Target intelligence / Profile preview

Cytomegalovirus peptide-Major Histocompatibility Complex (CMV-pMHC)

Target
CMV-pMHC
Molecular classification
Antigen-MHC complex, Receptor
01

Overview

Cytomegalovirus (CMV) peptide-Major Histocompatibility Complex (pMHC) molecules are specialized cell-surface structures that present viral protein fragments to the immune system. These complexes typically consist of immunodominant peptides derived from CMV proteins like pp65 (UL83) or IE1 (UL123) bound to MHC Class I or II molecules [1][2]. Their primary biological function is to serve as a signal for T-cell recognition; specifically, CD8+ cytotoxic T cells identify these pMHC complexes via their T-cell receptors (TCRs), initiating the destruction of the infected cell [3]. In clinical settings, these complexes are the primary targets for adoptive T-cell therapies and vaccines aimed at restoring or enhancing CMV-specific immunity in immunocompromised patients, such as those undergoing hematopoietic stem cell or solid organ transplantation [4][5]. However, CMV has evolved sophisticated mechanisms to evade this detection by downregulating MHC expression, and therapeutic interventions must also account for potential cross-reactivity with host self-antigens [6][7]. Sources: [1] Wills et al. (1996) J Virol; [2] Reddehase (2002) Nat Rev Immunol; [3] Stern-Ginossar et al. (2012) Science; [4] Papadopoulou et al. (2013) Sci Transl Med; [5] Atara Biotherapeutics Pipeline; [6] Hansen et al. (2013) Science; [7] Linette et al. (2013) Blood.

Other names
CMV-HLA complexCMV antigen-MHC complexCytomegalovirus-specific peptide-MHCCMV-pMHCHLA-restricted CMV antigen
02

Mechanism of action

Recognition by T-cell receptors (TCRs) on CD8+ or CD4+ T cells, or by TCR-like therapeutic molecules, which triggers an immune response leading to the apoptosis or lysis of the CMV-infected host cell.

03

Biological functions

Antigen presentationImmune recognitionT-cell activationCytolysis of infected cells
04

Disease associations

InfectionCytomegalovirus infectionPost-transplant complicationsCongenital CMV infection
05

Safety considerations

Viral immune evasion via MHC downregulation (e.g., US2, US11 proteins)Off-target cross-reactivity with self-peptidesGraft-versus-host disease (GvHD) in allogeneic settingsCytokine release syndrome (CRS)
06

Interacting drugs

Posoleucel (ALVR106)

4 more in the full profile.

07

Biomarkers

HLA-A*02:01 genotypeCMV serostatusCMV DNA viral loadpp65-specific T-cell frequencyMHC multimer binding

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