Target intelligence / Profile preview

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

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

Overview

The Cytomegalovirus (CMV) peptide–Human Leukocyte Antigen (HLA) complex is a molecular assembly found on the surface of cells infected with CMV. It consists of a viral protein fragment (peptide), typically derived from immunodominant proteins like pp65 or IE1, bound within the groove of an HLA molecule. This complex serves as the primary signal for the adaptive immune system, specifically allowing CD8+ cytotoxic T-lymphocytes to identify and eliminate virally infected cells through T-cell receptor (TCR) recognition. In clinical settings, these complexes are critical targets for adoptive T-cell therapies and TCR-engineered cells, particularly in immunocompromised patients such as hematopoietic stem cell or solid organ transplant recipients who face life-threatening CMV reactivation. Therapeutic strategies focus on using donor-derived or off-the-shelf CMV-specific T-cells that bind these complexes to restore viral immunity and control infection without the toxicities associated with traditional antiviral drugs.

Other names
CMV pMHCCMV peptide-MHC complexCytomegalovirus antigen-HLA complexCMV-specific peptide-HLA complex
02

Mechanism of action

Recognition by T-cell receptors (TCRs) on cytotoxic T-lymphocytes leading to targeted lysis of infected cells and cytokine release.

03

Biological functions

Antigen presentationImmune recognitionT-cell activationViral surveillance
04

Disease associations

InfectionCytomegalovirus infectionPost-transplant lymphoproliferative disorder
05

Safety considerations

Cytokine release syndrome (CRS)Graft-versus-host disease (GvHD) in allogeneic settingsOff-target cross-reactivity with self-peptidesImmune escape via HLA downregulation
06

Interacting drugs

Tabelecleucel

4 more in the full profile.

07

Biomarkers

HLA-A*02:01 genotypeCMV viral load (DNAemia)CMV serostatusCMV-specific T-cell frequency

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