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Cytomegalovirus (CMV) antigens presented by HLA class I molecules refer to viral peptide fragments derived from CMV proteins that are processed within infected cells and displayed on the cell surface bound to human leukocyte antigen (HLA) class I molecules. This presentation is crucial for immune surveillance, enabling cytotoxic CD8+ T cells to recognize and eliminate CMV-infected cells. The magnitude of this CTL response correlates directly with how effectively viral antigens are presented on MHC-I molecules. Effective presentation is critical for controlling infection after events like hematopoietic cell transplantation. Human cytomegalovirus encodes several immune evasion proteins that interfere with antigen processing or presentation pathways, modulating HLA-I function or expression as an evasion strategy. CMV-specific CTL responses mediated via MHC-I/peptide complexes play a pivotal role in controlling viral replication—especially important in immunocompromised individuals such as transplant recipients. Failure of effective antigen presentation can lead to unchecked viral proliferation and disease progression.
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