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Mesothelin peptide–MHC complex

Molecular classification
Peptide–MHC complex, Immune receptor complex, Antigen presentation complex, Other
01

Overview

The **mesothelin peptide–MHC complex** refers to the molecular complex formed when a peptide fragment derived from the mesothelin protein (a tumor-associated antigen) is bound within the peptide-binding groove of a major histocompatibility complex (MHC) molecule, typically MHC class I, on the surface of antigen-presenting cells or tumor cells. This complex serves as a molecular target for immune recognition, principally by cytotoxic T cells whose T-cell receptors (TCRs) specifically recognize the peptide–MHC structure. Engineered antibodies, TCR-mimic therapies, and adoptive T-cell strategies may target this complex to selectively kill mesothelin-expressing cancer cells, leveraging its restricted presentation on tumor tissue. The composition, surface expression, and immunogenicity of the mesothelin peptide–MHC complex are determined by mesothelin gene expression, intracellular processing, the patient's HLA type, and antigen presentation machinery integrity. The development of drugs targeting this complex is ongoing, aiming to harness or redirect immune responses for cancer therapy[2][5][8].

Other names
Mesothelin-derived peptide–MHC complexMesothelin antigen–MHC complexpeptide–MHC complex containing mesothelin epitope
02

Mechanism of action

T-cell receptor (TCR) mimicry: Targeting and binding of the mesothelin peptide–MHC complex by engineered T-cells or TCR-like antibodies leads to cytotoxic T-cell activation and lysis of tumor cells displaying the complex

03

Biological functions

Antigen presentationImmune response activationT-cell mediated immunity
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Disease associations

Cancer (especially mesothelioma, ovarian cancer, pancreatic cancer, other mesothelin-expressing tumors)Other
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Safety considerations

On-target, off-tumor toxicity (since normal mesothelial cells may present low levels of mesothelin peptide–MHC complex)HLA restriction limits eligible patient populationsPotential for immune-related adverse effects if cross-reactivity occurs
06

Interacting drugs

AMG 757 (tarlatamab) (T-cell engager targeting mesothelin peptide–MHC complex)

2 more in the full profile.

07

Biomarkers

Presence of mesothelin peptide–MHC complex on tumor cell surface (usually detected by specific antibodies or mass spectrometry)Expression of mesothelin in tumor tissue (by IHC or RNA)HLA restriction (typically HLA-A2 or other HLA alleles corresponding to the presented peptide)

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