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Tumor-associated antigen presented by major histocompatibility complex and recognized by T cell receptor (None that is standard; occasionally abbreviated as TAA-MHC/TCR complex in publications, but no universally accepted abbreviation.)

Target
None that is standard; occasionally abbreviated as TAA-MHC/TCR complex in publications, but no universally accepted abbreviation.
Molecular classification
Other (protein-protein interaction interface), Complex (peptide-MHC complex recognized by TCR), Receptor/ligand binding (the TCR is a receptor; MHC-peptide is the ligand)
01

Overview

The **tumor-associated antigen via MHC/TCR interface** is the molecular interaction whereby peptides derived from tumor-associated antigens are presented by major histocompatibility complex (MHC) molecules on the surface of tumor cells and recognized by T cell receptors (TCRs) on immune cells. This interaction controls the activation of T cells against cancer and is fundamental for cell-mediated tumor immunity. Therapeutic strategies, such as adoptive T cell therapy (TCR-T), TCR-fusion proteins (e.g., tebentafusp), and tumor vaccines, are designed to target this interface for selective destruction of tumor cells. Challenges include tumor immune evasion, variable antigen presentation, potential toxicity, and the diversity of MHC/TCR recognition biology[1][2][4][7][10].

Other names
Tumor antigen-MHC/TCR interfaceTCR-peptide/MHC interactionTumor antigen presentation via MHC to TCRpMHC-TCR complex
02

Mechanism of action

Recognition and lysis of cells presenting antigenic peptides via MHC by engineered T cells (TCR-T); Redirection of T cells to tumor cells via bispecific fusion proteins or ImmTACs; Immune stimulation by vaccination with tumor antigen peptides

03

Biological functions

Immune responseAntigen recognitionTumor cell detectionT cell activationCell-mediated cytotoxicity
04

Disease associations

Cancer (main focus: immune recognition of tumors)Infection (mechanism is similar for pathogens)Other (autoimmune disease when self-antigens are misrecognized)
05

Safety considerations

Risk of off-target immune reactions (autoimmunity)On-target, off-tumor toxicity if antigen is also expressed in normal tissuesTumor immune evasion via loss of antigen or MHC expressionImmunogenicity or rejection of engineered cells/biologics
06

Interacting drugs

Tebentafusp (FDA-approved TCR-fusion protein for metastatic uveal melanoma, targets gp100 peptide presented by HLA-A2)

3 more in the full profile.

07

Biomarkers

Expression of specific MHC-peptide complexes (e.g., HLA-A2/gp100, HLA-A2/MAGE-A4)TAA mutation hotspot (e.g., KRAS^G12D^, TP53 mutations, EGFR, BRAF)Tumor MHC I or II expression, detected by flow cytometry or TCR-like antibodies

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