Target intelligence / Profile preview

Human leukocyte antigen class I histocompatibility antigen, A alpha chain (HLA-A*02)

Target
HLA-A*02
Molecular classification
Major histocompatibility complex (MHC) class I molecule, Transmembrane glycoprotein, Immune receptor
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Overview

Human leukocyte antigen class I histocompatibility antigen, A alpha chain—commonly referred to as "HLA-A" with the specific allele "A*02"—is a transmembrane glycoprotein encoded within the major histocompatibility complex on chromosome 6. As an MHC class I molecule, it is expressed on nearly all nucleated human cells and functions primarily to present endogenous peptides—including those derived from viruses or tumors—to CD8+ cytotoxic T lymphocytes. This process enables immune surveillance against infected or malignant cells by triggering their destruction upon recognition of non-self peptides. The extreme polymorphism at the HLA loci—including over 300 allelic variants for HLA-A2 alone—contributes both to individual variability in disease susceptibility/protection and challenges in organ transplantation due to alloimmune responses. The presence/absence of specific alleles such as HLA-A*02 can influence outcomes in infections like hepatitis B/C and various cancers. While not directly targeted by conventional drugs, its role is central in modern immunotherapeutic strategies where patient selection often depends on their expression of particular alleles like HLA-A*02. Safety considerations revolve around its critical role in self/non-self discrimination—a double-edged sword relevant both for effective immunity and risk for autoimmunity/alloreactivity.

Other names
HLA-A2HLA-A*02HLA class I histocompatibility antigen, A alpha chainMHC class I A*02
02

Mechanism of action

Drugs or biologics that interact with this molecule typically function by presenting tumor-associated or viral peptides to CD8+ cytotoxic T lymphocytes, leading to targeted immune-mediated killing, or by modulating immune response via engineered immune cells recognizing specific peptide-HLA complexes.

03

Biological functions

Antigen presentation to cytotoxic T lymphocytes (CD8+ T cells)Immune surveillance of intracellular pathogens and tumor cellsInduction of apoptosis in infected or abnormal cells
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Disease associations

Cancer (immune evasion, immunotherapy target)Infection (viral and bacterial susceptibility/resistance)Organ transplant rejectionAutoimmunity (association with certain autoimmune diseases)
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Safety considerations

Risks associated with allogeneic transplantation due to mismatched HLAs leading to graft rejectionPotential off-target effects in immunotherapies if cross-reactivity occursRisk of autoimmunity if self-peptides are presented aberrantly
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Interacting drugs

Peptide vaccines restricted by HLA-A*02 (e.g., gp100 peptide vaccine in melanoma)

1 more in the full profile.

07

Biomarkers

HLA-A*02 status is used as a biomarker for eligibility in clinical trials involving peptide vaccines or adoptive cell therapies that require presentation by this alleleIt can also be used as a prognostic marker in some infectious diseases and cancers

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