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Mutant Ras peptide–MHC class I complex

Molecular classification
Peptide–MHC class I complex, Immune receptor ligand, Tumor antigen complex, Other
01

Overview

The mutant Ras peptide–MHC class I complex is a heterotrimeric cell surface structure formed when peptides derived from RAS oncogenes carrying tumor-specific point mutations (such as KRAS G12C, G12V or Q61H/L/R) are processed and presented by major histocompatibility complex (MHC) class I molecules, typically in the context of a specific human leukocyte antigen (HLA) allele (e.g., HLA-A*01, HLA-A*03)[1][5][2]. These peptide–MHC complexes function as "neoantigens," marking tumor cells for recognition by cytotoxic CD8+ T cells[3][6]. Because RAS proteins are intracellular and not directly accessible to antibody or T cell therapies, the cell surface display of mutant RAS–derived peptides via MHC class I enables the development of targeted immunotherapies, including T cell–engaging bispecific antibodies and engineered T cell therapies[5][2]. The formation, abundance, and stability of these complexes are influenced by both the specific mutation, the surrounding peptide sequence, the MHC allele, and the dynamics of peptide loading and presentation[1]. Targeting these complexes is an area of active research for treatment of RAS-mutant cancers, with unique considerations for specificity, efficacy, and safety.

Other names
Mutant RAS peptide–MHC-I complexMutant KRAS/NRAS/HRAS peptide–HLA complexMutant RAS neoepitope–MHC complexMutant RAS peptide–HLA complex
02

Mechanism of action

Immune cell redirection (T cell activation and cytolytic activity via engagement of mutant RAS peptide–MHC by bispecific antibodies)[5]; Neoantigen-based recognition leading to targeted killing of cancer cells by engineered immune effectors[2][5]

03

Biological functions

Immune responseAntigen presentationTumor neoantigen display
04

Disease associations

CancerOther
05

Safety considerations

Low abundance and variable levels of peptide–MHC complexes on tumor cell surface, impacting efficacy[5]Heterogeneity in HLA types and tumor mutational backgroundPotential for autoimmune cross-reactivity if wild-type peptides are inadvertently targeted[5]Risk of cytokine release with bispecific T cell–engaging modalities
06

Interacting drugs

Bispecific T cell engagers (e.g., single-chain diabodies, scDb) targeting mutant RAS peptide–MHC complexes[5]

2 more in the full profile.

07

Biomarkers

Presence of mutant RAS peptides (KRAS G12C, G12V, Q61H, Q61L, Q61R, etc.) presented by specific MHC class I alleles (commonly HLA-A*01, HLA-A*03)[1][5]Tumor HLA type and RAS mutation status

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