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Tumor-specific peptide-HLA complex

Molecular classification
Other (peptide-MHC complex; these are antigen complexes rather than classic single-protein receptors or enzymes), Receptor (the HLA molecule is a receptor, specifically Major Histocompatibility Complex class I or II)
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Overview

A **tumor-specific peptide-HLA complex** is a molecular entity formed by the binding of a tumor-derived peptide, frequently a neoantigen (mutation-derived peptide), to a human leukocyte antigen (HLA) molecule—typically, but not exclusively, class I HLA (MHC-I) on the surface of a tumor cell. These complexes are presented on the tumor cell membrane, where they can be recognized by cytotoxic T lymphocytes (CTLs) via their T-cell receptors (TCRs). The specificity of the peptide and the HLA allele determines immune recognition, immune surveillance, and the potential for targeted immunotherapies. Therapeutic strategies—including engineered T cells and TCR-mimic antibodies—can selectively recognize these complexes and kill tumor cells presenting them. However, cross-reactivity with self-peptides, HLA restriction, and downregulation of HLA in tumors present significant translational challenges. These complexes serve both as therapeutic targets and as biomarkers for patient selection in various cancer immunotherapy settings [1][2][3][4][5][6][7].

Other names
Tumor-associated peptide-HLA complexCancer neoantigen-HLA complexTumor antigen-MHC complexpHLA complex (when referring to peptide-HLA complex)Tumor epitope-MHC complex
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Mechanism of action

Direct recognition of pHLA complexes on tumor cells by engineered TCR or antibodies, leading to targeted cell killing [1][3][5] Stimulation of T cell immunity specific to tumor-derived peptides [2][3] Blockade of tumor immune escape via recognition and response to pHLA complexes [3]

03

Biological functions

Immune responseAntigen presentationImmune surveillanceT-cell activation
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Disease associations

CancerInfectionImmune escape (by tumors or infected cells)
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Safety considerations

On-target, off-tumor toxicity due to cross-reactivity with similar self-peptides (e.g., fatal cardiac toxicity from Titin peptide similarity) [3]Immune-related adverse events (if normal tissues present similar peptide-HLA complexes)Tumor immune evasion via mutation or downregulation of HLA expression [1][7]Heterogeneity of HLA types restricting therapy applicability [2][3]
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Interacting drugs

T-cell receptor mimetic antibodies (e.g., TCRm 1B8) [1]

3 more in the full profile.

07

Biomarkers

Expression of specific tumor peptide-HLA complexes (e.g., HLA-A2/MAGEA4, HLA-A2/Her2(369–377)) [1][5]Presence of neoantigens (mutation-derived peptides) in patient tumorsHLA type of patient (e.g., HLA-A*02:01 restriction) [3][5]Density of peptide-HLA complexes on tumor cells [1]

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