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HLA-A*02:01–PRAME peptide complex

Molecular classification
Major histocompatibility complex class I (MHC I)–peptide complex, Antigen-presenting complex, Immune receptor–peptide ligand
01

Overview

The HLA-A*02:01–PRAME peptide complex is a molecular complex formed by the presentation of a peptide derived from the Preferentially Expressed Antigen in Melanoma (PRAME) protein by the HLA-A*02:01 molecule, a specific variant of the human major histocompatibility complex class I (MHC I)[1][4][6]. PRAME is a cancer-testis antigen highly expressed in various cancers and normally absent or expressed at very low levels in normal tissues[1]. Intracellular processing of PRAME protein leads to generation of specific peptides (notably SLLQHLIGL or similar sequences), which are then loaded onto HLA-A*02:01 and presented on the surface of tumor cells[4][6]. This complex is recognized by cytotoxic T lymphocytes or engineered therapeutics such as TCR-T cells or TCR-mimic antibodies, enabling selective targeting and destruction of PRAME-expressing cancer cells[5][6]. Its restricted presentation makes it an attractive and actively pursued therapeutic target, particularly for immunotherapy of cancers like leukemia and synovial sarcoma[1][5][6]. However, its application is limited by the requirement for both PRAME and HLA-A*02:01 co-expression and concerns regarding immune-mediated toxicity in non-tumor tissues expressing PRAME[5][6].

Other names
HLA-A2–PRAME peptide complexHLA class I PRAME peptide complexPRAME/HLA-A*02:01 peptide-MHC complex
02

Mechanism of action

Recognition by T cells or TCR-mimic antibodies leads to targeted killing of PRAME-expressing tumor cells via cytotoxic T lymphocyte activity in an HLA-A*02:01–restricted manner[1][5][6].

03

Biological functions

Immune responseAntigen processing and presentationT cell activation
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Disease associations

CancerInfectionOther (autoimmunity, rare immune dysregulation)
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Safety considerations

On-target, off-tumor toxicity (PRAME expression in non-tumor tissues can lead to potential adverse effects)[5]MHC restriction: Only effective in HLA-A*02:01-positive patientsPossibility of immune-related adverse events due to strong cytotoxic response
06

Interacting drugs

Investigational T cell receptor (TCR)-mimic antibodies (e.g., Pr20)[5]

2 more in the full profile.

07

Biomarkers

PRAME gene/protein expression in tumorsHLA-A*02:01 expression in patient's cells[1][6]

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