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Tyrosinase-derived peptide–MHC class I complexes are specialized cell-surface antigens consisting of a peptide fragment from the tyrosinase enzyme bound to a Major Histocompatibility Complex (MHC) class I molecule, typically HLA-A*02:01 (PMID: 7506951). Tyrosinase is a rate-limiting enzyme in melanin biosynthesis and is highly expressed in melanoma cells, while its expression in healthy tissue is restricted to melanocytes in the skin, eye, and inner ear (PMID: 12461158). These complexes are recognized by the T-cell receptors (TCRs) of CD8+ cytotoxic T lymphocytes, making them prime targets for cancer immunotherapies such as TCR-engineered T cells (TCR-T) and bispecific T-cell engagers like ImmTACs (PMID: 22908283). By targeting the specific peptide-MHC interface, these therapeutic agents can direct a potent immune response against melanoma tumors. However, the presence of tyrosinase in normal melanocytes poses a risk of on-target, off-tumor toxicities, which may manifest as vitiligo, uveitis, or hearing loss (PMID: 15150569). Clinical development of drugs targeting these complexes, such as IMC-F10V, focuses on maximizing anti-tumor efficacy while managing these autoimmune-like side effects (Immunocore Pipeline). Patient selection for these therapies requires screening for both the specific HLA genotype and the expression of the tyrosinase protein within the tumor.
T-cell redirection and activation via specific binding to the peptide-MHC complex, leading to granzyme/perforin-mediated lysis of target cells (PMID: 22908283).
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