# Direct chemical targeting of MHC proteins for the treatment of cancer and autoimmune diseases

> **NIH NIH DP2** · UNIVERSITY OF CALIFORNIA BERKELEY · 2024 · $1,401,149

## Abstract

Project Summary/Abstract
 Recognition of peptide antigens presented by major histocompatibility complexes (MHCs) by T cell
receptors is a fundamental molecular mechanism by which T cells sense and respond to foreign antigens such
as viral proteins and mutant oncoproteins. Yet many cancer-specific antigens are poorly presented by common
MHC alleles, greatly limiting the ability of T cells to be mobilized against patient tumors. Methods to increase
the MHC-I presentation of cancer specific oncogenic driver mutations could greatly augment anti-cancer immune
responses. Conversely, misrecognition of self-antigens by T cells breaks the immune tolerance and leads to the
destruction of healthy tissue, a process that underlies multiple autoimmune diseases. Genetic studies have
revealed strong linkages between specific MHC alleles and autoimmune disease risk (e.g. HLA-
B*27:05/ankylosing spondylitis, HLA-DQ2/celiac disease and type 1 diabetes), providing a strong rationale to
therapeutically target these MHC alleles. Although MHC proteins have not been targeted by small molecule
drugs, recent studies on idiosyncratic drug hypersensitivity reactions uncovered the propensity of MHC proteins
to accommodate drug-like compounds. Here we seek to exploit this understanding to develop small molecule
ligands of MHC proteins for the treatment of cancer and autoimmune diseases. By leveraging a new high
throughput assay we have established to monitor compound stabilization of MHC proteins as well as their
covalent reactivity, we propose to develop small molecules that 1) enhance the presentation of cancer antigens
by MHC Class I proteins via a molecule glue mechanism, 2) block the antigen presentation by autoimmune-
associated MHC Class I proteins, and 3) allosterically perturb the function of autoimmune-associated MHC Class
II proteins. The proposed research program will deliver novel chemical matter to enable new therapeutic
mechanisms for cancer and autoimmune diseases. In addition, the methods we develop here will lay the
foundation for the systematic discovery of small molecules that modulate of MHC-mediated antigen presentation.

## Key facts

- **NIH application ID:** 10910441
- **Project number:** 1DP2DK143366-01
- **Recipient organization:** UNIVERSITY OF CALIFORNIA BERKELEY
- **Principal Investigator:** Ziyang Zhang
- **Activity code:** DP2 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $1,401,149
- **Award type:** 1
- **Project period:** 2024-09-01 → 2027-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10910441

## Citation

> US National Institutes of Health, RePORTER application 10910441, Direct chemical targeting of MHC proteins for the treatment of cancer and autoimmune diseases (1DP2DK143366-01). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/10910441. Licensed CC0.

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