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Mutant KRAS peptide–HLA complex

Molecular classification
Other (peptide–major histocompatibility complex/peptide-MHC complex), Neoantigen–MHC complex
01

Overview

The Mutant KRAS peptide–HLA complex is a cell-surface molecular complex formed when a peptide fragment derived from a mutant KRAS protein (most commonly G12V or G12D mutations) is presented by a human leukocyte antigen class I (HLA-I) molecule, such as HLA-A*11:01 or HLA-A*03:01[1][2][5][6]. This complex represents a cancer-specific neoantigen that can be recognized selectively by T cell receptors (TCRs), enabling it to be therapeutically targeted in adoptive T-cell therapies and other immunotherapeutic modalities. Its molecular structure enables precise targeting by engineered immune receptors with high specificity for the mutant peptide-HLA context while minimizing cross-recognition of normal, wild-type peptides. As a target, it is central to next-generation personalized immunotherapies for cancers harboring mutant KRAS, such as pancreatic and lung adenocarcinomas[2][4][5]. However, efficacy and safety concerns are influenced by HLA polymorphism, the risk of off-tumor, on-target effects, and immune escape mechanisms.

Other names
Mutant KRAS–HLA complexKRAS G12V peptide–HLA complexMutant KRAS neoantigen–HLA complexKRAS mutant peptide–HLA
02

Mechanism of action

Targeted by TCR-engineered therapies: T cells or immune effectors recognize and kill tumor cells presenting mutant KRAS peptide–HLA complexes[2][4][5]. Recognition by high-affinity TCRs stimulates cytotoxic T cell killing of tumor cells[2][5]. Engaged by bispecific agents (ImmTAC, BiTE) to redirect immune effectors against tumor cells[4].

03

Biological functions

Immune responseAntigen presentation
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Disease associations

Cancer
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Safety considerations

Off-target recognition of wild-type KRAS or similar peptides, risking autoimmunity[2][3]HLA polymorphism restricts patient eligibility[5][4]Tumor escape through loss of HLA or antigen processing machinery
06

Interacting drugs

None directly. Targeted by immunotherapies (e.g., adoptive T-cell therapies, T-cell receptor [TCR]-engineered cells, ImmTACs, bispecifics)[4][2][5].
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Biomarkers

Presence of mutant KRAS peptides (e.g., G12V, G12D) on tumor cellsHLA genotype (predominantly HLA-A*11:01 or HLA-A*03:01 restriction)[1][2][5][6]Neoantigen load in tumors

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