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T-cell receptor recognizing HLA-presented SMC1A frameshift neoantigen (TCR-SMC1A-fs)

Target
TCR-SMC1A-fs
Molecular classification
Receptor, T-cell receptor, Heterodimeric glycoprotein
01

Overview

The T-cell receptor (TCR) recognizing HLA-presented SMC1A frameshift neoantigens is a specialized immune receptor found on CD4+ and CD8+ T-cells that mediates the recognition of tumor-specific mutations. Structural Maintenance of Chromosomes 1A (SMC1A) frequently undergoes frameshift mutations in cancers characterized by microsatellite instability (MSI), such as colorectal and gastric cancers, resulting in the production of novel, highly immunogenic C-terminal peptide sequences. These neoantigens are absent in healthy tissues, making the TCRs that recognize them ideal candidates for highly specific cancer immunotherapies. When these TCRs bind to the SMC1A frameshift peptide-HLA complex, they trigger T-cell activation, leading to the targeted destruction of malignant cells. Current therapeutic development focuses on identifying high-affinity TCR sequences for use in adoptive TCR-T cell therapies and designing vaccines to elicit these specific T-cell responses. Because the SMC1A frameshift is a recurrent 'hotspot' mutation in MSI-high tumors, these TCRs represent a promising 'off-the-shelf' target for personalized immunotherapy in a defined patient population.

Other names
SMC1A frameshift-specific T-cell receptorHLA-restricted SMC1A neoantigen-specific TCRSMC1A-fs-reactive TCRT-cell receptor recognizing SMC1A frameshift peptide-HLA complexes
02

Mechanism of action

The target is a T-cell receptor (TCR) that specifically binds to a neoantigen peptide derived from a frameshift mutation in the SMC1A gene, presented by Human Leukocyte Antigen (HLA) molecules. Therapeutic strategies involve either vaccinating patients to expand endogenous T-cells bearing these TCRs or engineering patient T-cells to express these specific TCRs (TCR-T therapy) to selectively recognize and kill tumor cells expressing the SMC1A frameshift mutation.

03

Biological functions

Immune responseAntigen recognitionT-cell activationCytotoxicityNeoantigen surveillance
04

Disease associations

CancerColorectal cancerMicrosatellite instability-high (MSI-H) tumorsGastric cancer
05

Safety considerations

On-target off-tumor toxicity (if the frameshift peptide mimics self-peptides)Cytokine release syndrome (CRS)Immune effector cell-associated neurotoxicity syndrome (ICANS)HLA downregulation as a resistance mechanism
06

Interacting drugs

SMC1A frameshift neoantigen vaccines

2 more in the full profile.

07

Biomarkers

SMC1A frameshift mutation statusMicrosatellite instability (MSI) statusHLA-A*02:01 genotype (or other specific HLA alleles)Tumor mutational burden (TMB)

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