Target intelligence / Profile preview

Major histocompatibility complex class I–peptide complex (pMHC-I)

Target
pMHC-I
Molecular classification
Receptor, Immune complex, Glycoprotein
01

Overview

Major histocompatibility complex class I–peptide complexes (pMHC-I) are heterotrimeric assemblies consisting of a polymorphic alpha heavy chain, a non-covalently associated beta-2 microglobulin (B2M) light chain, and a short antigenic peptide, typically 8 to 10 amino acids in length [PMID: 10688640]. Expressed on the surface of nearly all nucleated cells, these complexes function as molecular sensors that allow the immune system to monitor the internal proteome by presenting fragments of intracellular proteins to CD8+ cytotoxic T cells [PMID: 29425344]. In healthy cells, pMHC-I complexes present self-peptides to maintain immunological tolerance; however, in the presence of viral infection or malignant transformation, they present non-self or mutated neoantigen peptides that trigger T-cell activation and target cell lysis [PMID: 31434942]. Because they can present fragments from any intracellular protein, pMHC-I complexes are critical targets for modern immunotherapies, including TCR-engineered T cells (TCR-T) and bispecific TCR molecules like Tebentafusp, which can target intracellular antigens inaccessible to traditional antibodies [PMID: 34551229]. The primary challenges in targeting these complexes include the extreme polymorphism of the Human Leukocyte Antigen (HLA) system and the risk of lethal cross-reactivity if the targeted peptide sequence resembles one found in vital healthy tissues [PMID: 23945153].

Other names
HLA-peptide complexAntigen-MHC complexPeptide-MHC class I complexpMHCHuman leukocyte antigen class I–peptide complex
02

Mechanism of action

Presentation of intracellularly derived antigenic peptides to CD8+ T-cell receptors (TCRs) to initiate a cytotoxic immune response against infected or malignant cells.

03

Biological functions

Antigen presentationImmune responseT-cell activationSelf/non-self recognitionCD8+ T-cell mediated cytotoxicity
04

Disease associations

CancerInfectionAutoimmune diseaseOrgan transplant rejection
05

Safety considerations

Off-target toxicity due to TCR cross-reactivity with similar self-peptidesHLA downregulation or loss (immune escape mechanism)Cytokine release syndrome (CRS)On-target off-tumor toxicity in healthy tissues expressing the target peptide
06

Interacting drugs

Tebentafusp

5 more in the full profile.

07

Biomarkers

HLA genotype (e.g., HLA-A*02:01)Peptide expression level (via Mass Spectrometry)pMHC multimer bindingSoluble HLA levels

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