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Neoantigen peptide presented by human leukocyte antigen molecule

Molecular classification
Other (mutation-derived peptide presented by MHC), Antigen (peptide), HLA ligand, Antigen-presenting complex
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Overview

A **neoantigen peptide presented by human leukocyte antigen (HLA) molecules** is a short peptide derived from tumor-specific mutations, which is displayed on the cell surface in complex with HLA class I or II proteins. The complex is recognized by T cell receptors (TCRs), activating T cells and enabling discrimination of tumor cells from normal cells. Since these peptides are unique to tumor cells (mutation-specific), they are promising therapeutic targets for individualized cancer immunotherapies—including personalized vaccines, adoptive cell therapies, and strategies to enhance immune recognition. Accurate identification of these complexes relies on genomic, transcriptomic, and immunopeptidomic methodologies to link somatic mutations with naturally processed and presented peptides, with HLA-binding predictions or mass spectrometry-based validation. The presence, abundance, and immunogenicity of pHLA neoantigen complexes strongly correlate with clinical outcome and therapy response in cancer immunotherapy.

Other names
Neoantigen-HLA complexpeptide-HLA complexHLA-presented neoantigentumor neoantigen (when presented by HLA)peptide–HLA (pHLA) complex
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Mechanism of action

Stimulation of tumor-specific T cell response via recognition of the mutant peptide within the HLA groove by patient T cell receptors (TCRs)\nT cell-mediated cytotoxicity directed against cells presenting the neoantigen-HLA complex\nInduction of CD8+ cytotoxic and CD4+ helper T cell responses when presented by HLA class I and II, respectively

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Biological functions

Immune responseAntigen presentationT cell activation (CD8+ and CD4+)Tumor immune surveillance
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Disease associations

CancerInfection (in the context of pathogen-derived antigens, but here focus is cancer)Other (autoimmunity research, less relevant in this case)
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Safety considerations

Heterogeneity of neoantigen presentation (risk of tumor immune escape if peptide not presented by all tumor cells or lost due to mutation/loss of HLA expression)Off-target recognition is low, but possibility for cross-reactivity if peptide sequence is not tumor-specific enoughTechnical limitations in accurate identification and validation of immunogenic pHLA complexes
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Interacting drugs

Personalized neoantigen vaccines (custom-made for individual patients)

3 more in the full profile.

07

Biomarkers

Neoantigen load (count of neoantigens presented by HLA) as predictor of immunotherapy responseQuality and clonality of pHLA complexesSpecific pHLA complexes detected by mass spectrometry or immunogenicity assays

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