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The HLA-A*24:02-restricted NY-ESO-1 (158-166) peptide-MHC complex is a specific molecular target used in cancer immunotherapy, particularly in populations where the HLA-A*24 allele is prevalent, such as in East Asia (PMID: 11877306). It consists of the HLA-A*24:02 molecule presenting a 9-amino acid epitope (LLMWITQCF) derived from the New York esophageal squamous cell carcinoma 1 (NY-ESO-1) protein (PMID: 15150593). NY-ESO-1 is a well-characterized cancer-testis antigen that is highly expressed in various malignancies but restricted to germ cells in healthy adults, making it an ideal target for minimizing off-tumor effects (PMID: 25108347). Therapeutic strategies targeting this complex primarily involve T-cell receptor (TCR) engineered T-cell therapies, such as TBI-1301, which are designed to recognize and kill tumor cells presenting this specific antigen (ClinicalTrials.gov NCT02869217). Clinical development focuses on solid tumors like synovial sarcoma and melanoma, where NY-ESO-1 expression is frequent (PMID: 33033110). This target represents a precision medicine approach, requiring patient screening for both the specific HLA genotype and tumor antigen expression. The interaction between the engineered TCR and the pMHC complex triggers a robust immune response, leading to the release of perforins and granzymes that induce apoptosis in the target cancer cells. Despite its promise, challenges include potential off-target cross-reactivity and the immunosuppressive tumor microenvironment that can limit T-cell persistence and activity.
T-cell receptor (TCR) mediated recognition of the peptide-MHC complex, triggering cytotoxic T-cell activation and targeted lysis of tumor cells.
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