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Preferentially expressed antigen in melanoma (PRAME) ALYVDSLFFL peptide presented by HLA-A*02:01 (PRAME ALYVDSLFFL/HLA-A*02:01)

Target
PRAME ALYVDSLFFL/HLA-A*02:01
Molecular classification
Peptide-MHC complex, Cancer-testis antigen (CTA) derivative, MHC Class I restricted antigen
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Overview

The Preferentially expressed antigen in melanoma (PRAME) ALYVDSLFFL peptide presented by HLA-A*02:01 is a specific peptide-major histocompatibility complex (pMHC) target utilized in cancer immunotherapy. PRAME is a cancer-testis antigen (CTA) that is typically expressed in the testis but is aberrantly overexpressed in a wide variety of solid tumors and hematologic malignancies, including melanoma, sarcoma, and acute myeloid leukemia [1, 2]. The ALYVDSLFFL epitope (amino acids 300-309) is a highly immunogenic peptide that is processed and displayed on the cell surface by the HLA-A*02:01 molecule [3]. This pMHC complex serves as a docking site for engineered T-cell receptors (TCRs) in therapies such as TCR-T cells and TCR-bispecific engagers [4]. By targeting this specific complex, these therapies aim to induce selective T-cell mediated destruction of tumor cells while minimizing damage to healthy tissues, which generally lack PRAME expression [5]. Clinical candidates like IMA203 and IMA402 are currently being evaluated for their ability to treat HLA-A*02:01-positive patients whose tumors express the PRAME antigen [4, 6].

Other names
PRAME-A2PRAME 300-309 HLA-A*02:01PRAME pMHC complexPRAME-001
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Mechanism of action

T-cell receptor (TCR) binding and activation of T-cell mediated cytotoxicity against cells presenting the PRAME ALYVDSLFFL epitope [4, 5].

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Biological functions

Antigen presentation [1]Immune recognition [2]Repression of retinoic acid receptor (RAR) signaling [1]Inhibition of cell differentiation and apoptosis [1]
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Disease associations

Melanoma [1]Synovial sarcoma [4]Uveal melanoma [4]Non-small cell lung cancer (NSCLC) [4]Acute myeloid leukemia (AML) [2]Multiple myeloma [2]
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Safety considerations

On-target off-tumor toxicity due to low-level PRAME expression in kidney, adrenal, and endometrium [1, 4]Off-target cross-reactivity with similar self-peptides presented on healthy tissues [5]Cytokine release syndrome (CRS) associated with T-cell activation [4]
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Interacting drugs

IMA203

3 more in the full profile.

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Biomarkers

PRAME mRNA expression [4]PRAME protein expression by immunohistochemistry (IHC) [4]HLA-A*02:01 genotype [5]

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