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Mutated TP53 peptide–MHC class I complex

Molecular classification
Peptide–MHC complex, Neoantigen–MHC complex, Cell-surface antigen complex
01

Overview

A mutated TP53 peptide–MHC class I complex is formed when a tumor-derived p53 peptide, containing a cancer-specific mutation, is processed and presented on the surface of tumor cells in the context of an MHC class I (e.g., HLA-A*02:01) molecule. This peptide–MHC complex acts as a neoantigen, rendering the mutated p53 protein visible to T cells, and can be specifically targeted by engineered bispecific antibodies, TCR mimic antibodies, or adoptive cell therapies. These approaches leverage the immune system to differentiate tumor cells from normal cells by recognizing the unique peptide–MHC signature associated with TP53 mutations, with the goal of selective tumor cell elimination. Therapeutic development is challenged by low levels of complex expression and risks of cross-reactivity, but such complexes are increasingly recognized as highly specific drug targets for cancers harboring recurrent TP53 mutations[3][5][7].

Other names
Mutated p53 peptide–HLA complexMutant p53 peptide–MHC complexMutant TP53 neoantigen–MHC I complex
02

Mechanism of action

Redirect T cells to mutant p53-expressing tumor cells via recognition of the peptide–MHC complex[7] Antibody- or TCR-based recognition of surface peptide–MHC for targeted cell killing[3][7] Internalization and lysosomal trafficking upon antibody binding (potentially for ADC delivery)[3]

03

Biological functions

Immune responseAntigen presentationTumor immune surveillanceCell-mediated cytotoxicity (via T cell activation)
04

Disease associations

Cancer
05

Safety considerations

Low peptide–MHC complex density on cell surface, potentially reducing therapeutic window[7]TCR mimic or bispecific antibody cross-reactivity with other peptide–MHC complexesRisk of off-tumor effects if similar peptides are presented by normal tissues[7]Immunogenicity or cytokine release syndrome from immune-engaging agents
06

Interacting drugs

Bispecific antibodies (e.g., H2-scDb targeting TP53 R175H peptide–HLA-A*02:01)[7]

3 more in the full profile.

07

Biomarkers

Presence of specific TP53 mutations (e.g., R175H)[7]Expression of mutant TP53 peptides presented by MHC class I on tumor cells[3][7]HLA type (e.g., HLA-A*02:01, HLA-A24:02)[5][7]

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