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Insulin-like growth factor binding protein-like 1 peptide-HLA complex (IGFBPL1-HLA complex)

Target
IGFBPL1-HLA complex
Molecular classification
Peptide-MHC complex, Tumor-associated antigen, Insulin-like growth factor binding protein family
01

Overview

The Insulin-like growth factor binding protein-like 1 (IGFBPL1) peptide-HLA complex is an intracellular tumor-associated antigen presented on the surface of cancer cells via the Major Histocompatibility Complex (MHC) Class I. While IGFBPL1 is a secreted protein involved in regulating insulin-like growth factor (IGF) signaling and axon growth in the central nervous system, its degradation products are processed and presented as peptides on HLA-A*02:01 in various solid tumors. This complex serves as a highly specific target for T-cell receptor (TCR)-based therapies, such as TCR-engineered T cells (TCR-T), which can recognize and eliminate tumor cells expressing the intracellular protein. Targeting the peptide-HLA complex allows therapeutic access to the intracellular proteome, which is otherwise unreachable by traditional monoclonal antibodies. Current clinical development, such as AFNT-211, focuses on leveraging this target for the treatment of solid tumors where IGFBPL1 is overexpressed.

Other names
IGFBPL1-MHC complexInsulin-like growth factor binding protein-like 1IGFBP-L1IGFBP-related protein 4IGFBPRP4
02

Mechanism of action

T-cell receptor (TCR) mediated cytotoxicity targeting intracellular tumor-associated antigens presented on HLA

03

Biological functions

IGF bindingRegulation of cell growthAntigen presentationRetinal ganglion cell survivalAxon growth regulation
04

Disease associations

CancerSolid tumorsOvarian cancerBreast cancer
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Safety considerations

On-target off-tumor toxicity (expression in brain/retina)Cytokine release syndromeHLA downregulation (immune evasion)Cross-reactivity with similar self-peptides
06

Interacting drugs

AFNT-211
07

Biomarkers

IGFBPL1 mRNA expressionHLA-A*02:01 genotype

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