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RCSB PDB - 6UJ9: Crystal structure of HLA-B*07:02 with R140Q mutant IDH2 peptide in complex with Fab

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Structural engineering of chimeric antigen receptors targeting HLA-restricted neoantigens.

Hwang, M.S.Miller, M.S.Thirawatananond, P.Douglass, J.Wright, K.M.Hsiue, E.H.Mog, B.J.Aytenfisu, T.Y.Murphy, M.B.Aitana Azurmendi, P.Skora, A.D.Pearlman, A.H.Paul, S.DiNapoli, S.R.Konig, M.F.Bettegowda, C.Pardoll, D.M.Papadopoulos, N.Kinzler, K.W.Vogelstein, B.Zhou, S.Gabelli, S.B.

(2021) Nat Commun 12: 5271-5271

  • PubMed34489470 Search on PubMedSearch on PubMed Central
  • DOI: https://doi.org/10.1038/s41467-021-25605-4

  • PubMed Abstract: 

    Chimeric antigen receptor (CAR) T cells have emerged as a promising class of therapeutic agents, generating remarkable responses in the clinic for a subset of human cancers. One major challenge precluding the wider implementation of CAR therapy is the paucity of tumor-specific antigens. Here, we describe the development of a CAR targeting the tumor-specific isocitrate dehydrogenase 2 (IDH2) with R140Q mutation presented on the cell surface in complex with a common human leukocyte antigen allele, HLA-B*07:02. Engineering of the hinge domain of the CAR, as well as crystal structure-guided optimization of the IDH2 R140Q -HLA-B*07:02-targeting moiety, enhances the sensitivity and specificity of CARs to enable targeting of this HLA-restricted neoantigen. This approach thus holds promise for the development and optimization of immunotherapies specific to other cancer driver mutations that are difficult to target by conventional means.


  • Organizational Affiliation

    Ludwig Center, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA.