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Peptide–HLA-A*24:02 complexes are major histocompatibility complex (MHC) class I molecules that present short intracellularly derived peptides on the cell surface for recognition by CD8+ T cells [Frontiers in Immunology, 2021]. These complexes play a fundamental role in immune surveillance by displaying fragments of cellular proteins, including those derived from viruses or mutated/aberrantly expressed tumor antigens [NIH, 2024]. HLA-A*24:02 is a highly prevalent allele in East Asian populations, particularly in Japanese and Chinese cohorts, making it a significant target for precision oncology in these regions [Immunology, 2020]. In cancer, these complexes present tumor-associated antigens such as NY-ESO-1, MAGE-A4, and WT1, which can be targeted by TCR-engineered T cells (TCR-T) or TCR-like antibodies [Takara Bio; ClinicalTrials.gov]. The therapeutic goal is to trigger a potent and specific cytotoxic T-cell response against tumor cells while sparing healthy tissues [Oncotarget, 2017]. However, a major challenge is the potential for off-target cross-reactivity, where the therapeutic agent recognizes similar peptides presented on normal cells, potentially leading to severe toxicity [Kavraki Lab; NIH]. Clinical development of drugs targeting these complexes, such as TBI-1301 and TAEST16001, has shown promise in treating various solid tumors [Annals of Oncology, 2019; ResearchGate, 2023].
Recognition by engineered or endogenous T-cell receptors (TCRs) on CD8+ T cells, triggering cytotoxic activity and cytokine release to eliminate the target cell [Frontiers in Immunology, 2021; NIH, 2024].
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