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Human leukocyte antigen A*02:01 presenting NY-ESO-1 peptide (HLA-A*02:01/NY-ESO-1)

Target
HLA-A*02:01/NY-ESO-1
Molecular classification
Major Histocompatibility Complex Class I (UniProt: P01892), Peptide-MHC complex (PubMed: 11085993), Antigen-presenting molecule (UniProt: P01892)
01

Overview

The HLA-A*02:01-NY-ESO-1 complex is a specific peptide-major histocompatibility complex (pMHC) that serves as a critical target for cancer immunotherapy (PubMed: 11085993). It consists of the HLA-A*02:01 molecule (UniProt: P01892) presenting a 9-amino acid peptide, typically SLLMWITQC (NY-ESO-1 157-165), derived from the cancer-testis antigen NY-ESO-1 (UniProt: P78358). NY-ESO-1 is a highly immunogenic protein normally restricted to testicular germ cells, which do not express HLA molecules, making the complex a tumor-specific target when expressed in malignancies (PubMed: 16103331). This complex is frequently found on the surface of various solid tumors, including synovial sarcoma, melanoma, and certain lung cancers (PubMed: 28213373). Therapeutic interventions, such as TCR-engineered T-cell (TCR-T) therapies, are designed to recognize this specific pMHC with high affinity and specificity. Upon binding, these engineered T-cells initiate a cytotoxic response, releasing perforins and granzymes to induce apoptosis in the target cancer cells. The recent FDA approval of afamitresgene autoleucel (Tecelra) marks a significant milestone in targeting this complex for the treatment of advanced synovial sarcoma (FDA, 2024). Clinical monitoring for patients receiving these therapies involves verifying both the presence of the HLA-A*02:01 allele and the expression of the NY-ESO-1 protein in tumor tissue.

Other names
HLA-A2/NY-ESO-1NY-ESO-1/HLA-A*02:01 complexHLA-A*02:01-SLLMWITQCCTAG1B-HLA-A2 complexHLA-A*02:01 peptide-binding groove presenting NY-ESO-1
02

Mechanism of action

Engineered T-cell receptor (TCR) binding to the HLA-A*02:01/NY-ESO-1 peptide complex, triggering T-cell activation, expansion, and cytotoxic destruction of tumor cells expressing the antigen (FDA, 2024; PubMed: 28213373).

03

Biological functions

Antigen presentation (UniProt: P01892)T-cell recognition (PubMed: 11085993)Immune surveillance (PubMed: 16103331)
04

Disease associations

Synovial sarcoma (FDA, 2024)Myxoid/round cell liposarcoma (NCT04044859)Melanoma (PubMed: 28213373)Multiple myeloma (PubMed: 26193344)Non-small cell lung cancer (NCT03709706)
05

Safety considerations

Cytokine Release Syndrome (CRS) (PubMed: 31092554)Immune Effector Cell-Associated Neurotoxicity Syndrome (ICANS) (PubMed: 31092554)Potential off-target cross-reactivity with similar self-peptides (PubMed: 23749248)On-target off-tumor toxicity (PubMed: 16103331)
06

Interacting drugs

Afamitresgene autoleucel (Tecelra)

3 more in the full profile.

07

Biomarkers

HLA-A*02:01 genotype (FDA, 2024)NY-ESO-1 (CTAG1B) expression by IHC or RT-PCR (FDA, 2024)

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