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Nucleophosmin 1 mutant peptide–HLA-A*02:01 complex (NPM1mut–HLA-A*02:01 complex)

Target
NPM1mut–HLA-A*02:01 complex
Molecular classification
Peptide–MHC class I complex, Antigen presentation complex, Tumor-associated neoantigen complex, Immune target
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Overview

The Nucleophosmin 1 mutant peptide–HLA-A*02:01 complex forms when peptides derived from the mutated C-terminal region of nucleophosmin 1, commonly found in acute myeloid leukemia (notably in type A mutations), are presented by the HLA-A*02:01 class I major histocompatibility complex molecule on the surface of leukemia cells. This generates a neoantigen that can be recognized by CD8+ T cells, making it a promising immunotherapy target for AML patients bearing both an NPM1 mutation and the HLA-A*02:01 allele. Several studies propose exploiting this complex for peptide vaccines or adoptive T cell therapies, aiming to induce anti-leukemic immune responses. While it is not a conventional receptor or enzyme, the peptide–MHC complex is a validated immunological target structure in cancer immunotherapy.

Other names
NPM1 mutant peptide–HLA-A*02:01NPM1c+ peptide–HLA-A*02:01 complexMutant NPM1–HLA-A*02:01AML-NPM1 immunopeptide–HLA-A*02:01
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Mechanism of action

Drugs or therapies targeting this complex are designed to induce or enhance cytotoxic T lymphocyte (CTL) responses against leukemia cells presenting NPM1 mutant peptides in the context of HLA-A*02:01. Recognition and lysis of AML cells by engineered TCR-T cells or vaccine-induced T cells.

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Biological functions

Antigen presentation to CD8+ T cellsImmune response activationTumor immune surveillanceNeoantigen formation
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Disease associations

Cancer (specifically acute myeloid leukemia)Immune-related diseases (potential)
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Safety considerations

Potential for off-target immune responses if similar peptides are present in normal tissuesImmune-mediated toxicity/autoimmunityTumor antigen escape via HLA or peptide loss variants
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Interacting drugs

None currently approved, but experimental immunotherapies (e.g., NPM1 mutant peptide vaccines, T cell therapies) are under development
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Biomarkers

NPM1 mutation (for patient selection)HLA-A*02:01 positivity (essential for antigen presentation)

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