Reverse engineering the fatally cross-reactive A3A TCR to decouple potency and specificity
Julia V McCarthy, A. Christina HeroveniD, King IfasheiD, Martin FellermeyeriD, Dan Hudson, Raul Cioaca, Max N Quastel, Yunkai YangiD, Matteo CagiadaiD, Simeon D. Dragonov, Christopher J. ThorpeiD, Adán Pinto-FernándeziD, Alexander Greenshields‐WatsoniD, Gillespie, Charlotte Mary DeaneiD, Ricardo A. FernandesiD
Abstract
T cell receptor (TCR) affinity enhancement can introduce off-target cross-reactivity with life-threatening consequences, as illustrated by the MAGE-A3-specific A3A TCR, which caused fatal cardiotoxicity through recognition of a Titin-derived peptide. Here, we reconstructed the cross-reactivity landscape by reverse-engineering A3A toward its wild-type precursor, generating intermediate variants in which engineered CDR2 residues are systematically reverted to the wild-type sequence. Reverting just two engineered residues yields a receptor, v9, that retains MAGE-A3 cytotoxicity comparable to A3A while eliminating Titin and other acquired cross-reactivities. Structurally, these substitutions reduce CDR2-MHC contacts and disrupt an intra-TCR CDR2-CDR3{beta} interaction, propagating conformational changes across CDR3 loops that reshape peptide engagement without altering docking geometry. These results demonstrate that mutations outside the peptide-contacting CDR3 loops can allosterically reconfigure antigen specificity and establish simple stepwise reverse engineering to wild-type as a strategy for correcting TCR cross-reactivity.
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