Target intelligence / Profile preview

HLA-A*02:01-p53 (264-272) complex (HLA-A2/p53(264-272))

Target
HLA-A2/p53(264-272)
Molecular classification
Peptide-MHC complex, Antigen, Major Histocompatibility Complex (MHC) Class I
01

Overview

The HLA-A*02:01-p53 (264-272) complex is a specific peptide-major histocompatibility complex (pMHC) found on the surface of cells, particularly cancer cells that overexpress the tumor suppressor protein p53 [1, 8]. The peptide, with the sequence LLGRNSFEV, represents an immunodominant epitope derived from the wild-type p53 protein [2, 9]. In many cancers, p53 is mutated or stabilized, leading to its accumulation and subsequent increased presentation of this epitope on the cell surface via the HLA-A*02:01 allele [1, 5]. This complex serves as a critical target for various immunotherapies, including T-cell receptor (TCR)-based therapies, TCR-like antibodies, and peptide vaccines, which aim to direct the immune system to selectively kill tumor cells [1, 4, 7]. However, therapeutic challenges include the potential for "on-target, off-tumor" toxicity due to low-level p53 expression in normal tissues and the emergence of tumor escape mechanisms such as the R273H mutation, which can interfere with the processing and presentation of the 264-272 epitope [5, 6]. Additionally, the clinical utility of targeting this complex is restricted to patients who carry the HLA-A*02:01 allele [1, 13].

Other names
p53(264-272)/HLA-A*02:01LLGRNSFEV-HLA-A2 complexp53 peptide-MHC complexHLA-A*02:01-p53(aa264-272)p53 R264-272 epitope
02

Mechanism of action

The complex is recognized by specific T-cell receptors (TCRs) or TCR-like antibodies, which bind to the peptide-MHC interface to initiate cytotoxic T-lymphocyte (CTL) activation and subsequent lysis of the tumor cell [1, 8].

03

Biological functions

Antigen presentationImmune responseT-cell activationImmune recognition
04

Disease associations

CancerMelanomaRenal cell carcinomaHead and neck squamous cell carcinomaLung cancerHepatocellular carcinoma
05

Safety considerations

On-target off-tumor toxicity due to low-level p53 expression in normal tissuesCross-reactivity with similar self-peptides (molecular mimicry)Tumor immune escape via HLA downregulation or loss of heterozygosityImpaired peptide processing caused by flanking mutations such as R273H
06

Interacting drugs

ALT-801 (Altor-801)

3 more in the full profile.

07

Biomarkers

HLA-A*02:01 genotypep53 protein overexpression (IHC)TP53 mutation status

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