Target intelligence / Profile preview

TP53 R248Q peptide–major histocompatibility complex (MHC) complex (TP53 R248Q pMHC complex)

Target
TP53 R248Q pMHC complex
Molecular classification
Peptide–MHC complex (Neoantigen–MHC complex), Other (not a classic receptor, enzyme, or transporter), Immunogenic neoantigen, (Indirectly includes) Transcription factor (the parental protein p53)
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Overview

The TP53 R248Q peptide–MHC complex is a molecular complex formed when a peptide containing the R248Q mutation from the TP53 gene (encoding mutant p53 protein) is presented on the surface of tumor cells by a specific MHC class I or class II molecule. This mutation is among the most frequent TP53 hotspot mutations in human cancers and results in loss of normal p53 tumor suppressor activity, with gain-of-function oncogenic properties[3][4]. The mutant peptide can generate a neoantigen recognized by the immune system as non-self. Such neoantigen–MHC complexes are being investigated as highly specific immunotherapy targets, enabling T cell–mediated attack on only the tumor cells harboring the mutation. Therapies include TCR-mimic antibodies, T cell receptor (TCR)–engineered T cell therapies, and peptide vaccines. Selection of patients requires confirmation of both the R248Q mutation and the appropriate HLA/MHC allele. Targeting the TP53 R248Q peptide–MHC complex represents a cutting-edge approach to personalized cancer immunotherapy, although clinical and translational work is ongoing and no therapies are yet approved for this specific complex[2][3][4][5]. If further detail is required about the parent molecule (mutant p53 R248Q), see supporting mechanisms in mutant p53 gain-of-function, immune evasion, and cancer roles as cited[2][3][4].

Other names
p53 R248Q neoantigen–MHC complexTP53 mutant R248Q peptide–MHC complexmutant p53 R248Q–peptide–MHC
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Mechanism of action

Presentation of the mutant TP53 R248Q–derived peptide by MHC molecules on tumor cells enables T cell recognition and killing of tumor cells by adoptive cell therapy or vaccines Stimulates cytotoxic T lymphocyte (CTL)–mediated anti-tumor immunity

03

Biological functions

Immune response modulation (as a neoantigen presented on tumor cells)Target for T cell recognitionDerived from proteins involved in: apoptosis, cell cycle regulation, DNA repair, but the complex's function is immune-related
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Disease associations

Cancer (especially solid tumors with TP53 R248Q mutation)Oncology (immunotherapy target)
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Safety considerations

Potential for off-target immune responses (T cell cross-reactivity with wild-type peptide)Tumor heterogeneity or loss of antigen expression leading to immune escapeMHC restriction limits patient populationCytokine release syndrome possible with engineered T cell therapies
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Interacting drugs

TCR-mimic antibodies (research phase)

2 more in the full profile.

07

Biomarkers

Presence of TP53 R248Q mutation in tumor DNAExpression of mutant TP53 R248Q–derived peptide on tumor MHC moleculesHLA genotype permitting peptide presentation

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