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PRAME peptide–HLA-A*02:01 complex (None standardized; in literature, sometimes shortened to “PRAME/HLA-A2” or “PRAME–p/HLA-A*02:01”)

Target
None standardized; in literature, sometimes shortened to “PRAME/HLA-A2” or “PRAME–p/HLA-A*02:01”
Molecular classification
Peptide–MHC complex (pMHC), Tumor-associated antigen (PRAME-derived peptide), MHC class I ligand complex, Ligand-receptor complex (peptide/MHC-TCR interface)
01

Overview

The PRAME peptide / HLA-A*02:01 complex is a tumor-associated antigenic complex critical for T cell–mediated immunotherapy of cancer. PRAME (Preferentially Expressed Antigen in Melanoma) is an intracellular protein overexpressed in various cancers, including AML, sarcoma, and melanoma. Intracellular processing generates PRAME-derived peptides, which are loaded onto HLA-A*02:01—an MHC class I molecule—on the cell surface. T cells bearing T cell receptors (TCRs) specific for this complex can recognize and eliminate tumor cells presenting PRAME peptide/HLA-A*02:01. TCR mimic antibodies have also been developed to target this complex, and its restricted presence on cancer cells makes it an attractive immunotherapeutic target. However, risks include off-tumor toxicity and antigen expression heterogeneity.

Other names
PRAME–HLA-A2 complexPRAME peptide/MHC I complexPRAME antigenic peptide/HLA-A*02:01PRAME/HLA-A2pMHC (peptide-MHC) PRAME/HLA-A*02:01
02

Mechanism of action

TCR-T cells: Recognize PRAME peptide/HLA-A*02:01 complex on cancer cells, mediate cell killing via cytotoxicity. TCR mimic antibodies: Bind to surface PRAME peptide/HLA-A*02:01 complex, recruit immune effector mechanisms (e.g., ADCC), enhance T cell activation and cytotoxicity. Peptide vaccines: Induce endogenous T cell responses against PRAME-expressing tumor cells via presentation on HLA-A*02:01.

03

Biological functions

Immune response: Presentation of intracellular PRAME peptides to T cells via HLA-A*02:01Cellular immunity: Recognition and cytolysis of tumor cells by TCR-expressing cytotoxic T lymphocytes (CTLs)Antigen presentation: Facilitates T cell recognition of cancer cells expressing PRAME protein
04

Disease associations

Cancer: Acute myeloid leukemia (AML), synovial sarcoma, melanoma, other PRAME-expressing solid tumorsOther: Generally not implicated outside of cancer
05

Safety considerations

On-target/off-tumor toxicity: Risk if PRAME is expressed in healthy tissuesCross-reactivity: Molecular mimicry can lead to TCR/antibody recognition of non-tumor peptide–HLA complexes (e.g., cardiac titin), resulting in tissue damage or autoimmunityImmunogenicity: Potential for immune rejection or adverse immune responsesTumor antigen heterogeneity: Variable PRAME and/or HLA-A*02:01 expression can limit efficacy
06

Interacting drugs

Engineered TCR-T cells targeting PRAME/HLA-A*02:01 (e.g., HSS1 TCR, under clinical investigation)

3 more in the full profile.

07

Biomarkers

Tumor cell expression of PRAME (by RNA/protein assays)HLA-A*02:01 allele status (by genotyping)Presence of PRAME peptide/HLA-A*02:01 complex on tumor cell surface

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