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T cell receptor recognition of peptide–major histocompatibility complex (TCR recognition of peptide-MHC)

Target
TCR recognition of peptide-MHC
Molecular classification
Receptor (specifically, non-catalytic tyrosine-phosphorylated receptor), Immunoglobulin superfamily member, Antigen recognition molecule
01

Overview

The **T cell receptor (TCR) recognition of peptide–major histocompatibility complex (MHC)** is a core immunological interaction critical for adaptive immunity. TCRs, found on the surface of T cells, bind specifically to peptide fragments presented by MHC molecules on the surface of antigen-presenting or infected cells[1][2][3][4][5][7]. This recognition determines T cell activation, specificity, and immune response initiation. Structurally, TCRs typically engage peptide-MHC complexes through complementarity-determining regions (CDRs), with CDR1 and CDR2 making contact with the MHC helices and CDR3 with the presented peptide[4][7]. This interaction is highly specific, yet degenerate, enabling both broad immune surveillance and the capacity for immune-mediated diseases if misdirected[2][7]. Therapeutically, TCR–pMHC interactions are targeted via engineered TCRs, bispecific fusion proteins, and cancer vaccines, but these approaches bear risks of off-target effects and immune-related toxicity[7].

Other names
TCR–pMHC interactionTCR–peptide–MHC recognitionTCR–antigen complexpeptide-MHC recognition by TCR
02

Mechanism of action

Targeted redirection or enhancement of TCR–pMHC interaction to stimulate T cell–mediated cytotoxicity (TCR-based therapies, bispecifics); Blockade or modulation of T cell activation (experimental); Induction of specific immune responses via antigen selection (cancer vaccines)

03

Biological functions

Immune responseAntigen recognitionSignal transductionT cell activation and selection
04

Disease associations

CancerInfectionAutoimmune disease (by aberrant recognition)Other immune-mediated diseases
05

Safety considerations

Off-target recognition/cross-reactivity leading to autoimmunity or toxicity (especially in TCR therapies)Cytokine release syndromeOn-target, off-tumor toxicity (when target antigens are also expressed in non-malignant tissues)
06

Interacting drugs

Tebentafusp (FDA-approved, redirects T cells via TCR specific for HLA-A2/gp100 in melanoma)

3 more in the full profile.

07

Biomarkers

Presence of specific peptide–MHC complexes (for patient selection in TCR therapies)Expression of relevant HLA allele (e.g., HLA-A*02:01 in tebentafusp therapy)Tumor antigen expression (for antigen-specific therapies)

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