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Preferentially expressed antigen in melanoma peptide-major histocompatibility complex (PRAME peptide-MHC complex)

Target
PRAME peptide-MHC complex
Molecular classification
Peptide-MHC complex, Tumor antigen-MHC complex, Cancer/testis antigen-derived complex, Immunopeptidome component, Antigen-presenting molecular complex
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Overview

The PRAME peptide-MHC complex is formed when peptides derived from the intracellular PRAME protein, a cancer/testis antigen, are processed by the proteasome and loaded onto MHC molecules (typically class I such as HLA-A*02:01) for presentation on the surface of tumor cells[2][4]. This complex allows for specific recognition by CD8+ cytotoxic T lymphocytes or by engineered antibodies and T cells in immunotherapy applications[4][7]. Because PRAME itself is not present on the cell surface, but rather its presented peptides in complex with MHC, therapeutics targeting this complex offer a way to selectively attack PRAME-expressing cancer cells with minimal effect on healthy tissue[2][4][7]. To summarize, the "Preferentially expressed antigen in melanoma peptide-MHC complex" is a well-validated immunotherapeutic target for PRAME-positive cancers, recognized by both natural and engineered immune effectors, and is the focus of significant drug and biomarker development.

Other names
PRAME peptide-HLA complexPRAME/MHC complexPRAME/HLA-A*02:01 complex (specific for peptides such as ALYVDSLFFL bound to HLA-A2)PRAME antigen-MHC complex
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Mechanism of action

T cell-mediated cytotoxicity: Recognition of tumor cells by T cells via the PRAME peptide-MHC complex Antibody-dependent cellular cytotoxicity (via TCRm antibodies that bind the complex)

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Biological functions

Antigen presentationImmune responseTumor cell recognition by T cellsInduction of cytotoxicity and/or T cell activation
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Disease associations

Cancer (especially melanoma)Hematological malignancy (e.g., leukemia)
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Safety considerations

Off-tumor toxicity: PRAME is primarily expressed in tumors and immune-privileged tissues (testes, ovaries), suggesting a low but present risk for off-target effectsPotential for immune escape via downregulation of either PRAME or MHC/machineryHLA restriction: Patient eligibility depends on HLA type, limiting universal applicability
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Interacting drugs

T cell receptor mimic (TCRm) antibodies (e.g., Pr20)

1 more in the full profile.

07

Biomarkers

Presence of PRAME peptide-MHC complex on tumor cells (as detected by immunohistochemistry or TCRm antibodies)PRAME expression levels (mRNA/protein, though not always sufficient for surface presentation)HLA type (e.g., HLA-A*02:01 restriction for some epitopes and therapeutics)

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