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HLA-A*02:01-presented gp100 peptide (gp209-2M) (HLA-A*02:01/gp100(209-2M))

Target
HLA-A*02:01/gp100(209-2M)
Molecular classification
Peptide-MHC complex, Major Histocompatibility Complex (MHC) Class I, Receptor
01

Overview

The target is a peptide-major histocompatibility complex (pMHC) consisting of the HLA-A*02:01 molecule presenting a modified peptide derived from the melanoma-associated antigen gp100, also known as PMEL [1, 2]. The peptide, designated gp209-2M (sequence: IMDQVPFSV), is a synthetic variant of the native gp100(209-217) epitope with a threonine-to-methionine substitution at the second position to increase its binding affinity for the HLA-A*02:01 groove [7, 15]. This complex is specifically recognized by CD8+ T-cell receptors (TCRs), an interaction that is naturally stabilized by the CD8 co-receptor which binds to the alpha-3 domain of the MHC molecule [20]. In clinical practice, this pMHC complex serves as the primary target for tebentafusp (Kimmtrak), a first-in-class bispecific T-cell engager that redirects T cells to kill gp100-expressing melanoma cells [3, 5]. The target is primarily relevant for the treatment of HLA-A*02:01-positive patients with metastatic uveal melanoma, where it has demonstrated significant overall survival benefits [6, 8].

Other names
gp100(209-2M)g209-2MIMDQVPFSVgp100:209-217(210M)HLA-A*02:01-gp100 complexMelanocyte protein PMEL peptide (209-217) mutant
02

Mechanism of action

T-cell redirection via bispecific T-cell receptor (TCR) fusion protein

03

Biological functions

Antigen presentationT-cell activationImmune response
04

Disease associations

CancerMelanomaUveal melanoma
05

Safety considerations

Cytokine release syndromeSkin toxicity (rash, pruritus)On-target off-tumor activity against normal melanocytes
06

Interacting drugs

Tebentafusp

1 more in the full profile.

07

Biomarkers

HLA-A*02:01 positivitygp100 (PMEL) expression

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