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Mesothelin-derived peptide–major histocompatibility complex class I complex

Molecular classification
Other
01

Overview

The term **“Mesothelin peptide:MHC complex”** refers not to a single protein receptor but to the **complex formed when short peptides derived from the tumor-associated antigen mesothelin (MSLN) are bound in the peptide-binding groove of a major histocompatibility complex (MHC) molecule, typically MHC class I, and displayed on the cell surface for recognition by T cells**. MHC class I molecules bind intracellularly generated peptides of around 8–10 amino acids in a groove formed by an α‑helical “roof” over a β‑sheet “floor”; the peptide’s side chains occupy defined binding pockets, and the resulting peptide–MHC (pMHC) complex is the ligand recognized by the T‑cell receptor. Mesothelin itself is a GPI‑anchored surface glycoprotein highly overexpressed on many solid tumors, including ovarian, pancreatic, and lung cancers, and is being extensively explored as a therapeutic target. Proteasomal processing of mesothelin and subsequent transport of mesothelin-derived peptides into the endoplasmic reticulum allow loading onto MHC class I within the peptide-loading complex, after which stable mesothelin peptide–MHC complexes traffic to the cell surface. These complexes are central to **CD8⁺ T‑cell recognition of mesothelin-expressing tumor cells**, and they constitute the **true molecular target** for natural and engineered T‑cell responses; however, “mesothelin peptide:MHC complex” is not a standardized, single canonical target name but a functional description spanning many possible mesothelin epitopes and MHC alleles, which is why the designation is considered **non‑standard/overly generic (is_incorrect: true)** for a unique molecular target.

Other names
Mesothelin peptide–MHC complexMesothelin peptide–MHC class I complexMesothelin peptide–HLA class I complexMesothelin-derived epitope–MHC complexMesothelin peptide–MHC antigenic complex
02

Mechanism of action

T‑cell engagement and cytotoxicity driven by T‑cell receptor recognition of tumor-associated mesothelin-derived peptides presented on MHC class I molecules (peptide–MHC as the physiological ligand for TCRs)

03

Biological functions

Immune responseAntigen presentationT‑cell activation
04

Disease associations

Cancer
05

Safety considerations

Risk of on‑target, off‑tumor T‑cell responses against normal mesothelin-expressing mesothelial tissues when mesothelin-derived peptides are presented by MHCTumor immune escape via loss or down‑regulation of MHC class I, antigen-processing machinery, or mesothelin expression, reducing mesothelin peptide–MHC complexesPotential cytokine release and immune-related toxicity in T‑cell–redirecting therapies that rely on TCR recognition of mesothelin peptide–MHC
06

Interacting drugs

HPN536 (mesothelin-targeting trispecific T‑cell–engaging antibody construct; targets mesothelin protein but functionally depends on mesothelin peptide–MHC recognition by endogenous T cells)
07

Biomarkers

Overexpression of mesothelin (MSLN) on tumor cells as a proxy for abundant mesothelin-derived peptide–MHC complexesMesothelin serum or shed forms (surrogate of mesothelin antigen load, indirectly linked to mesothelin peptide–MHC density on tumors)

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