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KRAS G12D mutant decamer peptide presented by HLA-A*11:01 (KRAS G12D/HLA-A*11:01)

Target
KRAS G12D/HLA-A*11:01
Molecular classification
Peptide-MHC class I complex, Neoantigen, Major Histocompatibility Complex
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Overview

The KRAS G12D mutant decamer peptide presented by HLA-A*11:01 is a tumor-specific neoantigen complex that serves as a critical target for cancer immunotherapy. KRAS is a small GTPase that acts as a molecular switch in signaling pathways controlling cell growth; the G12D mutation is a common oncogenic driver that locks the protein in an active state, promoting malignancy (Wang et al., 2016, PubMed: 26712445). In patients carrying the HLA-A*11:01 allele, the mutated protein is processed into a 10-amino acid fragment (VVVGADGVGK) and displayed on the cell surface by the Major Histocompatibility Complex (MHC) class I molecule (Sim et al., 2020, PubMed: 32433943). This specific peptide-MHC complex is absent on healthy cells, making it an ideal target for precision therapies such as T-cell receptor (TCR) engineered T-cells and neoantigen vaccines. Therapeutic strategies aim to harness the immune system to recognize this complex, leading to the selective destruction of KRAS G12D-positive tumor cells. This target is particularly relevant for treating pancreatic, colorectal, and lung cancers, where KRAS G12D mutations are highly prevalent and HLA-A*11:01 is a frequent haplotype (ClinicalTrials.gov: NCT03948191).

Other names
KRAS G12D 10-mer/HLA-A*11:01VVVGADGVGK/HLA-A*11:01 complexKRAS G12D neoantigen-MHC complexHLA-A*11:01-restricted KRAS G12D peptide
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Mechanism of action

Targeting of the peptide-MHC complex by engineered T-cell receptors (TCRs) or TCR-like molecules to induce selective lysis of tumor cells expressing the KRAS G12D mutation.

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Biological functions

Antigen presentationT-cell activationImmune surveillance
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Disease associations

Pancreatic ductal adenocarcinomaColorectal cancerNon-small cell lung cancer
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Safety considerations

Immune escape via HLA loss or downregulationCytokine release syndrome (CRS)Potential cross-reactivity with wild-type KRAS peptides
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Interacting drugs

KRAS G12D-specific TCR-engineered T-cells

2 more in the full profile.

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Biomarkers

KRAS G12D mutation statusHLA-A*11:01 genotypeHLA class I surface expression

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