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Tumor-associated antigen (shared epitope on multiple myeloma and ovarian cancer cells)

Molecular classification
Other (glycosylated cell surface antigen)
01

Overview

The tumor-associated antigen on multiple myeloma and ovarian cancer cells refers to a shared glycosylated cell surface molecule identified on CD138+ myeloma cells and ovarian tumor cells, characterized by at least one common epitope that distinguishes it from normal tissues.[10] This antigen contributes to tumor recognition by the immune system, potentially serving as a target for humoral and cellular responses in both malignancies.[4][10] In ovarian cancer, such antigens are part of a heterogeneous profile including high-expression markers like CA125, FOLR1 (FRα), EPCAM, and MUC-1, which are overexpressed in over 90% of high-grade serous tumors compared to normal ovarian tissue, supporting roles in cell adhesion, proliferation, and immune evasion.[1] In multiple myeloma, surface antigens on malignant plasma cells overlap with those pursued in immunotherapies, though BCMA is the primary validated target rather than this shared epitope.[5][11] Despite promise for multi-antigen immunotherapy approaches to overcome tumor heterogeneity, the lack of precise molecular identification limits direct drug development, with related targets showing immunogenicity via T-cell and antibody responses but facing challenges like central tolerance and variable expression.[1][2][4] Overall, this antigen highlights opportunities for shared therapeutic strategies across myeloma and ovarian cancers, though clinical translation requires better characterization.[10]

Other names
Myeloma cell and ovarian cancer cell surface antigen
02

Mechanism of action

None specific (for related: antibody-mediated immune recognition, T-cell redirection, cytotoxic killing)

03

Biological functions

Cell proliferationCell adhesionOther (tumor cell surface expression)
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Disease associations

Cancer (multiple myeloma, ovarian cancer)
05

Safety considerations

Potential on-target/off-tumor effects due to expression on normal cells (e.g., plasma cells for BCMA, ovarian epithelium for CA125/FOLR1)risk of immune tolerance or autoimmunity
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Interacting drugs

None identified for this specific shared antigen (related antigens targeted by oregovomab (anti-CA125), farletuzumab (anti-FOLR1), BCMA-targeted therapies like CAR-T and bispecific antibodies)
07

Biomarkers

None specific (related: CA125 for ovarian cancer monitoring, BCMA for multiple myeloma identification)

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