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Cathepsin G peptide–human leukocyte antigen complex

Molecular classification
Antigen–major histocompatibility complex (MHC) complex, Peptide–HLA complex, Immune cell surface ligand
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Overview

The **cathepsin G peptide–human leukocyte antigen complex** refers to a cell-surface molecular complex formed by the presentation of a peptide derived from cathepsin G (CG), a neutrophil serine protease, in the context of human leukocyte antigen (HLA, especially class I molecules such as HLA-A*0201). This complex is recognized by cytotoxic T lymphocytes, enabling immune targeting of cells that abnormally process or express cathepsin G, such as acute myeloid leukemia (AML) blasts. Recent therapeutic strategies have focused on this complex as a highly specific tumor-associated antigen for immunotherapy, utilizing T cell receptor-mimic antibodies and engineered T cells to selectively target leukemic cells while sparing normal tissues. The complex plays a critical role in adaptive immunity, serving as both an immune target and a potential biomarker for disease and therapeutic selection; its exploitation must be balanced against potential immunopathology and off-target effects[1][2][3][4].

Other names
CatG peptide–HLA complexCathepsin G–MHC complexCG1/HLA-A2 complexCathepsin G epitope–MHC complex
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Mechanism of action

Recognition by cytotoxic T cells leading to targeted cell lysis[2][4] Redirection of T cells to target the complex via bispecific antibodies[4] Immune-mediated cytotoxicity

03

Biological functions

Antigen presentationImmune response modulationActivation of cytotoxic T lymphocytes
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Disease associations

Cancer (notably acute myeloid leukemia)InflammationInfection
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Safety considerations

Potential for off-tumor toxicity if CG1/HLA-A2 complex is present on normal cells (but evidence to date suggests minimal recognition of normal bone marrow[4])Risk of cytokine release syndrome with T cell-engaging therapies
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Interacting drugs

T cell receptor mimic antibodies (e.g., CG1/A2xCD3 bispecific antibody)[4]

2 more in the full profile.

07

Biomarkers

CG1/HLA-A2 complex expression on AML blasts for patient selection in immunotherapy[4]HLA typing (e.g., HLA-A*0201 positive status)[2][4]

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