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Dickkopf-related protein 1 peptide-HLA-A*02:01 complex (DKK1-HLA-A2 complex)

Target
DKK1-HLA-A2 complex
Molecular classification
Peptide-MHC complex, Tumor-associated antigen, Antigen
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Overview

The Dickkopf-related protein 1 (DKK1) peptide-HLA-A2 complex is a specific peptide-major histocompatibility complex (pMHC) presented on the surface of various malignant cells. DKK1 is a secreted glycoprotein that normally acts as a potent inhibitor of the Wnt/beta-catenin signaling pathway and is frequently overexpressed in cancers such as multiple myeloma, lung cancer, and breast cancer (1.1.2, 1.1.3). While DKK1 itself is a secreted protein, its intracellular processing leads to the presentation of specific immunogenic peptides, such as the P20 peptide (ALGGHPLLGV), by the HLA-A*02:01 molecule (1.2.2, 1.3.1). This complex serves as a highly specific tumor-associated antigen because its expression is largely restricted to tumor tissues, with minimal presence in normal adult tissues except for the placenta and testis (1.5.1). Therapeutic strategies targeting this complex include TCR-like monoclonal antibodies and chimeric antigen receptor (CAR) T-cells, which can bypass the limitations of targeting secreted proteins by recognizing the surface-bound pMHC (1.3.3, 1.4.1). These therapies induce potent anti-tumor responses through mechanisms like antibody-dependent cellular cytotoxicity, complement-dependent cytotoxicity, and direct apoptosis via the caspase-9 cascade (1.1.1, 1.3.1). Preclinical studies have highlighted the potential of this complex as a safe and effective target for precision immunotherapy in both hematological and solid tumors (1.4.2, 1.5.1).

Other names
DKK1-A2 complexDKK1-P20-HLA-A2 complexDKK1-MHC complexDKK1-HLA-A*0201DKK1-P20-HLA-A*02:01
02

Mechanism of action

Targeting of the DKK1 peptide-HLA-A2 complex on the cell surface to induce T-cell mediated cytotoxicity, antibody-dependent cellular cytotoxicity (ADCC), complement-dependent cytotoxicity (CDC), or direct apoptosis via the caspase-9 cascade.

03

Biological functions

Antigen presentationImmune recognitionT-cell activationApoptosis induction
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Disease associations

Multiple myelomaPancreatic ductal adenocarcinomaNon-small cell lung cancerTriple-negative breast cancerProstate cancerHematological malignancy
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Safety considerations

Off-target toxicityCytokine release syndromeOn-target off-tumor effects (e.g., potential reactivity in tonsils)Antigen escape through HLA downregulation
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Interacting drugs

ALA-101 (DKK1-CAR-iNKT)

4 more in the full profile.

07

Biomarkers

HLA-A*02:01 genotypeDKK1 protein expressionDKK1-A2 complex surface density

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