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Mutant p53 peptide–MHC complex

Molecular classification
Peptide–MHC complex, Neoantigen complex, Immune target, Other
01

Overview

The mutant p53 peptide–MHC complex is a cell surface molecular complex formed when intracellularly degraded mutant p53 proteins generate peptides that are processed and loaded onto major histocompatibility complex (MHC) class I molecules. These complexes are presented on the surface of tumor cells carrying TP53 mutations, particularly “hotspot” cancer-associated mutants such as p53 R175H[7][3]. While wild-type p53 is normally degraded and kept at low intracellular concentrations in healthy tissue, mutated forms often accumulate in tumors due to impaired regulation, leading to increased presentation of mutant-specific peptide—MHC complexes[3][7]. These complexes represent tumor-specific neoantigens and can be recognized by T cell receptors (TCRs) or by engineered antibody fragments (TCR-mimic antibodies), facilitating tumor-specific immune targeting without affecting normal tissues[7][3][2]. This makes the mutant p53 peptide–MHC complex a promising and specific immunotherapeutic target under development for adoptive TCR therapy, bispecific antibodies, and TCR-mimic antibody therapeutics in cancers harboring TP53 mutations[3][7][6].

Other names
p53 mutant peptide–MHC complexTP53 mutant peptide–MHC complexMutant p53 neoantigen–MHC complex
02

Mechanism of action

Targeted immune cell recruitment and activation via recognition of the mutant p53 peptide presented on MHC class I molecules by T cell receptor or TCR-mimic antibody[3][7]. Antibody-dependent cellular cytotoxicity (ADCC) and T cell-mediated killing of tumor cells presenting the mutant p53 peptide–MHC complex[6][7].

03

Biological functions

Antigen presentationImmune recognitionImmune response modulationInduction of cytotoxic T cell response
04

Disease associations

Cancer
05

Safety considerations

Low density of target neoantigen–MHC complex on the tumor cell surface, requiring highly specific targeting to avoid off-target toxicity[7].Potential for immunogenicity and immune escape via downregulation of MHC or antigen processing components.On-target, off-tumor activity if wild-type p53 peptides are also presented at low levels in healthy cells[7].
06

Interacting drugs

Bispecific T cell engagers (e.g., H2-scDb)

2 more in the full profile.

07

Biomarkers

Expression of mutant p53 proteinPresence of specific mutant p53 peptides (e.g., p53 R175H) on tumor cell surface MHCHLA allele typing (e.g., HLA-A*02:01, HLA-A24) for compatible peptide presentation[7][3].

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