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Human leukocyte antigen (HLA) class II molecules are heterodimeric cell surface glycoproteins that play a pivotal role in the adaptive immune system by presenting processed antigenic peptides to CD4+ T helper cells (Hilf et al., 2019). In the APVAC2 (Actively Personalized VACcine 2) therapeutic strategy, these molecules present patient-specific neoepitopes—peptides derived from non-synonymous mutations unique to an individual's tumor (NCT02149225). This HLA-peptide complex serves as a highly specific target for the immune system, designed to bypass central tolerance and elicit a robust anti-tumor T-cell response (Sahin & Türeci, 2018). The APVAC2 approach was notably utilized in the GAPVAC-101 clinical trial for glioblastoma, where vaccines were tailored based on the patient's mutanome and HLA profile to induce long-lasting immunological memory (Hilf et al., 2019). By targeting these unique complexes, the therapy aims to achieve precise tumor cell destruction while minimizing damage to healthy tissues.
Induction of tumor-specific CD4+ T-cell responses through the presentation of personalized neoepitopes on HLA class II molecules (Hilf et al., 2019).
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