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Neoantigen-specific T cell receptor

Molecular classification
Receptor, T cell receptor (TCR) family, Cell surface protein complex
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Overview

A neoantigen-specific T cell receptor is a T cell receptor (TCR) that has specificity for a peptide (neoantigen) generated by tumor-specific somatic mutations presented on the cell surface by MHC molecules. These TCRs enable T cells to discriminate cancer cells from normal tissue by recognizing unique mutated peptides not present in healthy cells, making them a powerful and highly specific target for cancer immunotherapies. Neoantigen-specific TCRs display high structural avidity, meaning strong binding to their cognate peptide–MHC complexes, and are generally enriched in tumor-infiltrating lymphocytes. Engineered adoptive T cell therapies use these receptors to redirect patient T cells against their cancer. However, therapeutic development faces challenges related to cross-reactivity, variability in neoantigen immunogenicity, and risks of off-target or alloreactive responses[1][2][3].

Other names
neoantigen-specific TCRneoTCRneoepitope-specific T cell receptortumor neoantigen-specific T cell receptor
02

Mechanism of action

Recognition of neoantigenic peptide–MHC complexes on tumor cells, activating T cells to mediate cytotoxic immune responses[1][2][3]. Targeted cytolysis of tumor cells by activated T cells, often via engineered TCRs or TCR-like molecules. Immune synapse formation and T cell activation upon target engagement[2][3].

03

Biological functions

Immune responseAntigen recognitionTumor cell killing
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Disease associations

CancerInfection (context-dependent, though main focus is cancer)
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Safety considerations

Potential for cross-reactivity with non-tumor tissues (off-target toxicity)[3]Limited number of truly immunogenic neoantigens in tumors[2]T cell exhaustion and inhibitory receptor upregulation may reduce efficacy[2][4]Alloreactivity risk if TCR is not fully specific for the neoantigen–MHC complex[3]
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Interacting drugs

Adoptive T cell therapies (engineered T cells expressing neoantigen-specific TCRs)

3 more in the full profile.

07

Biomarkers

Expression of specific neoantigen–MHC complexes in tumorsStructural avidity (TCR-pMHC dissociation rate) predicts efficacy[2]TCR clonotype frequency in tumor-infiltrating lymphocytes[2]CXCR3 expression (correlates with effective tumor infiltration)[2]

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