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The Preferentially expressed Antigen in Melanoma (PRAME)-derived peptide SLLQHLIGL presented by Human Leukocyte Antigen A*02:01 (HLA-A*02:01) is a specific peptide-major histocompatibility complex (pMHC) that serves as a critical target for cancer immunotherapy (UniProt P78395). PRAME is a cancer-testis antigen that is highly expressed in various malignancies, such as melanoma, synovial sarcoma, and non-small cell lung cancer, but has restricted expression in healthy tissues, primarily the immune-privileged testis (PubMed PMID: 15901697). The specific nine-amino acid sequence SLLQHLIGL, corresponding to residues 425-433 of the PRAME protein, is processed and presented on the cell surface by the HLA-A*02:01 molecule, which is the most prevalent MHC Class I allele in Caucasian populations. This pMHC complex is recognized by specific T-cell receptors (TCRs), allowing for the development of targeted therapies that redirect the immune system to kill cancer cells. Current therapeutic approaches include TCR-engineered T-cell (TCR-T) therapies, such as the FDA-approved afamitresgene autoleucel (Tecelra), and soluble TCR-bispecific engagers like IMC-F106C (FDA, 2024; Immunocore, 2024). These agents bind the pMHC complex with high specificity, inducing T-cell activation and subsequent tumor cell lysis while minimizing damage to healthy tissues (Immatics N.V., 2024).
T-cell receptor (TCR) mediated recognition and redirection of T-cell cytotoxicity against cells presenting the specific PRAME peptide-MHC complex.
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