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The target is a specific peptide-MHC complex comprising a peptide derived from exon 6 of the Collagen type VI alpha 3 chain (COL6A3) presented on the Human Leukocyte Antigen (HLA)-A*02 allele (Immatics, 2024). COL6A3 is an extracellular matrix protein, but the specific isoform containing exon 6 is highly overexpressed in the stroma and tumor cells of multiple solid tumors, including pancreatic, gastric, and esophageal cancers (ClinicalTrials.gov, NCT03450156). In contrast, this isoform shows minimal to no expression in healthy tissues, providing a wide therapeutic window for oncology treatments (PubMed, PMID: 31515461). This complex is targeted by advanced immunotherapies such as TCR-engineered T-cells (TCR-T) and T-cell engaging bispecifics (TCERs). These therapies, such as IMA202 and IMA402, utilize high-affinity T-cell receptors to recognize the COL6A3-002 peptide, leading to the directed destruction of malignant cells (Immatics, 2023). Patient selection for these therapies typically requires confirmation of the HLA-A*02 genotype and quantitative assessment of COL6A3 exon 6 mRNA expression in tumor biopsies.
T-cell receptor (TCR)-mediated recognition of the peptide-HLA complex, inducing cytotoxic T-cell activation and tumor cell lysis.
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