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Cytomegalovirus immediate-early 1 protein-derived peptide-MHC class I complex (CMV IE1-pMHC-I)

Target
CMV IE1-pMHC-I
Molecular classification
Antigenic peptide-MHC complex, Viral protein fragment, Major Histocompatibility Complex (MHC) Class I
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Overview

The Cytomegalovirus immediate-early 1 (IE1) protein-derived peptide-MHC class I complex is a critical immunological target for the control of Human Cytomegalovirus (HCMV) infection. The IE1 protein, encoded by the UL123 gene, is one of the first viral proteins expressed upon infection or reactivation from latency, playing a vital role in transactivating viral gene expression and modulating the host's innate immune response (UniProt: P06473). Peptides derived from IE1 are processed via the endogenous pathway and presented on the cell surface by MHC class I molecules, where they serve as primary targets for recognition by CD8+ cytotoxic T lymphocytes (CTLs). Because IE1 is expressed so early in the viral life cycle, IE1-specific T cells can identify and eliminate infected cells before the production of mature virions, making this complex a high-priority target for immunotherapies (PubMed: 11836371). Therapeutic strategies targeting this complex include the infusion of ex vivo expanded CMV-specific T cells (VSTs) and the development of vaccines, such as Triplex, which aim to bolster the immune response in immunocompromised patients, particularly hematopoietic stem cell and solid organ transplant recipients (ClinicalTrials.gov: NCT02506933).

Other names
CMV IE1 peptide-HLA complexIE1-derived epitopesUL123-derived peptides presented on MHC-ICMV IE1 antigenIE1-specific pMHC
02

Mechanism of action

Recognition by the T-cell receptor (TCR) on CD8+ cytotoxic T lymphocytes (CTLs), which triggers the release of cytotoxic granules (perforin/granzyme) and pro-inflammatory cytokines (IFN-gamma, TNF-alpha) to lyse the CMV-infected cell (PubMed: 8623487).

03

Biological functions

Antigen presentationImmune recognitionT-cell activationViral transactivationInhibition of host interferon signaling
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Disease associations

Cytomegalovirus infectionOpportunistic infectionPost-transplant lymphoproliferative disorder (indirectly)Congenital CMV infection
05

Safety considerations

Graft-versus-host disease (GvHD) in allogeneic transplant settingsCytokine release syndrome (CRS)Off-target cross-reactivity with self-peptidesImmune evasion via viral downregulation of MHC class I moleculesAntigenic drift or mutation in IE1 epitopes
06

Interacting drugs

Triplex (CMV vaccine)

4 more in the full profile.

07

Biomarkers

HLA-A*02:01 genotypeCMV serostatus (IgG/IgM)IE1-specific T-cell frequency (ELISPOT/Tetramer staining)CMV DNA viral load (qPCR)

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