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Updated: Jun 30, 2026

Engineering Oncogenic Heterozygous Gain-of-Function Mutations in Human Hematopoietic Stem and Progenitor Cells
Published on: March 10, 2023
Dual-degenerate TCRs target multiple KRAS hotspot and HLA-A3 family combinations
Minying Zhang1, Barbara Nassif Rausseo1, Peixin Jiang1
1The University of Texas MD Anderson Cancer Center.
Abstract:
Oncogenic KRAS mutations drive a substantial proportion of lung cancers and are linked to poor prognosis, positioning KRAS as a compelling target for cellular immunotherapy. Thirty-five percent of lung adenocarcinomas harbor the KRAS G12C, G12V, G12D mutations. Here, we developed HLA-A*03:01- and HLA-A*11:01-restricted T cell receptors (TCR) targeting the most prevalent G12C and G12V KRAS hotspot mutations in lung adenocarcinoma. Predicted high affinity peptides were screened using our TCR discovery and validation pipeline, and functional assessment was performed to determine sensitivity, specificity, and cytotoxic potential of TCR-engineered T cells. We discovered and validated 5 novel TCRs targeting KRAS G12C and G12V 9-mers, each of which demonstrated an ability to recognize and lyse tumor cells endogenously presenting mutant KRAS on HLA-A*03:01 or HLA-A*11:01. Notably, several TCRs demonstrated distinct modes of cross-reactivity, including peptide degeneracy across KRAS G12 variants, HLA degeneracy across HLA-A*03:01 and HLA-A*11:01, or dual degeneracy across both KRAS and HLA, thereby broadening the treatable target populations. TCRs that recognize the KRAS hotspot shared sequence motifs were found in several lung cancer patients. Our study highlights the successful generation of multi-valent KRAS-specific TCRs and supports the feasibility of targeting shared KRAS neoantigens through TCR engineering in lung cancer.
Insights
Researchers engineered T cell receptors (TCRs) to target KRAS mutations in lung cancer. These novel TCRs successfully identified and destroyed cancer cells, showing promise for KRAS-targeted immunotherapy.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Oncogenic KRAS mutations are prevalent in lung adenocarcinoma, correlating with poor patient prognosis.
- KRAS mutations, particularly G12C, G12V, and G12D, represent a significant therapeutic target.
- Cellular immunotherapy offers a promising strategy for targeting KRAS-driven lung cancers.
Purpose of the Study:
- To develop novel T cell receptors (TCRs) targeting KRAS G12C and G12V mutations in lung adenocarcinoma.
- To validate the efficacy and specificity of these TCRs in recognizing and eliminating tumor cells.
- To explore the potential for broad applicability of TCR-based therapies by assessing cross-reactivity.
Main Methods:
- Development of HLA-A*03:01- and HLA-A*11:01-restricted TCRs against KRAS G12C and G12V hotspot mutations.
- Screening of high-affinity peptides using a TCR discovery and validation pipeline.
- Functional assessment of TCR-engineered T cells for sensitivity, specificity, and cytotoxic activity.
Main Results:
- Five novel TCRs targeting KRAS G12C and G12V 9-mers were discovered and validated.
- TCRs demonstrated the ability to recognize and lyse lung tumor cells presenting endogenous mutant KRAS.
- Several TCRs exhibited cross-reactivity across different KRAS G12 variants and/or HLA types, expanding potential patient populations.
- KRAS hotspot shared sequence motifs recognized by TCRs were identified in lung cancer patients.
Conclusions:
- Successful generation of multi-valent KRAS-specific TCRs targeting common lung cancer mutations.
- Demonstrated feasibility of targeting shared KRAS neoantigens via TCR engineering for lung cancer treatment.
- Highlights the potential of TCR-based immunotherapy for KRAS-mutated lung adenocarcinomas.
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