Target intelligence / Profile preview

Renal cell carcinoma-associated cell surface antigens (RCC-associated cell surface antigens)

Target
RCC-associated cell surface antigens
Molecular classification
Cell surface proteins, Tumor-associated antigens, Tumor antigens, Surface markers
01

Overview

RCC-associated cell surface antigens represent a diverse collection of proteins expressed on the surface of renal cell carcinoma cells, particularly clear cell renal cell carcinoma (ccRCC). These antigens can be classified as tumor-associated antigens (TAAs) that are derived from overexpressed genes, differentiation markers, or cancer germline antigens. Key examples include carbonic anhydrase 9 (CA9), which maintains neutral pH in the acidic tumor microenvironment and is highly expressed in ccRCC; CD70, a co-stimulatory molecule normally found on dendritic cells but commonly overexpressed in ccRCC; and MUC1, a transmembrane glycoprotein related to kidney development. These surface antigens serve as potential targets for various immunotherapeutic approaches including monoclonal antibodies, CAR-T cell therapies, and cancer vaccines. Unlike many other cancers responsive to immune checkpoint inhibitors, RCC has a modest mutation burden, making these tumor-associated surface antigens particularly important therapeutic targets. The identification and targeting of these antigens is critical for developing more effective and safer immunotherapies for RCC, though challenges remain in balancing efficacy with on-target, off-tumor toxicity when these antigens are also expressed in normal tissues.

Other names
RCC surface antigensRenal cell carcinoma cell surface markersccRCC surface antigens (when specifically referring to clear cell RCC)
02

Mechanism of action

Antibody-dependent cellular cytotoxicity CAR-T cell-mediated tumor cell killing Immune checkpoint modulation Direct targeting of tumor cell surface proteins

03

Biological functions

Tumor cell survival and progressionCell-cell signalingImmune recognitionMetabolic regulation (particularly pH homeostasis)Co-stimulation of immune responses
04

Disease associations

Cancer (specifically renal cell carcinoma)Tumor immune evasionCancer progression and metastasis
05

Safety considerations

On-target, off-tumor toxicity (particularly liver toxicity observed with CA9-targeted CAR-T cells due to CA9 expression in normal liver tissue)Difficulty in predicting antigen expression levels in normal tissues prior to therapyImmune-related adverse effectsExpression of some antigens in normal tissues leading to potential autoimmune reactions
06

Interacting drugs

Girentuximab (monoclonal antibody targeting CA9)

3 more in the full profile.

07

Biomarkers

CA9 (carbonic anhydrase 9) - classic ccRCC surface markerCD70 - overexpressed in ccRCCMUC1 (Mucin-1) - transmembrane glycoproteinCD10 - cell-surface glycoproteinRAGE-1 (receptor for advanced glycation end products)EMA (epithelial membrane antigen, also known as MUC1)

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