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Melanoma-associated antigen 4 peptide presented by HLA-A*02:01 (MAGEA4 peptide-HLA-A*02:01 complex)

Target
MAGEA4 peptide-HLA-A*02:01 complex
Molecular classification
Peptide–MHC complex, Tumor-associated antigen/MHC class I complex, Immune epitope
01

Overview

The Melanoma-associated antigen 4 (MAGE-A4) peptide presented by HLA-A*02:01 is a tumor-specific peptide–major histocompatibility complex (MHC) class I complex uniquely found on the surface of tumor cells that express MAGE-A4 and carry the HLA-A*02:01 allele[1][3]. MAGE-A4 peptides such as GVYDGREHTV are naturally processed and loaded onto HLA-A*02:01 molecules, enabling recognition by cytotoxic T lymphocytes and engineered immune therapies[1][2][3]. Therapeutic approaches including TCR-modified T cells (e.g., afami-cel) and TCR-like antibodies leverage this specific peptide–MHC complex as a highly selective immunotherapy target in several cancer types[3][4]. The combination of tumor-restricted peptide presentation and HLA specificity confers high selectivity but also requires careful patient selection and HLA typing for safety and efficacy[3][4]. The presence and abundance of this peptide–HLA complex on tumors serve as both a therapeutic target and a biomarker for patient eligibility and monitoring of treatment response.

Other names
MAGE-A4 peptide-HLA-A*0201 complexHLA-A*0201:MAGE-A4MAGEA4/HLA-A*02:01HLA-A2/MAGE-A4
02

Mechanism of action

T cell recognition of MAGE-A4 peptide presented on HLA-A*02:01, resulting in cytotoxic T cell activation and tumor cell lysis Recruitment and activation of T cells by bispecific antibodies or engineered TCRs targeting the peptide–MHC complex

03

Biological functions

Antigen presentation to cytotoxic T lymphocytesImmune response modulationTarget for T cell redirection therapies
04

Disease associations

Cancer (various solid tumors, especially melanoma)Immunotherapy target
05

Safety considerations

Potential for off-target T cell toxicity (off-tumor, on-target effects if MAGEA4 is aberrantly expressed)HLA restriction: only patients with HLA-A*02:01 (or closely related alleles) are likely to respond[4]Need for precise HLA genotyping to avoid toxicity from alloreactive responses[4]
06

Interacting drugs

Afamitresgene autoleucel (afami-cel)

2 more in the full profile.

07

Biomarkers

Expression of MAGE-A4HLA-A*02:01 allele status

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