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HLA class I antigen, A-1 alpha chain (HLA-A1) (HLA-A1)

Target
HLA-A1
Molecular classification
MHC class I, Receptor, Antigen-presenting molecule, Glycoprotein
01

Overview

HLA-A1 (Human Leukocyte Antigen A1) is a specific serotype of the HLA-A locus, belonging to the Major Histocompatibility Complex (MHC) class I family (UniProt P30443; NCBI Gene ID: 3105). Its primary biological role is the presentation of endogenous peptides, derived from both self-proteins and foreign or mutated proteins, to the T-cell receptors (TCRs) of CD8+ cytotoxic T lymphocytes (UniProt P30443). In oncology, HLA-A1 is a critical restriction element for the recognition of tumor-associated antigens, such as MAGE-A3, making it a focal point for the development of TCR-engineered T-cell (TCR-T) therapies and cancer vaccines (PMID: 23585431; ClinicalTrials.gov NCT01352234). These therapies rely on the precise binding of a TCR to the HLA-A1/peptide complex to trigger a targeted immune attack against malignant cells (ClinicalTrials.gov NCT01352234). However, a significant challenge in targeting HLA-A1-restricted antigens is the risk of off-target toxicity, as demonstrated by historical clinical trials where TCRs cross-reacted with similar peptides in healthy tissues like the heart (PMID: 23585431). Furthermore, tumors often employ immune evasion strategies such as the downregulation or loss of HLA-A1 expression to avoid T-cell detection (NCBI Gene ID: 3105). Understanding the specific peptide-binding motifs of HLA-A1 is essential for patient stratification and the design of safe, effective immunotherapies (PMID: 23585431; PMID: 23479570).

Other names
HLA-A*01MHC class I antigen A*01HLA-A*01:01Human leukocyte antigen A1MHC class I antigen A-1 alpha chain
02

Mechanism of action

HLA-A1 functions by binding intracellularly processed peptide fragments and presenting them on the cell surface for recognition by CD8+ T-cell receptors, thereby initiating a cytotoxic immune response against infected or malignant cells (UniProt P30443; NCBI Gene ID: 3105).

03

Biological functions

Antigen presentationT-cell activationImmune responseImmune surveillanceEndogenous peptide processing
04

Disease associations

Cancer (e.g., Melanoma, Non-small cell lung cancer, Myeloma)Viral infection (e.g., HIV, Influenza)Autoimmune diseaseGraft-versus-host disease
05

Safety considerations

Off-target cardiotoxicity due to cross-reactivity with Titin (e.g., MAGE-A3 TCRs) (PMID: 23585431)Cytokine release syndrome (CRS) (ClinicalTrials.gov NCT01352234)Immune effector cell-associated neurotoxicity syndrome (ICANS)HLA loss or downregulation as a tumor escape mechanism (NCBI Gene ID: 3105)On-target, off-tumor toxicity if the target peptide is expressed in healthy tissues
06

Interacting drugs

MAGE-A3-specific TCR-engineered T-cells (Experimental) (PMID: 23585431)

3 more in the full profile.

07

Biomarkers

HLA-A*01:01 genotype (Patient stratification) (PMID: 23585431)MAGE-A3 antigen expression (Target validation) (ClinicalTrials.gov NCT01352234)PRAME antigen expression (Target validation) (PMID: 30104343)Soluble HLA-A1 levels (Potential monitoring)

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