Target intelligence / Profile preview

Tumor-associated antigens NY-ESO-1, MUC1, and MAGE-A3 (NY-ESO-1/MUC1/MAGE-A3)

Target
NY-ESO-1/MUC1/MAGE-A3
Molecular classification
Cancer-testis antigen, Glycoprotein, Surface antigen, Intracellular protein, Transcription factor regulator
01

Overview

This target entry represents a combination of three prominent tumor-associated antigens (TAAs) frequently targeted in cancer immunotherapy: NY-ESO-1 (New York esophageal squamous cell carcinoma 1), MUC1 (Mucin 1), and MAGE-A3 (Melanoma-associated antigen 3). NY-ESO-1 and MAGE-A3 are members of the cancer-testis antigen (CTA) family, which are typically expressed only in germ cells but become aberrantly re-expressed in various malignancies, making them highly specific targets for T-cell based therapies (PMID: 29070616, PMID: 27114454). MUC1 is a transmembrane glycoprotein that is overexpressed and aberrantly glycosylated in many epithelial cancers, where it promotes oncogenic signaling and contributes to immune evasion (PMID: 25113845). These antigens are often utilized together in multi-valent vaccines or adoptive cell transfer strategies, such as TCR-T or CAR-T therapies, to address tumor heterogeneity and reduce the likelihood of immune escape. While these targets offer significant therapeutic potential, challenges include the risk of cross-reactivity with healthy tissues—most notably seen in MAGE-A3 trials involving cardiac Titin—and the immunosuppressive environment of the tumor (PMID: 23733940, PMID: 31515355).

Other names
Cancer-testis antigen 1B (CTAG1B)Mucin 1 (MUC1)Melanoma-associated antigen 3 (MAGEA3)Cancer-testis antigensPolymorphic epithelial mucin (PEM)CD227Antigen NY-ESO-1
02

Mechanism of action

Induction of antigen-specific T-cell mediated cytotoxicity and antibody-dependent cellular responses against tumor cells expressing these specific antigens.

03

Biological functions

Immune responseCell signalingCell adhesionApoptosis regulationGerm cell developmentCell proliferation
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Disease associations

CancerMelanomaNon-small cell lung cancerBreast cancerOvarian cancerMultiple myelomaEsophageal squamous cell carcinoma
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Safety considerations

On-target off-tumor toxicity (especially for MUC1 in normal epithelial tissues)Lethal cross-reactivity with Titin in cardiac tissue (observed with certain MAGE-A3 TCRs)Cytokine release syndrome (CRS)Immune escape via antigen loss or MHC downregulationNeurotoxicity
06

Interacting drugs

Letetresgene autoleucel (Lete-cel)

7 more in the full profile.

07

Biomarkers

NY-ESO-1 expression (IHC/RT-PCR)MUC1 expression (IHC)MAGE-A3 expression (IHC/RT-PCR)HLA-A*02:01 genotypeSerum CA 15-3 levels

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