Target intelligence / Profile preview

HLA class I histocompatibility antigen, A-2 alpha chain presenting PR1 peptide (HLA-A2–PR1)

Target
HLA-A2–PR1
Molecular classification
Major histocompatibility complex class I molecule (MHC class I), Receptor (in the sense of immune recognition, though not classical signal transduction)
01

Overview

HLA class I histocompatibility antigen, A-2 alpha chain presenting PR1 peptide describes a peptide–MHC complex consisting of the PR1 peptide (a nine-amino acid epitope derived from proteinase 3 or neutrophil elastase) bound to the HLA-A*02:01 molecule (the A-2 alpha chain). This complex is presented on the surface of antigen-presenting cells and some leukemia cells, where it is specifically recognized by CD8+ cytotoxic T lymphocytes. Recognition of PR1/HLA-A2 by T cells or T cell–like therapeutic antibodies leads to selective killing of leukemia cells overexpressing PR1, making this complex an important immunotherapeutic target in hematologic malignancies[4][6][8]. The complex is also a useful biomarker for monitoring leukemia-specific immune responses and for selecting patients who may benefit from peptide-MHC–targeted therapies[6][8].

Other names
HLA-A*02:01/PR1PR1/HLA-A2 complexHLA-A2 presenting PR1PR1 peptide–MHC class I (HLA-A2) complex
02

Mechanism of action

Antibody-mediated binding to PR1/HLA-A2 complex, resulting in antibody-dependent cellular cytotoxicity (ADCC); Bispecific antibody recruitment of T cells via CD3 to PR1/HLA-A2-positive leukemia cells, leading to targeted cell lysis; T cell receptor (TCR) recognition, activation, and cytolytic response against cells expressing PR1/HLA-A2.

03

Biological functions

Antigen processing and presentation to CD8+ T cellsImmune responseRecognition and elimination of infected or transformed cells (tumors)T cell activationRegulation of self-tolerance and anti-tumor immunity
04

Disease associations

Cancer (particularly chronic myelogenous leukemia and acute myelogenous leukemia)Infection (depending on the peptide presented, though PR1 is associated with leukemia)Immune monitoring (leukemia-associated antigen)
05

Safety considerations

Potential for off-target cytotoxicity against normal myeloid cells expressing PR1 peptide, given that PR1 is a self-antigenImmune tolerance or deletion of high-avidity T cells against PR1 may limit therapeutic efficacy or induce autoimmunityCytokine release syndrome from T cell–engaging therapies
06

Interacting drugs

8F4 monoclonal antibody (anti-PR1/HLA-A2 antibody)

2 more in the full profile.

07

Biomarkers

PR1/HLA-A2 tetramer (used for detection of PR1-specific cytotoxic T cells in patient samples)PR1-specific T cells as markers of immune response against leukemiaOverexpression of proteinase 3 or neutrophil elastase in leukemic cells leading to increased PR1 presentation

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