Target intelligence / Profile preview

Dickkopf-related protein 1 peptide P20 presented by HLA-A*0201 (DKK1-P20/HLA-A*0201)

Target
DKK1-P20/HLA-A*0201
Molecular classification
Peptide-MHC class I complex, Tumor-associated antigen (TAA), Cancer-testis-like antigen
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Overview

The Dickkopf-related protein 1 (DKK1) peptide P20 presented by HLA-A*0201 is a specific peptide-major histocompatibility complex (pMHC) target utilized in advanced cancer immunotherapy. DKK1 is a secreted glycoprotein that acts as a high-affinity antagonist of the Wnt/beta-catenin signaling pathway, playing a critical role in bone homeostasis and cellular proliferation (Source: UniProt P57088). While its expression is restricted in healthy adults, DKK1 is significantly overexpressed in various malignancies, particularly multiple myeloma and prostate cancer, where it contributes to osteolytic bone lesions and tumor progression (Source: PubMed 22302738). The P20 epitope, consisting of the amino acid sequence ALMSHGLIC (residues 20-28), is derived from the DKK1 signal peptide and is efficiently processed and presented by the HLA-A*0201 allele on the surface of cancer cells (Source: Blood, Qian et al., 2012). This pMHC complex serves as a highly specific neoantigen-like target for T-cell receptor (TCR) based therapies, allowing for the selective destruction of malignant cells by cytotoxic T lymphocytes. Current therapeutic development focuses on TCR-engineered T-cells (TCR-T) and TCR-like antibodies that can recognize this specific peptide-HLA configuration with high sensitivity and specificity (Source: Journal for ImmunoTherapy of Cancer, 2020).

Other names
DKK1_20-28/HLA-A*0201DKK1-P20-MHC complexALMSHGLIC-HLA-A*0201Dickkopf-1 peptide-MHC complex
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Mechanism of action

Targeting of the specific peptide-MHC complex by engineered T-cell receptors (TCRs) or TCR-like antibodies to induce T-cell mediated cytotoxicity against DKK1-expressing tumor cells.

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Biological functions

Antigen presentationImmune recognitionT-cell activationWnt signaling modulation (via parent protein DKK1)
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Disease associations

Multiple myelomaProstate cancerBreast cancerNon-small cell lung cancerHepatocellular carcinoma
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Safety considerations

Off-target cross-reactivity with similar peptides in the human proteomeOn-target off-tumor toxicity in healthy tissues with low-level DKK1 expressionImmune evasion via HLA downregulation
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Interacting drugs

DKK1-targeted TCR-engineered T-cells

2 more in the full profile.

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Biomarkers

HLA-A*02:01 positivityDKK1 protein overexpression (via IHC)DKK1 mRNA expression

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