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Mutant nucleophosmin 1 peptide-HLA-A*0201 complex (NPM1mut-HLA-A*0201)

Target
NPM1mut-HLA-A*0201
Molecular classification
Other (peptide-MHC complex), Immune checkpoint ligand (since it serves as an antigenic complex recognized by T-cell receptors)
01

Overview

The mutant nucleophosmin 1 peptide-HLA-A*0201 complex is a molecular complex formed when peptide fragments derived from the mutated portion of NPM1, commonly seen in acute myeloid leukemia, are presented on the cell surface by the MHC class I molecule HLA-A*0201[6]. This neoantigen is highly immunogenic and exclusive to leukemic cells harboring NPM1 mutations, making it a precise target for immunotherapies that aim to direct cytotoxic T-cells or antibody-based therapies against malignant cells while sparing healthy tissue[6][7]. T-cell and antibody responses against this complex have been demonstrated in AML patients, and it is under investigation as the basis for novel targeted immunotherapies, including peptide vaccines and TCR/CAR-T cell therapies[4][6][7].

Other names
NPM1 mutant-HLA-A2 complexNPM1c-HLA-A*0201 complexNPM1mut/HLA-A2NPM1 mutant peptide/MHC I complex
02

Mechanism of action

Recognition by cytotoxic (CD8+) T-cells, leading to targeted lysis of AML cells presenting the mutant peptide[6]. Monoclonal antibodies or CAR T-cells bind to the complex, mediating immune killing of leukemia cells[7]. Therapeutic vaccines induce or enhance T-cell responses against leukemic cells by presenting NPM1 mutant epitopes[6].

03

Biological functions

Immune responseAntigen presentationT-cell recognition
04

Disease associations

Cancer (specifically acute myeloid leukemia with NPM1 mutation)Other (potentially other neoplasms involving NPM1 mutations)
05

Safety considerations

Risk of off-target immune response or autoimmunity (noted generally for TCR/CAR-T therapies)Limited applicability only in patients expressing HLA-A*0201 and the specific NPM1 mutationPotential for immune escape or resistance
06

Interacting drugs

Experimental T-cell receptor-like antibodies[7]

2 more in the full profile.

07

Biomarkers

Presence of NPM1 mutation in AMLExpression of HLA-A*0201 allele in patients (required for antigen presentation)Detectable CD8+ T-cell response against NPM1mut/HLA-A*0201 complex[6]

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