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The PMEL peptide ITDQVPFSV presented by HLA-A*02:01 is a specific peptide-major histocompatibility complex (pMHC) that serves as a critical target for melanoma immunotherapy (UniProt: P40967). PMEL, also known as gp100, is a lineage-specific glycoprotein involved in melanosome maturation and is highly expressed in melanocytes and melanoma cells (PubMed: 10426997). The ITDQVPFSV sequence represents a specific epitope (residues 209-217) that is processed and presented on the cell surface by the HLA-A*02:01 allele. This complex is recognized by specific T-cell receptors (TCRs), making it a focal point for developing TCR-based therapeutics like tebentafusp. Tebentafusp is a first-in-class bispecific TCR-anti-CD3 fusion protein that specifically binds to this pMHC complex to redirect T cells to kill melanoma cells (FDA: Kimmtrak Prescribing Information). Because gp100 is also expressed in normal melanocytes, treatment targeting this complex can lead to on-target off-tumor effects in the skin and eyes.
T-cell redirection via a bispecific T-cell receptor (TCR) fusion protein that binds the pMHC complex and the CD3 receptor on T cells (PubMed: 34554650).
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