Target intelligence / Profile preview

Cytomegalovirus-derived peptide–Human Leukocyte Antigen complex (CMV peptide–HLA complex)

Target
CMV peptide–HLA complex
Molecular classification
Antigen-MHC complex, Protein complex
01

Overview

Cytomegalovirus-derived peptide–Human Leukocyte Antigen (HLA) complexes are molecular structures formed by the association of viral protein fragments with host MHC molecules on the cell surface (Janeway et al., Immunobiology, 2001). These complexes serve as the primary signal for the adaptive immune system, specifically T cells, to identify and destroy cells infected with Human Cytomegalovirus (CMV). While the tegument protein pp65 and the immediate-early protein IE1 are the most frequently targeted antigens, other complexes involve peptides derived from a wide array of CMV proteins such as pp150 (UL32), gB (UL55), and various US/UL gene products (Stern-Ginossar et al., Science, 2012). In clinical settings, these complexes are the targets of adoptive T-cell therapies, such as Posoleucel, and vaccines designed to restore or enhance CMV-specific immunity in immunocompromised individuals (Leen et al., Biol Blood Marrow Transplant, 2013). The therapeutic efficacy depends on the specific HLA restriction of the patient and the immunogenicity of the presented viral peptide (Bollard & Heslop, Blood, 2016).

Other names
CMV-HLA complexCMV peptide-MHC complexCytomegalovirus antigen-HLA complexCMV-specific pMHCCMV-derived peptide-MHCCMV-HLA class I/II complex
02

Mechanism of action

Recognition of the peptide-HLA complex by the T-cell receptor (TCR) on CD8+ or CD4+ T cells, triggering cellular activation, cytokine release, and direct lysis of CMV-infected cells (Bollard & Heslop, Blood, 2016).

03

Biological functions

Antigen presentationImmune responseT-cell activationViral surveillance
04

Disease associations

Cytomegalovirus infectionPost-transplant complicationsCongenital CMV infectionImmunodeficiency-related CMV disease
05

Safety considerations

Graft-versus-host disease (GvHD)Cytokine release syndrome (CRS)Off-target cross-reactivity with self-peptidesImmune escape via HLA downregulation (Hansen et al., Science, 2013)
06

Interacting drugs

Posoleucel

4 more in the full profile.

07

Biomarkers

HLA-A*02:01 (and other HLA alleles)CMV-specific T-cell frequency (ELISPOT)MHC tetramer bindingCMV DNA viral load (qPCR)

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