Target intelligence / Profile preview

Preproinsulin 15-24 peptide–HLA-A*02:01 complex (PPI15-24–HLA-A*02:01)

Target
PPI15-24–HLA-A*02:01
Molecular classification
Peptide-MHC complex, Antigen, MHC Class I
01

Overview

The Preproinsulin 15-24 peptide–HLA-A*02:01 complex is a specific peptide-major histocompatibility complex (pMHC) that serves as a primary autoantigen in Type 1 Diabetes (T1D). It comprises a 10-amino acid sequence (ALWGPDPAAA) derived from the signal peptide of preproinsulin, which is presented by the HLA-A*02:01 class I molecule (Skowera et al., 2008, J Clin Invest). This complex is recognized by autoreactive CD8+ T cells, leading to the targeted destruction of insulin-producing pancreatic beta cells (Kronenberg-Versteeg et al., 2014, Diabetes). Because HLA-A*02:01 is the most common HLA allele associated with T1D risk, this pMHC is a major focus for therapeutic intervention. Strategies include the development of TCR-like antibodies for diagnostic imaging and the creation of tolerogenic vaccines or TCR-based therapies designed to suppress or eliminate the specific T-cell clones responsible for beta-cell loss (Luce et al., 2011, J Autoimmun; Insel et al., 2015, Nat Rev Dis Primers).

Other names
Preproinsulin(15-24)/HLA-A*02:01ALWGPDPAAA/HLA-A*02:01Insulin signal peptide 15-24/HLA-A2PPI signal peptide epitope
02

Mechanism of action

Targeted modulation of the immune system through T-cell receptor (TCR) recognition of the peptide-MHC complex to induce tolerance or deplete autoreactive cells.

03

Biological functions

Antigen presentationT-cell activationImmune recognition
04

Disease associations

Type 1 DiabetesAutoimmune disease
05

Safety considerations

Off-target T-cell activationCytokine release syndromePotential for exacerbating autoimmunity
06

Interacting drugs

TCR-like antibodies (Experimental)

2 more in the full profile.

07

Biomarkers

HLA-A*02:01 genotypePPI15-24-specific CD8+ T cellsPreproinsulin autoantibodies

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