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TP53 R175H mutant peptide – HLA-A*02:01 complex

Molecular classification
Major histocompatibility complex class I (MHC-I) peptide complex, Neoantigen presentation complex, Other (antigenic peptide–MHC complex)
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Overview

The TP53 R175H mutant peptide – HLA-A*02:01 complex is a cell-surface neoantigen formed when a peptide (HMTEVVRHC) containing the R175H mutation from the tumor suppressor p53 protein is presented by the HLA-A*02:01 class I MHC molecule on tumor cells. This complex is not present in normal tissues, making it an attractive target for immunotherapies such as bispecific antibodies and engineered T cell receptors. The complex enables selective recognition and destruction of cancer cells harboring the TP53 R175H mutation. Therapeutics targeting this complex work by recruiting and activating T cells at the tumor site through molecular bridges that specifically recognize the mutant peptide/MHC complex and CD3 on T cells[1][2][3][5]. The density of the mutant complex on cancer cell surfaces is reported to be generally low, potentially limiting the effectiveness of some therapies, but high-affinity TCR-mimic antibodies and bispecific formats are being developed to overcome this challenge[5][3][1]. This target represents a paradigm for neoantigen-driven immunotherapy in cancer.

Other names
p53 R175H peptide – HLA-A2 complexMutant p53 neoantigen – HLA-A*02:01TP53 (R175H) neoepitope – HLA-A*02:01 complex
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Mechanism of action

Recruitment and activation of T cells via bispecific antibodies (linking the mutant peptide–HLA complex and TCR/CD3 on T cells) to mediate tumor cell killing[1][3][5] Selective immune recognition of cancer cells presenting the mutant peptide[2][3] Mimicking T cell receptor (TCR) recognition of tumor-specific neoantigen/MHC complex

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Biological functions

Immune responseAntigen presentationTumor antigen recognition
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Disease associations

CancerOther (neoantigen-driven immune response)
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Safety considerations

Low surface density/expression of the mutant peptide–HLA complex may limit targetability and efficacy[5]Risk of off-target effects if similar wild-type peptides are recognizedImmunogenicity of therapeutic antibodies or TCR mimics; possible cytokine release syndrome
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Interacting drugs

Bispecific antibody H2-scDb (TP53 R175H/HLA-A*02:01 x CD3)

2 more in the full profile.

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Biomarkers

Presence of TP53 R175H mutation in tumor DNASurface presentation of p53 R175H – HLA-A*02:01 complex (immunological detection)

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