Target intelligence / Profile preview

RAAG12 carbohydrate antigen (RAAG12)

Target
RAAG12
Molecular classification
Carbohydrate antigen, Glycotope (N-linked), Cell surface epitope
01

Overview

RAAG12 is a primate-restricted N-linked carbohydrate antigen present on multiple membrane-associated proteins. It is highly expressed on the cell surfaces of many adenocarcinomas, particularly those originating from the gastrointestinal tract such as colon, gastric, and pancreatic cancers. The RAV12 monoclonal antibody specifically recognizes this glycotope. When bound by therapeutic antibodies like RAV12, targeting RAAG12 can modify growth factor-mediated signaling pathways within tumor cells and induce oncotic cell death. Clinical studies have shown that more than 90% of certain GI tumors express this antigen uniformly; however, some normal tissues—mainly mucosal or glandular/ductal epithelia—also display limited expression. Notably, adverse effects such as abdominal pain/diarrhea and transient liver enzyme elevations have been reported during clinical use of anti-RAGG12 therapies. These safety issues currently limit the maximum tolerated dose achievable for effective cancer treatment using this target.

Other names
RAAG12 antigenN-linked carbohydrate antigen recognized by RAV12Primate-restricted N-linked glycotope
02

Mechanism of action

Antibody-dependent cellular cytotoxicity via binding of RAV12 to RAAG12 on tumor cells; Induction of oncotic cell death in vitro and antitumor activity in xenograft models when targeted by RAV12 antibody

03

Biological functions

Cell surface marker for adenocarcinomasModifies growth factor-mediated signaling in tumor cellsInduces oncotic cell death when targeted by specific antibodies
04

Disease associations

Cancer (especially gastrointestinal adenocarcinomas, including colon, gastric, and pancreatic cancer)Other solid organ cancers (esophageal, ovarian, liver, breast, prostate)
05

Safety considerations

Abdominal cramping pain with diarrhea observed during anti-RAGG12 therapy with RAV12 antibody administrationAsymptomatic increases in liver function tests during treatment; these effects were partially ameliorated with fractionated dosing but remain notable safety concerns limiting dose escalation and efficacy potential of the therapy
06

Interacting drugs

RAV12 monoclonal antibody (chimeric IgG1)
07

Biomarkers

Expression of RAAG12 as a biomarker for patient selection in clinical trials using RAV12 therapy; high expression correlates with gastrointestinal adenocarcinomas and may predict response to anti-glycotope therapies

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