Target intelligence / Profile preview

HLA-A*02:01-presented Carcinoembryonic Antigen Peptide-1 (HLA-A*02:01/CAP-1)

Target
HLA-A*02:01/CAP-1
Molecular classification
Peptide-MHC Class I complex, Antigen, Tumor-associated antigen (TAA) epitope
01

Overview

The HLA-A*02:01-presented CAP-1 peptide is a specific peptide-major histocompatibility complex (pMHC) consisting of a nonamer epitope (sequence: YLSGANLNL) derived from the Carcinoembryonic Antigen (CEA) bound to the HLA-A*02:01 molecule (Tsang et al., 1995, J Natl Cancer Inst). CEA is a cell-surface glycoprotein that is highly overexpressed in various adenocarcinomas, particularly colorectal, pancreatic, and lung cancers, while maintaining restricted expression in normal adult tissues (Zaremba et al., 1997, Cancer Res). The CAP-1 peptide is naturally processed and presented on the surface of these malignant cells, serving as a critical target for antigen-specific cancer immunotherapies. Therapeutic approaches targeting this complex include peptide-based vaccines, dendritic cell vaccines, and engineered T-cell receptor (TCR) therapies designed to trigger a cytotoxic T-lymphocyte response against CEA-positive tumors (Fong et al., 2001, Proc Natl Acad Sci U S A). Because HLA-A*02:01 is one of the most prevalent HLA alleles in the human population, this target is applicable to a significant demographic of cancer patients. To improve therapeutic efficacy, agonist analogs such as CAP-1-6D (YLSGADLNL) have been developed to enhance the stability of the pMHC complex and increase the activation of specific T-cells (Allen et al., 2002, Clin Cancer Res).

Other names
HLA-A*0201/CEA(605-613)CEA peptide CAP-1/HLA-A*02:01 complexHLA-A2/CAP-1YLSGANLNL/HLA-A*02:01
02

Mechanism of action

T-cell receptor (TCR) mediated recognition of the pMHC complex leading to cytotoxic T-lymphocyte (CTL) activation and tumor cell lysis.

03

Biological functions

Antigen presentationT-cell activationImmune recognitionCytotoxic T-lymphocyte (CTL) priming
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Disease associations

Colorectal cancerPancreatic cancerGastric cancerNon-small cell lung cancerBreast cancer
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Safety considerations

On-target off-tumor toxicity (due to low-level CEA expression in normal mucosal tissues)Cytokine release syndrome (CRS)Immune evasion via HLA downregulation or antigen lossAutoimmune colitis
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Interacting drugs

CAP-1 peptide vaccine

3 more in the full profile.

07

Biomarkers

HLA-A*02:01 genotypeCEA protein expression (IHC)Serum CEA levelsCAP-1 specific T-cell frequency

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