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CMV-derived peptide–major histocompatibility complex class I complex

Molecular classification
Protein complex, Antigen-presenting molecule, Immune recognition complex
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Overview

CMV-derived peptide–major histocompatibility complex class I complexes are formed when peptides processed from cytomegalovirus proteins are loaded onto MHC class I molecules within infected host cells and presented at the cell surface[1][2]. These complexes are recognized by the T cell receptor (TCR) of CD8+ cytotoxic T cells, which can trigger immune-mediated killing of the infected cell. CMV encodes various immune evasion proteins that manipulate the antigen processing and presentation pathway to reduce the display of these peptide–MHC complexes, assisting the virus in escaping immune detection[1][4]. In therapeutic contexts, these complexes serve as targets for adoptive T cell transfer or engineered TCR therapies, particularly in immunocompromised patients or after hematopoietic stem cell transplantation. Monitoring the abundance or recognition of these complexes also provides important biomarkers for immune surveillance and efficacy of antiviral immunity[5].

Other names
CMV peptide-MHC complexCMV antigen–MHC class I complexcytomegalovirus peptide–MHC complex
02

Mechanism of action

T cell receptor (TCR)–mediated cytotoxicity: T cells recognize the CMV peptide–MHC complex, leading to targeted cell killing[2][5]. Modulation by viral immune evasion proteins (e.g., HCMV US proteins interfere with peptide presentation)[4].

03

Biological functions

Immune response activationAntigen presentationViral immune surveillance
04

Disease associations

Infection (CMV infection)Immunotherapy (target in post-transplant or cancer settings)Other (immune evasion by viruses)
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Safety considerations

Off-target T cell reactivity if engineered TCRs or T cells cross-react with human peptidesPotential immunopathology from excessive immune activation
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Interacting drugs

T cell therapies targeting specific CMV-MHC complexes (e.g., adoptive CMV-specific T cell therapies under development)

1 more in the full profile.

07

Biomarkers

Surface expression of specific CMV peptide–MHC complexes (detected by tetramers for immune monitoring)Circulating CMV-specific CD8+ T cells (functional immune status post-infection or transplant)

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