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KRAS G12C neoantigen peptide presented by HLA-A*11:01 (KRAS G12C/HLA-A*11:01)

Target
KRAS G12C/HLA-A*11:01
Molecular classification
Peptide-MHC complex, Neoantigen, Major Histocompatibility Complex Class I
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Overview

The KRAS G12C neoantigen peptide presented by HLA-A*11:01 is a specific molecular complex formed when the mutated KRAS protein is processed and displayed on the surface of cancer cells. KRAS is a member of the RAS family of small GTPases that regulate cell growth; the G12C mutation (glycine to cysteine at codon 12) is a frequent driver in various malignancies, including lung and colorectal cancers (Simanshu et al., 2017, Cell). In patients carrying the HLA-A*11:01 allele, the mutated peptide fragment is presented by the Major Histocompatibility Complex (MHC) Class I, making it a target for the cellular immune system. This complex is highly tumor-specific because the G12C mutation does not occur in normal, healthy cells, minimizing the risk of on-target, off-tumor toxicity (Bear et al., 2020, Cancer Discovery). Therapeutic strategies targeting this pMHC complex include TCR-engineered T-cells (TCR-T) and peptide vaccines, which aim to induce a robust cytotoxic T-lymphocyte response against the tumor (Wang et al., 2021, Journal of Hematology & Oncology). This target is particularly relevant for precision medicine in populations where the HLA-A*11:01 allele is common, such as in East Asia.

Other names
KRAS G12C-A11:01 complexHLA-A*11:01-restricted KRAS G12C neoantigenKRAS G12C peptide-MHC complexHLA-A*11:01/KRAS(G12C) complex
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Mechanism of action

T-cell receptor (TCR) mediated recognition of the peptide-MHC complex, leading to T-cell activation, cytokine secretion, and direct cytotoxic lysis of the tumor cell.

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Biological functions

Antigen presentationImmune recognitionT-cell activation
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Disease associations

CancerNon-small cell lung cancerColorectal cancerPancreatic cancer
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Safety considerations

Cytokine release syndrome (CRS)Immune effector cell-associated neurotoxicity syndrome (ICANS)Tumor antigen escape via HLA downregulation or loss of heterozygosity
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Interacting drugs

KRAS G12C-specific TCR-engineered T-cells

2 more in the full profile.

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Biomarkers

KRAS G12C mutation statusHLA-A*11:01 genotypeMHC Class I expression level

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