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T-cell receptor recognizing carcinoembryonic antigen peptide-major histocompatibility complex

Molecular classification
Receptor, T-cell receptor (TCR), Immune receptor, Heterodimeric cell-surface receptor
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Overview

A T-cell receptor (TCR) recognizing the carcinoembryonic antigen (CEA) peptide presented by a major histocompatibility complex (MHC) molecule is a heterodimeric immune cell surface receptor expressed on T lymphocytes. This receptor binds specifically to a complex formed by a short peptide derived from the CEA protein, a tumor-associated antigen highly expressed in colorectal and other carcinomas, presented on the cell surface by MHC molecules of antigen presenting cells or tumor cells[2][4]. Upon recognition of the CEA peptide–MHC complex, the TCR initiates a signal transduction cascade via the CD3 complex, leading to T-cell activation, proliferation, and effector function (e.g., cytotoxicity against cancer cells)[4][6]. This interaction is the key driver in various immunotherapeutic approaches such as engineered TCR-T cell therapies and peptide-based tumor vaccines targeting CEA-expressing tumors. The molecule plays a central role in adaptive immune responses against cancer and contributes to immunological surveillance as well as therapeutic interventions[5][6][4].

Other names
T-cell receptor recognizing CEA peptide/MHC complexTCR specific for CEA peptide-MHC complexCEA peptide-specific TCRTCR recognizing carcinoembryonic antigen-MHC complex
02

Mechanism of action

Recognition of tumor antigen peptide (carcinoembryonic antigen, CEA) presented by MHC on tumor cells, leading to T-cell activation and immune-mediated cytotoxicity[4] Activation through signal transduction mediated by TCR/CD3 complex upon antigen recognition[2][6] Therapeutic genetic modification of T cells to express high-affinity TCRs specific for CEA/MHC complexes (TCR-engineered cell therapy)

03

Biological functions

Immune responseAntigen recognitionSignal transductionT-cell activation
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Disease associations

CancerInfectionOther (autoimmunity possible through MHC/peptide cross-reactivity)[2][4][8]
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Safety considerations

On-target, off-tumor toxicity due to CEA expression in normal tissues (risk of autoimmune toxicity, e.g., to normal gastrointestinal epithelium)Cytokine release syndrome with adoptive TCR-T cell therapyPotential cross-reactivity with similar peptide–MHC complexes, leading to unintended immune responses[4]
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Interacting drugs

Engineered T-cell therapies (e.g., genetically modified TCR-T therapies targeting CEA in immuno-oncology)[4]

2 more in the full profile.

07

Biomarkers

CEA tissue expression (used for patient selection in immunotherapies)[4]Presence of CEA(116) peptide–MHC complexesDetection of CEA-specific T cells in peripheral blood

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