein (in immunotherapies, e.g., vaccine candidates)[5]

2 more in the full profile.

07

Biomarkers

PRAME gene/protein expression (biomarker for cancer prognosis and immunotherapy stratification)[4][6]DNA methylation pattern of PRAME locus (biomarker for tumor subtypes)[4]

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