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Human epidermal growth factor receptor 2-derived peptide-MHC complex (HER2-pMHC)

Target
HER2-pMHC
Molecular classification
Antigen, Peptide-MHC complex
01

Overview

Human epidermal growth factor receptor 2 (HER2/neu)-derived peptide antigens presented on Major Histocompatibility Complex (MHC) molecules are critical targets for T-cell-based cancer immunotherapies. These targets consist of specific peptide fragments, such as E75 (KIFGSLAFL) or GP2, which are generated by proteasomal degradation of the HER2 protein and subsequently loaded onto MHC Class I or II molecules for cell-surface display (Peoples et al., 2005, PMID: 16322298). Unlike traditional HER2-targeted therapies like trastuzumab that bind the extracellular domain of the intact protein, these pMHC complexes allow the immune system to see intracellularly derived signals of HER2 overexpression (Schnittger et al., 2021, PMID: 34113155). This target is primarily utilized in the development of therapeutic cancer vaccines and engineered T-cell receptor (TCR) therapies aimed at treating HER2-positive malignancies, including breast and gastric cancers (Patel et al., 2020, PMID: 33037111). However, the efficacy of these treatments is strictly dependent on the patient's HLA genotype, as specific peptides only bind to certain MHC alleles, such as HLA-A*02:01 (Greene et al., 2016, PMID: 27197066).

Other names
HER2/neu peptide-HLA complexErbB2 peptide-MHC complexHER2-derived epitopesHER2 pMHCHER2/neu-derived peptide antigens presented on MHC molecules
02

Mechanism of action

Induction of peptide-specific cytotoxic T-lymphocyte (CTL) or helper T-cell responses through the recognition of HER2-derived epitopes presented by MHC molecules on the surface of tumor cells (Peoples et al., 2005, PMID: 16322298).

03

Biological functions

Antigen presentationImmune responseT-cell activation
04

Disease associations

CancerBreast cancerGastric cancerOvarian cancer
05

Safety considerations

HLA restriction (therapy only works for specific HLA types)Immune escape via MHC downregulation or antigen lossPotential for on-target, off-tumor toxicity in tissues with low-level HER2 expressionLow immunogenicity of self-antigen derived peptides
06

Interacting drugs

Nelipepimut-S (E75)

4 more in the full profile.

07

Biomarkers

HLA-A*02:01 genotypeHER2/neu protein expression (IHC/FISH)Peptide-specific T-cell frequency (ELISPOT)

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