Target intelligence / Profile preview

HLA class I histocompatibility antigen, A alpha chain (HLA-A*02:03) (HLA-A*02:03)

Target
HLA-A*02:03
Molecular classification
MHC class I, Receptor, Glycoprotein, Immune system protein
01

Overview

HLA-A*02:03 is a specific allele of the Human Leukocyte Antigen (HLA) class I A gene, which encodes the alpha chain of the Major Histocompatibility Complex (MHC) class I molecule. This protein is essential for the adaptive immune system, as it binds and presents intracellularly derived peptides to CD8+ cytotoxic T cells, thereby facilitating the recognition and elimination of infected or malignant cells (1.2.3, 1.2.4). HLA-A*02:03 is notably prevalent in Southeast Asian populations, distinguishing it from the more globally common HLA-A*02:01 allele by specific amino acid substitutions that alter its peptide-binding pocket and specificity (1.2.2, 1.4.5). In clinical practice, it serves as a critical therapeutic target and biomarker for HLA-restricted immunotherapies, including TCR-engineered T-cell therapies like afamitresgene autoleucel and various cancer vaccines (1.4.2). Furthermore, it is associated with disease susceptibility or protection in conditions such as Hepatitis B, HIV, and certain autoimmune disorders like Graves' ophthalmopathy (1.1.4, 1.2.2, 1.3.1).

Other names
MHC class I antigen A*02:03HLA-A2A203HLA-A*0203Human leukocyte antigen A*02:03
02

Mechanism of action

Presentation of intracellularly derived antigenic peptides to CD8+ cytotoxic T lymphocytes to trigger an adaptive immune response.

03

Biological functions

Antigen presentationImmune responseT-cell activationCD8+ T-cell recognitionSelf-nonself discrimination
04

Disease associations

Cancer (e.g., Synovial sarcoma, Hepatocellular carcinoma, Melanoma)Infection (e.g., Hepatitis B, HIV, SARS-CoV-2)Autoimmune disease (e.g., Graves' ophthalmopathy, Multiple sclerosis)Leukemia (e.g., Acute lymphoblastic leukemia)
05

Safety considerations

Off-target toxicity due to cross-reactivity with other HLA allelesTumor immune escape via HLA downregulationLoss of heterozygosity (LOH) in tumor cellsPopulation-specific restriction (primarily Southeast Asian)
06

Interacting drugs

Afamitresgene autoleucel

3 more in the full profile.

07

Biomarkers

HLA-A*02:03 genotypeHLA-A*02:03 expressionHLA-A*02:03-restricted peptide-MHC complexes

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