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Cellular tumor antigen p53 R175H mutant peptide presented on HLA-A*02:01

Molecular classification
Peptide-MHC complex, Neoantigen-MHC complex, Tumor-associated antigen
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Overview

The **Cellular tumor antigen p53 R175H mutant peptide presented on HLA-A*02:01** refers to a specific complex formed when a short peptide (typically amino acids 168–176, sequence HMTEVVRHC) derived from tumor cells bearing the R175H mutation in the TP53 gene is processed and presented on the cell surface by the major histocompatibility complex (MHC) class I molecule HLA-A*02:01[1][3][5]. This mutant p53 peptide represents a neoantigen—an abnormal peptide unique to cancer cells—that can be specifically recognized by T cells, thereby making it a highly attractive immunotherapy target[1][5][7]. The HLA-A*02:01 molecule acts as a platform for presenting this peptide on the tumor cell surface, enabling recognition by engineered T-cell receptors (TCRs) or bispecific molecules (e.g., CLSP-1025) that redirect immune effectors specifically to tumor cells expressing both TP53 R175H and HLA-A*02:01[5][7]. This strategy is under active clinical investigation for cancers harboring the R175H p53 mutation and HLA-A*02:01[9].

Other names
p53 R175H neoantigen presented on HLA-A*02:01mutant p53 (R175H) peptide-HLA-A*02:01 complexHLA-A*02:01/p53 R175H complex
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Mechanism of action

Redirected T cell killing: Bispecific T-cell engagers (such as CLSP-1025) bind the p53 R175H/HLA-A*02:01 complex on tumor cells and CD3 on T cells, triggering cytotoxic T cell activity specifically against tumor cells expressing the mutant peptide[1][5][7].

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Biological functions

Antigen presentationImmune recognitionTumor immune evasion
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Disease associations

Cancer
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Safety considerations

Potential for off-target T-cell activation if cross-reactivity occurs with similar peptides or with non-target HLA alleles[5].Risk of cytokine release syndrome and immune-related adverse events associated with T-cell engagement therapies.
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Interacting drugs

CLSP-1025[5][7]
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Biomarkers

Presence of TP53 R175H mutationExpression of HLA-A*02:01 allele on tumor cells

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